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Whether you're dealing with capsular contracture, implant rupture, asymmetry, or simply want to change your implant size or shape, Dr. Esmailian offers personalized surgical solutions tailored to your unique anatomy and goals. His expertise in revision breast surgery—including complex cases requiring correction of previous surgical work—makes him a trusted choice for patients throughout Orange County.

What Is Breast Augmentation Revision Surgery?

Breast augmentation revision, also called breast implant revision or corrective breast augmentation, is a surgical procedure designed to remove, replace, or reposition breast implants. Unlike your initial breast augmentation, revision surgery addresses specific concerns that have developed over time or resulted from the original procedure.1

Revision surgery can involve:

  • Implant exchange: Replacing existing implants with new ones of different size, shape, or material
  • Implant removal: Removing implants completely, with or without replacement
  • Repositioning: Moving implants to correct malposition or asymmetry
  • Capsulectomy: Removing or releasing scar tissue (capsule) that has tightened around the implant
  • Combination procedures: Pairing revision with breast lift, fat grafting, or other techniques for optimal results2

Dr. Esmailian uses advanced surgical techniques, including en bloc capsulectomy and acellular dermal matrix (ADM) support when needed, to ensure the best possible outcome for each patient.

Common Reasons For Breast Augmentation Revision

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Capsular Contracture

Capsular contracture is by far the most common long-term risk associated with breast implants.3 It is normal and expected for scar tissue to form a capsule around breast implants. However, in some cases, the scar capsule becomes too thick and too tight, compressing the breast implant. Capsular contracture happens with all breast implant types, and can cause changes to the appearance of breasts in addition to discomfort and pain. The only way to treat moderate to severe cases of capsular contracture is to perform a capsulectomy and remove and replace implants in breast revision surgery.4

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Symmastia

Symmastia is a rare breast implant complication in which the two implants essentially come together in the middle of the chest. This improper positioning can make the implants appear as a single breast with the sternal skin being lifted.

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Double Bubble

A double bubble breast implant is a common complication in which the implant doesn’t properly align with the lower breast tissue. This results in the appearance of a large bulge or bubble as well as a second inframammary fold.

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Lateral Displacement

Another common breast implant complication is called lateral displacement. When this occurs, the breast implants settle too far apart from each other on the chest, creating an abnormally wide space between them, in particular when the patient is lying flat.

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Bottoming Out

In certain patients, one or both of the breast implants will “bottom out,” which is a condition in which the implant sinks below the breast’s natural crease. This causes the bottom half of the breast to look abnormally large when compared to the rest of the breast.

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Rippling

Breast implant rippling is another common reason for patients to undergo breast revision surgery. This complication, which has several potential causes, results in visible folds in one or both of the implants, which resemble little ripples beneath the skin.

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Improper Implant Position

Poor implant placement can result in the implants settling unevenly, asymmetry, and other cosmetic concerns that may require breast revision surgery to correct. During this procedure, the plastic surgeon may make changes to the breast implant pocket so that the implants are positioned differently on the chest.

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Breast Implant Rupture and Deflation

Over time or as a result of trauma, saline implants and silicone implants may become susceptible to rupture and leakage. It is also possible for saline implants to deflate. Silicone gel implants may also be subject to silent rupture, which occurs with no symptoms.

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Changes in Body Shape or Size

Factors like gaining weight, weight loss, pregnancy, breastfeeding, and age can affect the appearance of breast implants. In these cases, patients may choose a breast revision procedure, sometimes combined with a breast lift, for breasts that appear firmer, fuller, and more youthful.

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Changes in Preference

Styles and personal preferences change. Some patients may wish to replace their breast implants with a different type of implant or update their implant size, shape, or projection. Dr. Esmailian offers a full range of breast implant options, including saline implants, silicone implants, and gummy bear implants, as well as a comprehensive selection of implant shapes and sizes.

Unsatisfactory Results from a Previous Surgery

When patients are dissatisfied with the results of a previous breast surgery, they may seek breast revision. This can occur after all types of surgery where breast implants are used, including a traditional breast augmentation procedure, breast lift with augmentation, and breast reconstruction after cancer.

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Before &After Gallery

View Dr. Esmailian's Breast Revision Before & After Gallery to see real results from patients with various concerns, including:

  • Capsular contracture correction
  • Implant exchange and repositioning
  • Correction of previous surgical results
  • Asymmetry correction
  • Combination procedures (revision with breast lift)
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Who Is a Candidate for Breast Augmentation Revision?

