Breast Reconstruction Revision
Procedure Time
1-3 Hours
Recovery Time
4-6 Weeks
After a mastectomy, many patients choose breast reconstruction to restore their natural shape and sense of wholeness. However, not every reconstruction achieves the desired result. Some patients may experience unevenness, discomfort, or dissatisfaction with their initial surgery, while others face complications from radiation or notice changes over time due to aging or weight fluctuations.
Living with unsatisfactory results can affect confidence and overall quality of life. Whether it’s difficulty finding well-fitting clothing or feeling self-conscious in daily activities, these concerns can be emotionally challenging. At Northwest Face & Body, Dr. Tarak Patel performs breast reconstruction revision surgery to correct previous outcomes and help patients regain comfort and confidence in their appearance.
What Is Breast Reconstruction Revision?
Breast reconstruction revision is a secondary surgery that corrects or refines the results of a prior breast reconstruction. It may follow a mastectomy, which is the surgical removal of a breast for cancer, or a lumpectomy, which removes a breast tumor. Revision can also address non-cancer concerns, such as congenital asymmetry. The purpose is to improve how reconstructed breasts look and feel and to restore balance between them.
Dr. Patel works with patients who have undergone mastectomy or lumpectomy and are dissatisfied with their reconstruction outcomes. The aim is not only to fix specific problems but to restore symmetry, enhance aesthetics, and help patients feel comfortable wearing the clothes they love without self-consciousness.
Revision procedures range from minor adjustments to comprehensive reconstruction. Some patients need a simple implant exchange or pocket adjustment, while others benefit from fat transfer, tissue rearrangement, or a complete reconstruction revision. The plan is individualized based on the issues being addressed.
Common Issues Addressed Through Revision Surgery
Breast Asymmetry
One of the most common concerns after reconstruction is noticeable differences in breast size, shape, or position. Natural aging, weight changes, and radiation therapy effects can all contribute to asymmetry between the reconstructed breast and the natural breast, or between two reconstructed breasts. Even subtle differences can become apparent in fitted clothing or swimwear, causing self-consciousness and dissatisfaction.
Asymmetry may develop immediately after initial surgery or evolve gradually over months or years. Factors contributing to asymmetry include implant settling, tissue healing patterns, weight fluctuations, and the natural aging process affecting the non-reconstructed breast, while the reconstructed side remains static.
Persistent Discomfort
Some patients experience ongoing pain or tightness after their initial reconstruction. This discomfort may be caused by capsular contracture, implant positioning issues, or tissue tension that develops during healing. The chest may feel unnaturally tight, restricting movement and causing daily discomfort that impacts quality of life.
Pain can also result from nerve entrapment, implant displacement putting pressure on surrounding structures, or chronic inflammation from the body’s response to surgical materials. Addressing these issues through revision surgery can significantly improve comfort and restore normal chest wall mechanics.
Unsatisfactory Cosmetic Results
Initial reconstruction results may not meet patient expectations. Issues can include inadequate volume, poor breast shape, visible rippling, implant displacement, or results that simply don’t look natural under clothing. Some reconstructions appear flat or lack the natural contour and projection of a healthy breast.
Visible implant edges, unnatural breast shape, poor nipple positioning, or significant scarring can all contribute to dissatisfaction. The reconstructed breast may sit too high or too low on the chest wall, or the breast mound may lack the natural teardrop shape that most patients desire.
Radiation Therapy Damage
Radiation treatment after breast reconstruction can cause skin thickening, tissue hardening, and changes in breast appearance. The radiated area may develop fibrosis (excessive scar tissue formation), causing the breast to feel firm, tight, and less natural than expected. Skin may become discolored, thin, or develop texture changes.
Fat grafting techniques can help repair radiation-damaged tissue and improve both the texture and appearance of the affected area. The regenerative properties of transferred fat cells help restore tissue health and pliability, creating softer, more natural-feeling results.
Implant Complications
Over time, breast implants may shift position, develop capsular contracture (hardening of scar tissue around the implant), or need replacement. Some patients choose to switch from implants to natural tissue reconstruction or vice versa. Implant rupture, although rare with modern devices, may necessitate removal and replacement.
Bottoming out (implant migration downward), lateral displacement, or rotation of shaped implants can create appearance issues requiring correction. As implant technology continues advancing, some patients opt for revision to upgrade to newer implant types offering improved feel, safety profiles, or aesthetic outcomes.
Contour Irregularities
Rippling, visible implant edges, step-off deformities, or uneven contours can develop after initial reconstruction. These irregularities become more apparent in thin patients or those who have experienced tissue changes due to weight loss or radiation. Addressing contour issues often requires strategic fat grafting, implant exchange, or adjustment of implant pocket positioning.
