Breast Revision Overview

Revision Breast Augmentation

Breast revision in Austin is one of the most frequently performed procedures at The Piazza Center. Each year, Dr. Piazza sees hundreds of women whose results have changed with time or who never achieved their desired outcome in the first place. Revision surgery is fundamentally different from primary breast augmentation.

Logo media

Modern Revision Surgery

Using Tissue Preservation, Pocket Reconstruction & Advanced Implant Technology

 Requires an expert understanding of:

  • preservation of remaining tissue
  • structural reconstruction
  • pocket realignment
  • correcting distortion or malposition
  • advanced implant selection
  • soft-tissue reinforcement
  • long-term aesthetic planning

To achieve soft, natural, durable results:

Dr. Piazza uses a comprehensive approach that blends:

  • Tissue Preservation techniques
  • Conversion to subfascial or posterior lamellar placement
  • Modern progressive-gel implants
  • Fat grafting or AlloClae
Beautiful Confident Woman's profile showing breast revision procedures

Why Revision May Be Needed

Revision may be recommended when any of the following occur:

  • Breasts feel firm or hard, indicating capsular contracture.
  • Breast tissue and implant position are no longer aligned.
  • Waterfall deformity has developed.
  • The implant is too low, too high, or too lateral.
  • Implants are more than 10–20 years old.
  • Aesthetic goals have changed (desire smaller, softer, or more natural results).
  • Symmetry has been lost over time.
  • Implants have rippled or become visible.
  • Animation deformity is present from submuscular placement.

These issues are not failures,  they are predictable changes that occur as your body, anatomy, and lifestyle evolve.

Banner media

Signs It May Be Time for Revision

Here are the “red flags” Dr. Piazza commonly sees:

  • Hard or firm breasts due to scar tissue contracting around the implant.
  • Tissue descending over the implant (waterfall deformity).
  • Implants sitting too low or falling laterally.
  • Loss of cleavage or widening of the space between breasts.
  • Implants that appear overly round or unnaturally full at the top.
  • Aesthetic goals that no longer match your current lifestyle or preference.
  • Implants placed under the muscle causing animation when flexing.
  • Implants older than 10–15 years requiring evaluation.
Logo media
Banner media
Woman with a tank top and hands through her hair showing a gorgeous boob job

Why Older Augmentations Sometimes Look “Done”

It’s not size that makes implants look artificial, it’s distortion. Distortion occurs when:

  • the implant pocket was over-dissected
  • the wrong plane was used (submuscular when unnecessary)
  • natural ligaments were released
  • anatomical boundaries were disrupted
  • the implant is too wide or too low
  • the breast fold was altered poorly

Patients often say: “I don’t want to look fake, I just want to look like me.”
Modern revision techniques directly address the underlying cause of an unnatural look.

Banner media

Dr. Piazza’s Revision Philosophy


Revision surgery is reconstructive at its core, but the goal remains aesthetic.
Dr. Piazza’s approach is built on four pillars:

Tissue Preservation Techniques

This strategy protects and restores the four levels of breast structure:

  • cellular
  • structural
  • dynamic
  • functional

By preserving or reconstructing fascia, ligaments, and the natural breast footprint, Dr. Piazza allows implants to sit naturally and remain stable long-term.

Pocket Correction: Subfascial or Posterior Lamellar Placement

Pocket reconstruction is often essential for revision success. Common pocket solutions include:

  • converting from submuscular to subfascial to eliminate animation deformity
  • creating a new posterior lamellar pocket for improved support
  • tightening an over-dissected pocket
  • restoring cleavage and medial fullness
  • correcting lateral displacement
  • elevating or repairing the inframammary fold

These techniques allow precise implant positioning and prevent recurrence of malposition.

Modern Progressive-Gel Implants

Traditional “gummy bear” implants are outdated.
Dr. Piazza uses advanced progressive-gel implants for breast revision in Austin, which:

  • behave more like natural breast tissue
  • drape softly and settle predictably
  • offer improved concealment in thin patients
  • reduce the appearance of rippling
  • maintain shape while avoiding excessive roundness
  • integrate beautifully with preserved tissue planes

These implants are ideal for revision cases because they provide better support and aesthetic outcomes in compromised tissue.

AlloClae and Fat Transfer for Soft-Tissue Enhancement

Revision patients often lack adequate soft-tissue coverage. Dr. Piazza uses AlloClae (acellular matrix + fat grafting) to:

  • reinforce weakened tissue
  • reshape and support the upper pole
  • conceal implant edges
  • improve cleavage
  • correct contour deformities
  • restore softness and natural transitions
  • strengthen the pocket and improve long-term stability

This is one of the most powerful tools for achieving superior revision results.

woman with blonde hair wearing a black top

What Revision Surgery Can Improve

Breast revision surgery can address a wide range of concerns that may arise after a previous augmentation or reconstructive procedure. Whether the issue is cosmetic, functional, or related to implant performance, a revision allows your surgeon to correct complications, refine your results, and restore a more natural, balanced look. Common reasons patients seek revision include:

  • implant malposition
  • rippling or visible implant edges
  • capsular contracture
  • asymmetry
  • loss of cleavage
  • lateral displacement (“side-boob”)
  • implants that look too round or too high
  • overly large implants that overwhelm the frame
  • contour irregularities from previous surgeries

Book a Personalized Consultation with Dr. Piazza

Banner media
Logo media

What to Expect During Revision Surgery

Revision breast augmentation surgery typically includes:

  • precise preoperative marking
  • careful removal of scar tissue or capsules
  • reconstruction of the internal support system
  • creation of a new, anatomically respectful pocket
  • placement of advanced progressive-gel implants
  • use of AlloClae or fat grafting when needed
  • a layered closure designed to protect the new foundation

Each plan is entirely customized to your anatomy and goals.

