Revision or Corrective Secondary Breast Augmentation Pittsburgh

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Introduction to

Revision or Corrective Secondary Breast Augmentation Pittsburgh

Revisional and corrective breast augmentation surgery applies the arts of plastic surgery for a woman who has had prior breast enlargement procedures but is not happy with the current appearance of her breasts. Implant malposition issues such as Double Bubble, Bottoming out, Capsular Contracture, Symmastia, and Snoopy deformity are some of the corrections Dr Pautler specializes in fixing.

For more information about Revisional and Corrective Breast Augmentation, view the Frequently Asked Questions.

About Corrective Secondary Breast Augmentation

Dr. Pautler uses precise plastic surgery planning and meticulous techniques to correct challenging plastic surgery problems. Dr. Pautler can deliver highly satisfying results by using either saline and silicone breast implants, careful repair of the pockets in which the implants are positioned, and in some cases a breast lift or skin tightening. For more information and to schedule your consultation contact our Pittsburgh area plastic surgery practice today.

Corrective Secondary Breast Augmentation Reasons

Women may need revisional or corrective breast augmentation surgery due to:

Discomfort with implants

Over time you may become uncomfortable with your implants and want them removed, downsized or replaced with a different type of breast implant such as silicone-gel which may have a more natural feel.


Over time implants can shift, one may sit higher or lower than the other, or they may become too high, too low, too close, or too far apart. These revisions require precise recreation of the implant pocket to a more optimal position. Occasionally an implant replacement is required, but in some cases the same implant can be used..

Gravity, Stretching or Unevenness

Breast implants that are placed in front of the muscle can minimize scars (because the implant fills up the empty saggy breast envelope and obviates the need for a lift)however, the breast implants can fall or stretch the breast tissue downward over time, and render the implants visible and palpable. This can happen with sub muscular implants as well, if a large implant is used on a thin small breasted patient.


Although rarely, breast implants can rupture and need to be replaced.

Capsular Contracture

In the rare case that a tightening of the natural capsule your body forms around the implant occurs, the capsule may need to be loosened or removed to provide a more pliable pocket in which the implant can be positioned.

Through revisional breast augmentation surgery, you can improve on the shape, symmetry and position of your existing breast implants.

Corrective Secondary Breast Augmentation Photos

See the results for yourself

Featured Testimonials

Here’s what our clients have to say

"Dr. Pautler is fantastic. I had a breast augmentation and lift in December 2017 after one of my implants ruptured from a previous augmentation done about 15 years ago (with a different doctor). The results are exactly what I was hoping for! Dr Pautler also has a great bedside manner, is very patient and answers all your questions, works with you to figure out what you're looking for, and is extremely talented. I don't have enough amazing things to say about her and my experience. I also had a pretty quick recovery. Was up and moving around a day or two after surgery with minimal pain. The office staff is also so helpful!  I'm adding this review because I did a ton of research when looking for a plastic surgeon and I'm posting this for the next person who isn't sure which doctor to choose. Choose Dr. Pautler. She's amazing."

"In all aspects of the surgical experience over a five month period of time from initial consultation to most recent followup appointment, each and every aspect of my experience with this entire professional office stands as a model for what all patients deserve who place their trust and well being in the hands of medical professionals. Please continue to offer this exemplary standard of care, respect, support, and medical expertise that made for such a personal positive experience and result."

"Dr. Pautler is the best! I had a tummy tuck and liposuction of my sides. My results are better than I could have ever dreamed of!! I finally have my body back! Dr. Pautler spent a lot of time with me before the surgery explaining all the ins and outs. I saw her and her nurse a lot after the surgery and they were always available to answer any questions. I highly recommend her!"


"She is amazing. A truly careful, competent and artistic plastic surgeon who is also a good and decent person. I met with all the top plastic surgeons in the area and went with Dr. Pautler. She will take good care of you and you will love the results. I know people who have come in from far away for procedures after seeing her results. Seriously the best decision I made was choosing her for this procedure."


Corrective Secondary Breast Augmentation FAQs

Have a specific question? Contact us!

Every breast augmentation patient needs to accept the remote possibility of needing a revision at some point in her life after the initial augmentation. Issues that tend to increase this risk are implant placement above the muscle, very large volume implants (because they are heavy), and under filling of saline implants. However, there are factors that are beyond the surgeon’s control and are unpredictable, such as unusually stretchy tissue or asymmetric chest walls that make symmetric breast augmentation impossible. Equally unpredictable are the effects of gravity, pregnancies, weight gain/loss and breastfeeding.

Dr. Pautler is dedicated to being objective, reassuring, professional and sympathetic to a patient’s disappointment and frustration with her previous cosmetic surgery experience. Dr. Pautler takes the time to educate each patient on all procedures and answer any questions she may have.

The overall costs of a breast implant revision surgery will vary depending on each patient's specific situation. In general, a breast revision surgery will cost more than a primary breast augmentation procedure. However, in some cases, the implant cost is covered by a manufacturer’s warranty and the price may be comparable to the original surgery.

Several factors determine the overall cost of the procedure including the geographical location, surgeon’s experience, and variation in facility fees associated with the surgical procedure. Due to cost of living differences, the cost of breast revision surgery in Pittsburgh will differ from locations with less demand and lower operational costs. The experience, skills, and reputation of the surgeon can result in variations in surgeon fees. Similarly, surgical facilities differ in overall cost which can impact the total expenses of the procedure. 

Breast implant revision is a personal decision for every patient to make and can be due to several factors. 

  • Rupture of breast implant. When an implant has ruptured, surgery is required to remove the existing implant to prevent complications and replace the implant to restore the contours of the breast.
  • The implant is malpositioned. An implant may fall below the breast crease (double bubble), “bottom out” (a stretch of the skin between the nipple and the crease which results in more implant below the level of the nipple), overly lateralize (too far to the side) or medialize (too far to the middle) requiring a revision surgery to correct. These issues are all related to stretching of capsule, muscle and skin and can affect one or both breasts and cause asymmetry.
  • Development of capsular contractures.  Tight scar tissue can distort the contours and natural position of the breasts requiring a surgical procedure to improve.
  • Unhappy with breast appearance or size. In some cases, patients may not be happy with the size or appearance of their augmentation procedure. Some patients want to look more natural, whereas others want to look more “enhanced.”

An internal bra refers to the addition of an absorbable surgical scaffold material usually made from the same material as suture. It is a mesh like product placed between the implant and the surrounding breast tissue to support and prevent stretch. An internal bra is often used in revisional cases such as bottoming out and double bubble repairs. The internal bra is also frequently used to support thin or stretchy tissues when very large implants are chosen.

The recovery time after a secondary revision surgery will depend on the extent and type of surgery. For a surgery requiring implant replacement, the recovery may consist of an initial downtime of five to seven days, whereas, an implant removal and breast lift would require 10 to 14 days of downtime. 

After the initial recovery period, most patients can return to work and light activities. During follow-up appointments, Dr. Simona V. Pautler, your Pittsburgh plastic surgeon will monitor your healing and progress you back to normal activities as indicated. 


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