Breast Augmentation Revision
Breast augmentation using implants is one of the most effective cosmetic procedures in America and, in many cases, allows for terrific outcomes. In some situations, a patient can be dissatisfied with the appearance of her breasts and, at some point, may want breast revision treatment. Keep in mind that not all revision treatments are due to practitioner error. While few breast augmentations end with unpleasant outcomes, some individuals wish to have a larger or smaller implant. In other cases, some may have a visible irregularity and want the implant corrected or removed altogether.
Breast revision isn’t just about fixing—it’s about refining.
At the MODERN, every revision is approached with surgical clarity, artistic balance, and a deep understanding of what makes results feel natural and personal. Dr. Walters performs every surgical procedure himself, offering decades of experience in breast aesthetics and a reputation for high patient satisfaction. Furthermore, some women may require revision treatment for a specific condition. New Orleans, LA, plastic surgeon Dr. Jules Walters offers breast revision surgery after performing an in-depth exam and working with each patient to design a treatment personalized to their needs.
Dr. Jules Walters is recognized for his technical expertise and aesthetic precision, enabling patients in New Orleans and Metairie to regain comfort, balance, and confidence. Every recommendation is made with honesty and care—ensuring your revision is tailored to your body and goals.
Breast augmentation revision is a highly individualized surgical procedure designed to address concerns that arise after a previous breast augmentation. While many women enjoy long-lasting results from their initial surgery, changes in the body, implant complications, or evolving aesthetic preferences can make revision necessary. This procedure is not one-size-fits-all. For some, it may mean exchanging older implants for a more modern type or a different size. Others may require correction for issues such as implant malposition (shifts from its original position), capsular contracture (a tightening of scar tissue around the implant), rippling, or asymmetry. In some cases, a breast lift is performed at the same time to improve shape and position, especially if the skin has stretched over time.
At the MODERN, revision isn’t just about correcting problems—it’s about restoring confidence and achieving the most natural, harmonious results possible. Dr. Jules Walters tailors each revision to the unique needs of the patient, combining advanced surgical technique with a clear understanding of balance, proportion, and your goals. Whether you’re seeking improved comfort or simply a result that feels more like you, breast augmentation revision offers a trusted path forward.
Revision breast surgery is performed using general anesthesia. In some breast revision procedures, as well as some primary mastopexy procedures, Dr. Walters may recommend the use of the Galaflex Scaffold or DuraSorb bioabsorbable surgical mesh to help support breast tissue that has lost elasticity. Often referred to as an “internal bra.” Galaflex or DuraSorb help to stabilize and strengthen the soft tissue by creating tissue regeneration in a targeted manner. These unique 3D monofilament scaffolds are made from biologically derived poly-4-hydroxybutyrate (P4HB), which naturally degrades and is non-toxic, well-tolerated by the body. The addition of the supportive scaffold helps to ensure against “bottoming out” of the implant in patients with thinner breast tissue.
On surgery day at the MODERN, Dr. Walters works alongside a trusted anesthesia team in our accredited facility. The process involves:
Your comfort and safety are prioritized from consultation through recovery.
Breast revision surgery removes an implant that is either not functioning properly or no longer desired. Breast revision surgery may also be performed to change implant size or go from an implant to a fat transfer (or vice versa). There are other common situations where a revision surgical treatment is desired or required:
Even though this is rarely seen, breast implant rupture can occur. When a saline implant type ruptures, the implant will deflate almost immediately. As a result, a visible deflation will be noticeable. Meanwhile, if the implant is silicone-based and ruptures, it is only seen via an MRI. Whether silicone or saline, when a rupture occurs, a secondary procedure will be required.
This is known as the hardening of scar tissue, occurring when the delicate tissue surrounding the saline or silicone implant becomes thick and hard. Although many implant surgeries do create some internal scar tissue, most women will never see or feel it. In some situations, the hardening tissue can interfere with implant placement, altering the breast shape and implant functionality, resulting in an undesirable outcome. Capsular contracture surgery to clear away scarring would be recommended.
This condition occurs when the implant sizes look disproportionate. This may be due to an incorrect size implant, insufficient tissue on one side, or a different condition that causes asymmetry. An assessment and diagnosis would need to take place to determine what is leading to the asymmetry; then, revision surgery would be necessary to resolve the problem, and, finally, a new set of breast implants would be positioned to create a symmetrical result.
This problem happens if one or both implants bottom out or drop too low. Sometimes this is a case of a positioning error from the original surgical procedure. To modify this, a different placement method may be needed. For many patients, going to a silicone breast implant will solve this issue. Additionally, the implant pocket may be tightened, known as capsulorrhaphy, and an internal bra like Galaflex or DuraSorb may be used to support the new implant.
Symmastia is a condition that takes place when breast implants are inserted and placed too closely together. Most often, this is because the breast implant had the incorrect shape and width. A revision treatment will repair this problem by utilizing an implant that fits your frame and is aesthetically pleasing. The placement of a bioresorbable scaffold, or “internal bra,” may also be recommended.
