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Breast Revision and Secondary Breast Augmentation

Lately we have been seeing more and more patients who have had breast enhancement surgery done elsewhere, and they come to us to address a problem or a concern. We love caring for these patients because the surgery is challenging, results are rewarding, and the patients, who have lived with their problem sometimes for years, are happy and grateful.

Reasons for revision surgery include:

  • Implants in the wrong place
  • Hardening of the implants
  • Native breast asymmetry that wasn’t addressed
  • Changes in the breast shape after breast feeding or aging
  • Dissatisfaction with the size or shape of the breasts (like a double bubble)
  • Deflation of a saline implant

What do we do at surgery? It depends on what will meet the patient’s goals. Procedures we do include:

  • Raising or lowering the implants
  • Relaxing the capsule or scar around the implant
  • Lifting the breast
  • Decreasing the size of the areola
  • Lifting the level of the nipple
  • Replacing implants with larger or smaller implants
  • Changing the type of implant, usually from salines to silicone gels

When they’re all done, we’ve turned lemons into lemonade! The choices for breast augmentation revision are many, but make sure you see a plastic surgeon certified by The American Board of Plastic Surgery.

Dr. Heather Furnas

About Dr. Heather Furnas

Inspired by watching her plastic surgeon father operate in African bush hospitals, Dr. Heather Furnas followed in his footsteps, training at Stanford and serving on the Harvard clinical faculty. She and her husband, Dr. Paco Canales, practice together in Santa Rosa, California, where they raised their two children. (To learn more about their practice, visit She believes an informed patient is more likely to be a happy patient and is committed to providing that education. If you have any suggestions for topics you'd like to learn more about, she would love to hear from you!

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3 Responses to Breast Revision and Secondary Breast Augmentation

  1. Robin says:

    It is recommended to replace implants after 10+ years?

  2. Jami Flores says:

    Is there a guarantee that the work done is going to be successful? Do surgeons offer to redo the surgery if outcome is not what was desired? If so at who’s cost?..and under what kind of time frame? Just curious.

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