What breast revision actually involves

First surgery places. Revision repairs.

A first augmentation works with untouched anatomy. Revision works with scar tissue, a stretched or contracted capsule, a pocket shaped by years of an implant, and — often — the consequences of choices you weren't part of. It demands capsule work (release, repair or removal as indicated), pocket reconstruction with internal sutures, implant selection that corrects rather than repeats, and sometimes fat grafting where tissue has thinned.

This is exactly why 'cheapest quote wins' logic — reasonable enough for routine surgery — fails patients in revision. The skill premium is the product.

• Capsule surgery — from targeted release to total capsulectomy, decided by your findings, not a fixed menu.
• Pocket repair — internal suture techniques that rebuild the fold and hold the new implant where it belongs.
• Exchange by measurement — current-generation CE-marked cohesive implants, chosen by spec and discussed by name.
• Fat grafting when tissue is thin — coverage for rippling and edges that implants alone can't hide.
• Or explant — removal with or without lift, equally respected as an endpoint.