Logo media
Banner media
woman confident about her breast reduction with eyes closed

Recovery After Revision

Because of tissue-preserving techniques:

  • most patients recover faster than expected
  • full range of motion often returns early
  • discomfort is significantly reduced
  • patients frequently return to work within a few days

However:

  • deeper internal repairs require more protection
  • activity restrictions are individualized
  • long-term support is essential for optimal results

Feeling great early does not mean fully healed, internal tissues need time.

Schedule a Personalized Consultation with Dr. Piazza

Banner media

Will I Need Revision Again?

It is important to understand:

  • implants are medical devices
  • your body changes over years and decades
  • revision is a normal part of the breast augmentation lifecycle
  • this is not a failure, it is expected maintenance

Logo media

Modern implants and preservation-based techniques improve longevity, but your anatomy will always continue to evolve.

Banner media
Doctor media

Considering Revision? You’re Not Alone.


Whether your results have changed over time or were never what you envisioned, revision surgery can restore confidence, comfort, and harmony.
Dr. Piazza’s results focus on:

  • stability
  • softness
  • symmetry
  • natural proportion
  • long-term aesthetic integrity

Contact us today to schedule a consultation to explore your options and discover what our modern techniques for breast revision in Austin, can do for you.

Schedule a Consultation

Banner media

Breast Procedures With Dr. Rocco Piazza

In this video, Dr. Rocco Piazza speaks about different breast procedures and how to find out which procedure is best for you. 

Female patient looking at breast implants with Dr. Piazza

Start your Journey

Schedule a Consultation

Contact us media

Breast Revision FAQ

After I have a breast augmentation revision procedure, will I need surgery again?

Will I have to replace my implants at the time of my revision surgery?

How soon after my surgery can I resume exercise?

Is breast augmentation easier the second time?

How long is it safe to keep breast implants in?

How soon after breast augmentation can you get a revision?

After I have a breast augmentation revision procedure, will I need surgery again?

The goal is to correct problems with each breast. Often, I am dealing with a number of complex problems, such as fold asymmetries and breast distortion, which can be very difficult to correct. I always tell my patients that they will ultimately have surgery again after having breast implants placed and that there are reasons for short–term re–operation and other reasons for long–term re–operation. The most important thing I want my patients to remember is that breasts change with age, just like the rest of the body. This is completely normal and expected, and therefore, surgery may be needed in the future. To learn more, read The Truth About Breast Implants: 10 Years Later in my blog.

Will I have to replace my implants at the time of my revision surgery?

It is likely that your breast implants will need to be replaced. This is dependent on a number of things. First, when were the implants placed? Second, are they silicone gel implants or saline implants? Is the implant shell intact? Are you happy with the size of your breasts? During a pre–surgery consultation with you, I will address these questions, as well as your cosmetic goals, to help you determine what is right for you.

How soon after my surgery can I resume exercise?

As with any surgery, it is important to follow all of your doctor’s instructions after the procedure in order to ensure that you recover as safely and quickly as possible. I usually tell my breast augmentation revision patients that they can resume exercise as soon as they feel comfortable. I prefer that they refrain from heavy lifting for the first few weeks, but I encourage them to get to the gym and walk on a treadmill or stair–step machine in the first week after surgery. I want my patients to get back to feeling like their normal selves as soon as possible. Returning to an active, healthy lifestyle can help achieve beautiful surgical results.

Is breast augmentation easier the second time?

This is a tricky question, and depends on the specifics of the procedure. It can be easier for the patient in that she knows what to expect and is better prepared. However, if you are adding a breast lift, going significantly larger, or require repairs to the implant pocket, your recovery might be more involved the second time around. For the surgeon, the same care and meticulous approach will apply whether it is a primary or secondary breast augmentation. The surgeon may encounter new challenges in a second breast augmentation, such as scar tissue or changes to the implant pocket, making the surgery more complex than the initial one.

How long is it safe to keep breast implants in?

There is no expiration date for implants. While the FDA in 2011 recommended replacing implants every 10 years, many women have kept their implants for 20+ years. Most surgeons will tell you that, if you are not experiencing problems with your implants, there is no reason to consider removing them. If it brings you peace of mind, you can monitor your implants with ultrasound or MRI imaging. The FDA recommends every other year starting 5 or 6 years after your surgery.

How soon after breast augmentation can you get a revision?

Most surgeons would recommend waiting at least 6 months before seeking a revision surgery. It can take this long for the tissues to soften and relax, allowing your implants to “drop and fluff.” Once you have fully healed and your final results are evident, then you and your surgeon can decide whether you want and need a revision procedure.

Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (737) 787-7338.
Contact Us