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Breast Augmentation Revision

Breast Augmentation Revision IN LA JOLLA AND NEWPORT BEACH | TIM SAYED MD

Breast revision surgery is widely considered to be one of the most sophisticated breast procedures in the industry.

Breast revision surgery operations are often much more difficult than a primary breast augmentation procedure, and surgeons have the burden of dealing with thinning tissues, treating complications, and creating natural, aesthetically pleasing results.

Breast revision in La Jolla with Tim Sayed, MD, MBA, FACS is about aesthetics and more; it’s about restoring normalcy in your life either by fixing a deformation or by treating a condition before it becomes a serious problem. If you’re considering a breast revision, it’s essential that you choose an experienced, highly-skilled surgeon like Dr. Sayed. Although Dr. Sayed has performed thousands of breast surgeries, what truly makes him a breast revision specialist is his incredible attention to detail, his focus on advanced technology and techniques, and his special compassion for his patients.

Dr. Sayed believes in “Aesthetics Done Right™,” and he achieves this mission using a blend of technology, technique, and excellent patient care. Using Crisalix software, Dr. Sayed can use a 3D simulation to help plan his patients’ breast revision or breast augmentation revision.

Learn more about the best breast augmentation revision in Newport Beach and La Jolla, CA by reading on or scheduling a consultation with Dr. Sayed today. Dr. Sayed has offices in both La Jolla and Newport Beach, and he proudly serves patients coming from all over Orange County, San Diego County, and Southern California. 

Breast Revision 101

Let’s look at the most common conditions that Dr. Sayed’s breast revision or breast augmentation revision can treat after a previous breast surgery:

Whenever any foreign object is placed in the body, the body responds to it by forming a thin layer of scar tissue around it; for breast implants, this thin layer is called a capsule. Capsular contracture is a condition where the capsule starts to thicken, squeezing the implant. Capsular contracture can also cause pain, cause the breasts to become misshapen, and cause the implant to harden.

Sometimes (unkindly) called a “uniboob,” symmastia is when the breast implants cause the breasts to lift and push together in the middle. The two implant pockets either communicate with each other or overlap in the middle, resulting in poor cleavage. Also known as “bread-loafing,” symmastia can be fixed through breast augmentation revision.

Because of genetics as well as the natural changes the breasts undergo over time (aging, breastfeeding), the breasts can sometimes become asymmetrical. Asymmetry can also be caused by complications like capsular contracture, different size breast implants, and other conditions.

Thanks to aging, pregnancy, and changing attitudes, some women decide to replace their breast implants for a more appropriate size.

Sometimes the scars that result from breast augmentation incisions never fade and look too prominent; they can often turn into hypertrophic scars (which are thickened or widened scars but confined within the original wound), or turn into keloids (which usually grow beyond the original wound.) Sometimes the breast implants merely shift in a way that exposes the scars from the inframammary fold.

Biopsies, lumpectomies or breast surgery defects can leave irregular contours or indentations on the breast.

Breast augmentation revision surgery has varying degrees of complexity; if the patient needs to replace an implant, the surgery is much simpler, but breast revisions for conditions like malposition or capsular contracture require much more sophisticated techniques. As a seasoned specialist in breast surgery, Dr. Sayed offers patients peace of mind by offering the most advanced techniques in breast revision.

In cases of capsular contracture or the breast implants changing position, it’s essential that the surgeon reinsert the new implant in a manner that prevents the same problem from reoccurring. Simple problems in the capsule and migrating implants (also known as malposition) can sometimes be fixed by stitching the capsule tighter to reduce empty space. For more severe issues, this approach may not last as sutures can lose their strength.  Capsular contracture was also often fixed with a breast augmentation revision technique that moved the breast from underneath the breast tissue to under the muscle (subpectoral), but if the patient already had subpectoral placement, then tissues in the pocket were usually already thin or compromised.

One technique Dr. Sayed offers for breast augmentation revision is the neosubpectoral pocket/pocket exchange technique, a sophisticated method that creates a new pocket in front of the old pocket, but behind the muscle. The old pocket capsule is then stitched up and allowed to heal. Dr. Sayed can also convert the breast implants from a subglandular placement (under the natural breast tissue) to a dual plane approach (the implant partially submerged by the muscle). Dr. Sayed can also perform a complete capsulectomy, which removes the entire capsule from the pocket, and an en bloc breast implant removal, which removes the capsule and the implants in one unit.

To help enhance his breast revision results, Dr. Sayed often uses an acellular dermal matrix to not only support the breasts, but to reduce the risk of future complications occurring. Acellular dermal matrices (or “ADM’s”) are essentially biological scaffolds that help support the implants and strengthen the tissues around the implants. Acellular tissue matrices not only reduce the probability of capsular contracture and other complications from occurring again, but they also help Dr. Sayed position the breasts with precision.

How do I know if I am a candidate for breast revision in San Diego?