This condition is characterized by the presence of obvious rippling and wrinkles beneath the skin. This irregularity typically forms just along the edging of the implant. Rippling is generally observed in patients with low body weight. Simply switching to a silicone breast implant can often fix this issue. Additionally, fat grafting may be recommended to create a smooth transition between the breast implant and the natural breast tissue.
Sometimes, a secondary breast surgery is as straightforward as getting a smaller or larger-sized breast implant. During the first surgery, you may have opted to go too conservative or too large. A different implant size can be switched with the original to reach the desired aesthetic goal.
Balanced and natural contours tailored to your body and style.
Removal of scar tissue and improved implant positioning reduce tightness or discomfort.
Refined aesthetic results help align your look with your self‑image.
When done well, results can last for many years, maintaining both beauty and comfort.
Patients need to be generally healthy, past breast development, and either experiencing implant-related issues or seeking aesthetic adjustments. Revision is not ideal if you have unmanaged medical conditions or unrealistic expectations. A clear discussion with Dr. Walters ensures that we only recommend what is correct and beneficial.
Ideal Candidates
Should you have any worries (either medical or aesthetic) after breast augmentation surgery, please make a consultative appointment with Dr. Walters to go over your desires and needs and to develop your personalized plan for breast revision surgery. Whether it’s scar tissue, drooping or sagging, ripples under the skin, or uneven breasts, revision surgery can help correct the deformity and result in a more normal and properly functioning outcome. This operation may also be appropriate if you want to alter the implant style or size, or address another aspect of your breasts.
Visit our photo gallery to see how real people like you have brought their aesthetic goals to life.
Dr. Walters draws from his exceptional training, experience, and skill to create beautiful, natural-looking results. He is board-certified in both plastic surgery and general surgery, and completed extensive training in both aesthetic and reconstructive plastic surgery.
His memberships include:
His credentials, integrity, and patient-centered approach make him one of the best-rated plastic surgeons in New Orleans.
[.lead]Recovery from a revision surgery varies depending on the revision type. For example, if a different size is being placed, a breast lift may work if fewer cubic centimeters are used to help remove wrinkled or loose skin.[.]
Revision surgery that warrants complex revision techniques will need a longer recovery that could last up to 6 – 8 weeks. Patients will gradually begin to see their newly revised outcomes once the bruising and swelling subside. The most important aspect following revision breast surgery is to reach a result that is pleasing to the eye.
Our care for you continues long after you leave the office.
Your recovery experience includes:
You'll start to see a refreshed shape and improved balance within just a few days of surgery. As swelling settles and your body heals, your final results gradually reveal themselves over the next 3–6 months—subtle, smooth, and confidently yours. Scars continue to fade with time, and with regular check-ins and mindful care, your enhanced breast contour can remain beautifully consistent for years to come.
At the MODERN, our goal isn’t just a better result—it’s one that feels right, looks effortless, and reflects the version of you you’ve always envisioned.
Revision surgery for breast implants is a specialized procedure tailored for your aesthetic goals by plastic surgeon Dr. Jules Walters. If you notice a visible defect in your breast augmentation results or desire a different outcome, we invite you to contact our New Orleans or Metairie, LA, office to schedule an appointment with Dr. Walters. There are many factors to consider, and Dr. Walters will perform a complete physical assessment, create your revision treatment plan, and discuss realistic outcome expectations.
What sets the MODERN apart is our refusal to rush the process. We understand that revision surgery can come with emotional weight, whether due to complications, discomfort, or dissatisfaction with earlier results. Our team makes space for those concerns and guides you through each decision with clarity and compassion. Dr. Walters performs every surgical procedure himself and maintains a selective approach—offering only those treatments that align with your best interest and have a high likelihood of meeting expectations.
With our black-and-white, minimalist aesthetic and private, welcoming environment in New Orleans and Metairie, the MODERN is designed to feel both elevated and personal.
Patients come to us not for shortcuts or gimmicks, but for trust, transparency, and surgical outcomes that genuinely reflect who they are.
If you would like to learn more about attaining your dream curves with breast revision, please request a consultation online or call our New Orleans, LA, plastic surgery practice at (504) 517-6200.
Most patients return to light activities in 1–2 weeks, but full recovery—especially to resume lifting or intense exercise—can take 4–6 weeks.
Dr. Walters uses your previous surgical incisions whenever possible. Any new scarring is minimized with precise incision care and fading protocols.
Yes—many patients upgrade to gummy bear (cohesive) implants or transition from saline to silicone. Your anatomy and aesthetic goals guide the best choice.
Temporary numbness or sensitivity can occur, but most sensation returns within several months. Revision typically preserves nerve function better than a first surgery.
Many patients can breastfeed after revision, but outcomes depend on your individual anatomy and surgical history. A consultation can help assess your expectations.
Any persistent discomfort, change in shape, size, or implant-related symptoms may warrant a consult. We recommend routine evaluations every few years.
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