With extensive training in complex breast surgery and years of experience in aesthetic and reconstructive procedures, Dr. Courtney has earned a reputation as one of Houston’s most trusted and compassionate plastic surgeons. His approach blends surgical precision with artistry, ensuring that every recommendation is rooted in both evidence and empathy.
In this guide, we’ll explore the key signs that it may be time to consider breast revision surgery, how timing impacts your results, and what you can expect from the process. Whether your goals have evolved or you’re addressing an implant-related concern, we’re here to help you make informed, confident choices about your breast health and aesthetic future.
Why Breast Revision Surgery May Be Needed
While modern implants are more durable than ever, no device lasts a lifetime:
- The U.S. Food and Drug Administration (FDA) recommends routine monitoring of breast implants
- This includes MRI or ultrasound screenings every 5–6 years for silicone implants, to check for rupture or other changes in implant integrity (FDA, 2020)
- Most manufacturers also advise an evaluation around the 10-year mark, even when no symptoms are present
Common Reasons to Consider Breast Revision
Changes in Aesthetic Goals or Lifestyle
- Over time, personal preferences evolve
- Many women who loved their results in their 20s or 30s later wish to adjust their implant size or even return to a more natural look
- Revision surgery allows you to realign your appearance with your current sense of self
Capsular Contracture
- One of the most common medical reasons for revision, capsular contracture occurs when the scar tissue surrounding an implant hardens and distorts the breast’s shape or causes discomfort
- Studies suggest contracture rates vary widely depending on implant type, placement, and surface texture (Aesthetic Surgery Journal, 2022)
Implant Rupture or Deflation
- Implant rupture can occur in both saline and silicone implants, although the experience differs
- Saline ruptures are immediately noticeable as the breast deflates, while silicone ruptures (“silent ruptures”) may only be detected through imaging
- The FDA recommends regular imaging to monitor for silent rupture
Changes from Pregnancy, Weight Fluctuation, or Aging
- Pregnancy, breastfeeding, and natural aging can change breast shape and skin elasticity
- Revision surgery can lift, reposition, or resize implants to restore balance and a more youthful contour
Implant Malposition or Asymmetry
- Shifting implants, bottoming out, or visible rippling may occur over time
- Revision allows precise repositioning or pocket correction for symmetry and natural movement
Desire to Switch Implant Type
- Some patients choose to switch from saline to silicone implants for a softer, more natural feel
- Others opt for modern cohesive gel (“gummy bear”) implants known for their shape stability and durability
How Long Should You Wait Before a Revision?
In most cases, surgeons recommend waiting 6–12 months after your initial breast surgery before considering a revision, allowing your body to fully heal and the implants to settle into their final position. However, if you experience sudden pain, visible distortion, or signs of rupture, earlier evaluation may be necessary.
Dr. Courtney conducts a comprehensive assessment, including a physical examination and imaging if necessary, to determine whether a revision is appropriate, and if so, the optimal timing for your procedure.
What to Expect During Breast Revision Surgery
Your breast revision will be customized to your unique needs and anatomy. Dr. Courtney performs these surgeries in a state-of-the-art surgical facility using advanced technology for precision and safety.
In many cases, the procedure includes:
- Removal and replacement of old implants
- Capsulectomy (removal of the scar capsule) if necessary
- Implant pocket adjustment for improved position and symmetry
- Optional breast lift or nipple repositioning for a more youthful contour
Dr. Courtney also utilizes Vectra XT 3D Imaging, enabling you to preview your potential results on your own body before surgery, thereby ensuring clarity and confidence in your decisions.
Most patients return home the same day as surgery. You can expect mild tightness, swelling, and tenderness for the first few weeks. Dr. Courtney and his team will guide you through your recovery with personalized aftercare and multiple follow-up visits to monitor your healing progress.
To maintain your results long-term, it’s important to:
- Schedule routine breast exams and imaging as recommended by the FDA
- Avoid strenuous activity until cleared by your surgeon
- Contact us promptly if you notice new swelling, firmness, or asymmetry
When Change Feels Right, Trust Expertise that Puts You First
As one of Houston’s leading board-certified plastic surgeons, Dr. Courtney combines advanced fellowship training from the world-renowned Texas Medical Center with extensive experience in complex breast surgeries, including revision, reconstruction, and aesthetic enhancement.
Dr. Courtney’s work has been recognized by the American Society of Plastic Surgeons for research and clinical excellence, and his practice adheres to the latest FDA and ASPS guidelines for implant monitoring, imaging, and revision planning. Beyond credentials, what sets Dr. Courtney apart is his patient-centered philosophy: every treatment plan is built on open communication, thorough evaluation, and evidence-based decision-making tailored to your anatomy, lifestyle, and goals.
If you’re beginning to notice changes in your implants or simply feel your results no longer reflect how you want to look or feel, now may be the right time to explore your options. Schedule your consultation with Dr. Courtney in Houston to restore not just your appearance, but your comfort, confidence, and lasting peace of mind.