The ideal candidate for usually has the following characteristics:

  • A previous cosmetic breast surgery with unsatisfactory results, including one or more of these factors: capsular contracture, symmastia, implant size dissatisfaction, asymmetry, scarring, or contour irregularities.
  • General good health, meaning you do not have major uncorrected cardiovascular, respiratory, kidney or other major organ conditions.
  • Available support system of friends, family, caregivers or others who can help you to keep your appointments, complete your preop and postop tasks, and emotionally bolster you through this exciting journey.
  • Reasonable expectations of results for breast revision

How can I prepare for my breast revision?

There are many ways you can prepare for the procedure:

  • Have a reasonable expectation of what breast revision can accomplish
  • Look at before and after photos and understand what kinds of breast revision techniques you are interested in
  • Don’t smoke or take nicotine in any form for at least 3 weeks and ideally longer before (and after) surgery
  • Stay well rested and well hydrated and eat a nutritious diet balanced with plenty of protein
  • If your diet is lacking in vitamins, take vitamin C and zinc supplementation but ask Dr. Sayed about other supplements. We have a list of ingredients we ask you to avoid in the immediate preop phase to optimize healing and minimize bleeding risk
  • Designate a caretaker who can help you through the first 5 to 7 days after your breast revision

Meet Tim Sayed, MD, MBA, FACS

Double board-certified plastic surgeon | Breast Explant Expert

Dr. Tim Sayed and his staff believe that the commitment to undergoing cosmetic treatment is a momentous decision that needs to be approached with kindness and compassion, and this starts by offering a comprehensive, detailed consultation process with an emphasis on educating the patient about plastic surgery procedures and options. Dr. Sayed uses sophisticated drawing tools, the patient’s images, and anatomic education tools that he helped develop himself to inform the patient of every aspect of the procedure. Dr Sayed’s signature procedures include breast implant removalbreast lift and tummy tuck.

What is the recovery from breast revision like?

Your recovery will vary greatly depending on what you’re treating; breast revision treatments like scar revision will have much shorter healing times, while breast augmentation revision will likely require a recovery similar to ones for breast augmentation and the breast lift.​

What if I’m not satisfied with my breast revision results?

Patient satisfaction is a priority, and in the unlikely event that you’re not pleased with your results, you should discuss this with Dr. Sayed. Further adjustments may be possible depending on the situation.

How long does it take to see the final results of a Newport Beach breast revision?

While recovery varies, initial swelling and changes can take several weeks to subside. Final results can take a few months to a year as the breasts fully settle into their new shape and position.

Are the results of a San Diego breast revision permanent?

The results of breast revision can be long-lasting, but they are subject to changes due to aging, weight fluctuations, hormonal factors, and gravity.

Schedule Your Breast Augmentation Revision Consultation

Double board-certified plastic surgeon, Tim Sayed, MD, MBA,FACS, has helped countless women achieve the results and confidence they desire. Dr. Sayed and his expert team are committed to providing the best results and experience possible. To start your breast augmentation revision journey in Newport Beach or San Diego, CA please call us at (858) 247-2933 or complete our online form

Breast Augmentation Revision in Newport Beach FAQs

Review our Pricing page to build a “wishlist” and get estimated pricing on breast augmentation revision or a combination of procedures. We also have a fee schedule available in the office after your consultation. Feel free to contact our San Diego office for a pre-consultation and we are happy to provide more information.

Yes, breast revision can correct asymmetry that may have resulted from earlier procedures, whether it’s due to genetics, aging, or previous surgery complications. Each case is unique, and a consultation with Dr. Sayed can determine the best approach for symmetry restoration.

Breast revision is generally more complex due to factors like scar tissue, previous alterations to breast anatomy, and potential complications from the original surgery. As a highly trained plastic surgeon, Dr. Sayed’s expertise and use of advanced techniques help manage these complexities.

Scarring is an inevitable part of any surgery; however, Dr. Sayed strives to minimize visible scarring using advanced closure techniques. The severity of scarring also depends on individual healing processes and the nature of the revision surgery.

Breast revision surgery is typically performed under general anesthesia, ensuring that patients are comfortable and pain-free during the surgical procedure.

Follow all pre- and post-operative instructions provided by Dr. Sayed, maintain a healthy lifestyle, and attend all scheduled follow-up appointments to ensure the best outcome.

A capsulectomy involves the removal of the scar tissue capsule surrounding the implant, while an en bloc removal takes out the implant and the entire capsule as a single unit, which can sometimes be necessary to treat or prevent certain complications.

Breast revision surgery can be considered for patients experiencing symptoms associated with Breast Implant Illness (BII), a term used to describe a variety of systemic symptoms that some individuals report after undergoing breast augmentation with implants. Patients experiencing such symptoms should have a thorough consultation with Dr. Sayed to discuss the potential benefits of implant removal or revision and to explore all available treatment options.