Dr. Patel offers multiple approaches to breast reconstruction revision, customized to each patient’s unique situation and goals:
Implant-Based Solutions
- Replacing existing implants with different sizes or types to achieve better proportion and symmetry
- Adjusting implant position for improved placement and a more natural appearance
- Removing and replacing implants that have shifted, ruptured, or caused complications
- Switching from saline to silicone implants
- Changing implant pocket position (subglandular to submuscular or vice versa) for optimal results
- Addressing capsular contracture through capsulectomy or capsulotomy procedures
Modern implant technology offers significant advantages over devices used in earlier reconstructions. Upgrading to contemporary implants can improve both feel and appearance while reducing future complication risks.
Fat Transfer Procedures
Fat grafting involves removing fat from another area of the body through gentle liposuction and carefully injecting it into the breast area. This technique is particularly effective for:
- Adding natural volume and shape to enhance breast projection and fullness
- Smoothing irregularities and improving contour by filling depressions or hollow areas
- Repairing radiation-damaged skin and tissue, improving texture and pliability
- Creating a more natural feel and appearance, softening the transition between implant and chest wall
- Augmenting the upper pole of the breast for improved fullness and cleavage
The transferred fat contains growth factors that help regenerate damaged tissue, making it an excellent option for patients who have undergone radiation therapy. Fat grafting can be performed as a standalone procedure or in combination with implant revision for comprehensive improvement.
Local Regional Flaps
In cases requiring more extensive reconstruction, Dr. Patel may use tissue from nearby areas to rebuild the breast. This approach provides natural-looking results and can address more complex reconstruction challenges. Flap procedures utilize the patient’s own tissue, creating warm, soft, natural-feeling breasts that age naturally with the body.
Combination Treatments
Many revision procedures combine multiple techniques, such as implant replacement with fat grafting or implant removal with tissue flap reconstruction, to achieve optimal results. Combining approaches allows Dr. Patel to address multiple concerns simultaneously, minimizing the need for additional future procedures while maximizing aesthetic outcomes.
For example, a patient might undergo implant exchange to correct size and position issues while also receiving fat grafting to smooth contour irregularities and improve upper pole fullness. This comprehensive approach delivers transformative results in a single surgery.
Symmetry Restoration
For patients with one natural and one reconstructed breast, procedures on the natural breast, such as lift, reduction, or augmentation, may be recommended to achieve better symmetry between both breasts. Creating balance between the breasts is essential for a natural appearance in clothing and swimwear.
Breast lift (mastopexy) can raise and reshape a drooping natural breast to match the position of a reconstructed breast. Breast reduction can decrease the size of an oversized natural breast to match a smaller reconstructed breast. Augmentation can add volume to the natural breast when the reconstructed side is larger. These symmetry procedures ensure both breasts appear similar in size, shape, and position.
What to Expect During Consultation and Procedure
Consultation and Planning
During the consultation, Dr. Patel reviews your medical history, examines the results of previous reconstruction, and discusses specific goals and concerns. He evaluates breast symmetry, implant position, scarring, and tissue condition to determine the best approach for revision. Each plan is tailored to the individual’s anatomy and desired outcome. Patients receive a clear explanation of the procedure, recovery timeline, and expected results to help them make confident, informed decisions.
Surgical Procedure
Breast reconstruction revision typically takes one to two and a half hours, depending on the complexity of the correction. Procedures may involve implant exchange, fat grafting, or adjustments to improve symmetry. Surgery is performed under general anesthesia in a fully accredited facility, and most patients return home the same day. Dr. Patel’s precise and thoughtful approach ensures results that look natural and restore
Will there be any Risks to be considered?
Like all surgical procedures, breast reconstruction revision carries potential risks. However, these are generally similar to those of standard cosmetic breast surgery and include:
- Infection (rare, managed with antibiotics and proper wound care)
- Bleeding or hematoma requiring drainage
- Changes in nipple sensation (usually temporary, though permanent changes can occasionally occur)
- Scarring, though incisions are typically placed to minimize visible scarring
- Anesthesia-related complications
- The main concern specific to revision surgery is persistent asymmetry despite corrective efforts
Am I a Good Candidate for Breast Reconstruction Revision Surgery?
