Even in the face of proper planning and execution of a breast implant surgery, changes can and do occur leading to the consideration of undergoing breast implant revision surgery. These changes can be implant-related or from natural changes in the breast tissue such as after childbirth and breast-feeding. The goal of the plastic surgeon with the first time breast implant surgery is to help the patient achieve their goal by choosing not only the right implant but the proper surgical procedure.
The more common reasons for seeking revision breast surgery are implant deflation, a desire to change implant (size or type), capsular contracture, implant malposition, double-bubble deformity, and combination issues. Many women are not good candidates for a breast augmentation alone at the time of their first implant surgery and should have undergone a breast lift alone or with an implant. A common example of this is a patient who has breast laxity or sagginess after having had children or losing weight. Every patient is an individual and should be evaluated and treated as such.