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Breast Augmentation Revision


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Although a majority of women who get breast implants are satisfied with their results, in some cases, patients require revision surgery to fix a cosmetic complication. It's also common for women who have had implants for a long time to want an update. Board-certified plastic surgeon Dr. Brian C. Reuben is very experienced at performing revision surgery for breast augmentation patients from Salt Lake City, Murray, and Draper, Utah, and other cities near Midvale, who have had their procedures performed elsewhere. Breast augmentation revision requires a talented plastic surgeon with the technical skills to perform the procedure, which is often more complicated than the initial surgery.

Dr. Reuben's expertise can help you get the results you desire.

Women from Sandy, West Jordan, and surrounding Salt Lake City communities who need revision breast augmentation choose board-certified plastic surgery Dr. Reuben to perform this delicate procedure. Request a consultation online or call our office at (801) 937-9650 to schedule an appointment.

Before & After Photos

Individual results may vary.





This 38 year old female had a history of bilateral submuscular implants. She underwent a previous revision to silicone and unfortunately developed a left implant infection requiring removal. She was without an implant on the left side for four months. Patient decided on 595cc gel shaped implants along with reinforcement using Strattice for the implant malposition. 

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This 62 year old female has a history of bilateral breast augmentation and has developed capsular contracture as well as ptosis of both breasts. She underwent bilateral breast re- augmentation with a lift and had round, textured 222 cc implants placed sub muscularly. 

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This is a 54 year old woman who had a revision breast augmentation for malposition. The patient origionally had saline implants. During the procedure, the implant pocket was tightened and a silicone implant replaced the saline. The patient chose a high profile 440cc implant. Pictures are 6 months post surgery.

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Breast Augmentation Revision Candidates

Complications are not the only reason revision surgery after breast augmentation is performed. In fact, the most common reason women have secondary breast augmentation surgery is to change the size or style of their implants. Changes to a woman's body or aging of the implants themselves are among the reasons for breast augmentation revision.

Watch Dr. Reuben explain reasons for revision breast surgery.

Here are the most common reasons for breast augmentation revision:

Changing Size or Type of Implant

Exciting advances have resulted in a newer generation of breast implants. Some women want to replace older implants with options that may not have been available when they first had surgery. This includes patients who want to exchange saline-filled implants with silicone gel-filled implants, such as the "gummy bear" style. It's not unusual for women to want a different size of implants after seeing the results of their initial augmentation. This is called an elective implant exchange.

Visible Defects

Sometimes a breast augmentation patient may get results that are not aesthetically pleasing. Although these complications aren't dangerous, they can be frustrating. Rippling - implant wrinkles that are visible - is a common example of a visible defect.


surgically cutting surgical scaffold

Implants also may sit too high, low, or far apart on the chest and require revision surgery to correct their position. These defects include symmastia (often referred to as "bread-loafing" or "uniboob"), bottoming out, and the double-bubble deformity. Implant malposition is one of the most common reasons Dr. Reuben performs revision procedures. In many cases, he uses a product called SERI® Surgical Scaffold, which is a biocompatible mesh, to form an "internal bra" that supports the implants and keeps them in position.

Capsular Contracture

The most common complication following breast augmentation surgery is capsular contracture. Scar tissue forms around the implant after breast augmentation. In some cases, it tightens, distorting the shape of the implant and making it feel hard. Dr. Reuben releases or removes the scar tissue and may re-create the implant pocket to correct the problem.

Implant Deflation

If a saline implant leaks or ruptures, it immediately deflates. Ruptured silicone implants are often not noticed until a patient undergoes an imaging test, because the silicone doesn't leak into surrounding breast tissue. Revision surgery to replace the implant is necessary in either case.

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Meet Dr. Reuben

Few plastic surgeons in the Salt Lake City area can match Dr. Reuben's combination of surgical expertise and warm, personable demeanor.

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The Dr. Reuben Difference

Dr. Reuben performs revision breast augmentation in an accredited hospital or surgical facility as an outpatient procedure. Revision procedures are often more complex than the initial augmentation surgery because of the presence of scar tissue and other factors. Patients undergoing revision surgery to correct complications appreciate the experience Dr. Reuben has performing these procedures and his ability to clearly communicate the surgical plan.

In most revision cases, he uses the original incision through which the implant was inserted. If a breast lift is combined with the revision surgery, additional incisions are made.

The specific procedure used depends on the reason for the revision surgery. It may include re-positioning the implant, creating a new implant pocket, or exchanging the existing implant for a new one. Once he has achieved the desired breast size and shape, Dr. Reuben closes the incisions with sutures and applies surgical tape.

Revision surgery requires a plastic surgeon with the advanced training and experience to provide the beautiful results you deserve dr. reuben quote

- Dr. Reuben

Dr. Reuben in a Suit

What to Expect Afterward

The recovery following revision breast augmentation is usually similar to what you experienced after initially getting implants, although it may take a few more days to resume your normal activities. It's important to get up and move around on the day of the surgery to promote good circulation and enhance the healing process.

Dr. Reuben bandages and wraps your chest with a compression garment to help your breasts keep their new shape. While experiences vary, you should expect to take about 1 week off work. Typically, women return to normal, everyday activities after this time, but they are advised to refrain from heavy lifting or rigorous exercise for a few weeks.

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© 2014 – 2019 SLC Plastic Surgery
Dr. Brian C. Reuben
7001 South 900 East #100
(Located Inside the Trilogy Medical Center)
Midvale, UT 84047
Phone: (801) 937-9650
Monday: 9 a.m.–4 p.m.
Tuesday–Wednesday: 10 a.m.–6 p.m.
Thursday: 10 a.m.–7 p.m.
Friday: 10 a.m.–5 p.m.

Keep in mind that each patient is unique and results may vary.

Dr. is a board-certified plastic surgeon in Midvale, Utah, who specializes in cosmetic surgery procedures such as breast augmentation, abdominoplasty, facelift, fat grafting, and post-weight loss surgery. People visit from nearby communities such as Murray, Sandy, West Jordan, South Jordan, Draper, and Salt Lake City.