One of the things I specialize in is revisional breast surgery, usually after someone has already had breast implants done before. Sometimes patients may have had breast augmentation elsewhere and may be unhappy with their size or shape. I routinely see patients for revision breast surgery where often the implants are changed, sometimes the “pockets” are changed (for example if the implants are ‘above the muscle’ they may be switched to below the muscle), sometimes the “capsule” has to be opened, removed, or even redesigned to allow the implant to “sit” better on the chest wall. Each particular patient’s case is really individualized and tailored to their specific concern and/or problem. Dr. Boynton invites the challenging and complex scenarios (or patients or cases) which is central to revisional breast surgery.
The most common revision is probably “capsular contraction” which is a “hardening” that some women experience after having breast implants-mostly it is on one side but it can be also seen on both sides. This is more common in patients with “really old silicone implants” that have hardening of the implants which is often caused by rupture of the old implants. Dr. Boynton is a expert and very experienced at removing the old implants (and material if necessary), the old capsules, and replacing a new set of implants which leads to improved feel as well as shape.
Another common revision is for patients that are “unhappy” with implants that are too large and they want to be “downsized”. This often involves removing the implants, “tightening” the capsules and replacing smaller implants. In some cases a lift may be also necessary but Dr. Boynton has a technique that allows for some tightening “internally” without the need for adding a breast lift incision.
Implants can “drift” to the side or sometimes be to close or even too “visible” – showing ripples and wrinkles that may not be desired. Dr. Boynton regularly performs revision surgery to correct these problems.
Schedule a Revisional Breast Surgery Consultation
If you would like to schedule a consultation to talk about revisional breast surgery, please contact Dr. James F. Boynton. Our experienced plastic surgeon will be happy to answer your questions and discuss your goals.