Breast reconstruction revision is ideal for individuals who have healed from their initial procedure and wish to correct or refine the results. It can address concerns like uneven shape, tightness, or discomfort after reconstruction. You may be a good candidate if you:
- Have healed for 6-12 months after your first reconstruction
- Are unhappy with shape, size, or symmetry
- Experience implant issues, tightness, or changes from radiation
- Are in good overall health with realistic expectations
- Have a stable weight and do not smoke
Whether your first reconstruction followed a mastectomy, lumpectomy, or correction of natural asymmetry, Dr. Patel at Northwest Face & Body creates personalized revision plans to restore balance, comfort, and a natural appearance once all cancer treatments are complete.
Preparing for Revision Surgery
Successful outcomes begin with thorough preparation. Patients preparing for breast reconstruction revision should:
- Obtain medical clearance from their primary care physician or oncologist
- Discontinue smoking and nicotine products well in advance of surgery
- Adjust medications as directed, particularly blood thinners or supplements affecting clotting
- Arrange for transportation home after surgery and assistance during initial recovery days
- Prepare the home recovery space with necessary supplies within easy reach
- Fill prescriptions before surgery so medications are available when needed
- Plan time off work and arrange help with childcare, pets, or household responsibilities
Dr. Patel’s team provides comprehensive pre-operative instructions to ensure patients feel prepared and confident approaching their surgery date.
Cost of Breast Reconstruction Revision Surgery
The cost of breast reconstruction revision varies for each patient and depends on several factors, including the type of correction needed, surgical technique, use of implants or fat transfer, and overall complexity. Because every case is unique, a detailed cost estimate is provided during the consultation after Dr. Patel evaluates the patient’s individual needs.
At Northwest Face & Body, patients receive transparent pricing and a clear breakdown of expected costs so they can make informed decisions with confidence.
Why Choose Dr. Patel for Breast Reconstruction Revision Surgery
Dr. Tarak Patel brings over 20 years of surgical experience, including a strong background in trauma and cancer-related reconstructive procedures from his time as a military surgeon. His approach combines precision, attention to detail, and genuine care for patients seeking improvement after prior breast reconstruction. Dr. Patel specializes in complex revision cases, focusing on restoring natural balance, symmetry, and comfort for patients who were not satisfied with their initial results.
At Northwest Face & Body, patients benefit from a trusted practice serving Bellevue, Kirkland, and the greater Seattle area since 1983. The clinic offers modern surgical facilities, an experienced team, and comprehensive support throughout every stage of care. Dr. Patel’s goal is to help patients regain confidence and achieve natural-looking results that feel right for them.
Take the Next Step Toward Better Results
Living with unsatisfactory breast reconstruction results doesn’t have to be permanent. Revision surgery offers real solutions to improve appearance, restore symmetry, and help patients regain confidence in their bodies.
Dr. Patel and the team at Northwest Face & Body are ready to evaluate reconstruction concerns and develop a personalized revision plan. With advanced techniques, extensive experience, and a commitment to patient satisfaction, the practice delivers results that help patients move forward with confidence.
Contact Northwest Face & Body today at (425) 786-1266 to schedule a consultation with Dr. Patel. Discover how breast reconstruction revision can restore the appearance and confidence that the initial reconstruction didn’t provide.
Transform dissatisfaction into confidence. Start the journey toward improved breast reconstruction results today.
Frequently Asked Questions
How long should I wait before revision surgery?
Most patients should wait 6–12 months after the initial reconstruction to allow full healing and tissue settling. Dr. Patel will assess individual needs during consultation to determine the right timing.
Is revision surgery riskier than my first reconstruction?
The risks are similar to those of your first procedure, such as infection or bleeding. Scar tissue from previous surgeries may slightly increase risks, but Dr. Patel’s experience helps minimize complications.
Can fat grafting help with radiation damage?
Yes. Fat grafting improves the texture and quality of radiation-affected skin by promoting natural tissue regeneration and softening firmness.
How many surgeries will I need?
Many patients achieve their desired results in one procedure. Some complex cases or large volume corrections may need staged surgeries for the best outcomes.
Will I lose sensation in my breast?
Temporary changes in sensation are common and usually improve as nerves heal. Dr. Patel uses careful techniques to preserve nerve function.
Can revision fix asymmetry?
Yes. Revision surgery can correct differences between the natural and reconstructed breast to create better balance and proportion.
Can I switch from implants to natural tissue?
Yes. Patients can replace implants with their own tissue for a softer, more natural feel. Dr. Patel will discuss suitable options based on anatomy and goals.
How soon can I return to work?
Most patients resume light work in 1–2 weeks, while physically demanding jobs may require a few more weeks of rest.
What should I bring to my consultation?
Bring previous surgical records, medication lists, and any notes or photos showing your concerns. This helps Dr. Patel plan the most effective revision approach.