Ideal candidates for breast revision surgery typically:

  • Are in generally good physical health with no uncontrolled medical conditions
  • Have realistic expectations about revision outcomes
  • Are unhappy with their current implants or experiencing complications
  • Are not currently pregnant or breastfeeding
  • Are non-smokers (or willing to quit before surgery)
  • Have waited at least 3-6 months after their initial augmentation before considering revision (to allow initial swelling to resolve)
  • Understand that revision may require different surgical techniques than the original procedure

Dr. Esmailian evaluates each patient individually during consultation to determine candidacy and develop a customized surgical plan.

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Your Breast Augmentation Revision Consultation

During your initial consultation with Dr. Esmailian, he will:

  1. Review your medical history and any previous surgical records from your initial breast augmentation
  2. Examine your breasts to assess current implant position, symmetry, and tissue quality
  3. Discuss your concerns in detail—whether you're addressing complications or aesthetic preferences
  4. Perform diagnostic imaging if needed, including ultrasound to check for rupture or other issues
  5. Show before-and-after photos from his revision cases to set realistic expectations
  6. Explain surgical options specific to your situation, including implant choices and techniques
  7. Address your questions about recovery, scarring, cost, and long-term outcomes
  8. Create a customized treatment plan aligned with your goals and anatomy

This consultation is your opportunity to build trust with Dr. Esmailian and ensure you feel confident moving forward with surgery.

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The Breast Augmentation Revision Procedure

Pre-Operative Preparation

Before your surgery, you'll receive detailed instructions including:
  • Stop smoking and nicotine products at least 2-4 weeks before surgery to improve healing
  • Avoid blood thinners (aspirin, ibuprofen, certain supplements) for 1-2 weeks prior
  • Arrange transportation home after surgery, as you cannot drive after anesthesia
  • Prepare your recovery space with comfortable clothing, pillows, and medications
  • Fast (no food or drink) for 8 hours before your scheduled procedure

During the Procedure

Breast revision surgery typically takes 1.5 to 3 hours, depending on the complexity of your case. Here's what to expect:

  1. Anesthesia: A board-certified anesthesiologist will administer general anesthesia, rendering you safely unconscious during the procedure
  2. Incision: In many cases, Dr. Esmailian reuses your original incision (inframammary, periareolar, or transaxillary) to minimize new scarring
  3. Implant removal: Your existing implants and surrounding scar tissue are carefully removed
  4. Capsulectomy (if needed): Scar tissue is removed or released to prevent recurrent contracture
  5. Pocket preparation: The implant pocket is refined and repositioned as needed
  6. New implant placement: Your new implants are positioned precisely for optimal symmetry and aesthetics
  7. Closure: Incisions are closed with dissolvable sutures and skin adhesive for minimal scarring

Dr. Esmailian's meticulous surgical technique prioritizes both aesthetic results and long-term implant stability.

Implant Options

Dr. Esmailian offers a comprehensive range of implant choices:

  • Saline implants: Filled with sterile saltwater; adjustable volume; visible rippling possible
  • Silicone gel implants: Natural feel; less visible rippling; require periodic monitoring
  • Gummy bear implants (cohesive gel): Maintain shape; reduced rippling; premium option
  • IDEAL Implant: Structured saline implant combining benefits of both types

Your choice depends on your anatomy, aesthetic goals, and personal preferences, which Dr. Esmailian will discuss during consultation.

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Recovery After Breast Augmentation Revision

Recovery from breast revision is similar to initial augmentation but may vary based on the complexity of your procedure.

Week 1: Initial Recovery

  • Pain and discomfort: Managed with prescribed pain medication; most patients transition to over-the-counter pain relievers by day 3-5
  • Swelling and bruising: Peak around days 2-3, then gradually improve
  • Activity: Rest frequently; light walking around your home is encouraged
  • Compression garment: Wear as directed (typically 24/7 for the first 4-8 weeks)
  • Incision care: Keep incisions clean and dry; follow Dr. Esmailian's specific instructions
  • Work: Most patients return to desk work after 3-5 days 

Weeks 2-4: Progressive Recovery

  • Swelling: Continues to decrease; final implant position becomes clearer
  • Activity: Gradually increase light activities; avoid heavy lifting and strenuous exercise at 4 weeks
  • Driving: Resume once you're off pain medication and feel comfortable
  • Incision appearance: Redness fades; scars begin to lighten
  • Sensation: Temporary numbness or tingling around incisions is normal and typically resolves within weeks to months

Weeks 4-6: Return to Normal Activities

  • Strenuous exercise: Most patients can resume gym workouts, running, and sports after 4-6 weeks
  • Heavy lifting: Avoid lifting more than 10-15 pounds for 4 weeks
  • Sleeping position: Can gradually return to side-sleeping after 4 weeks
  • Swelling: Minimal; final results becoming apparent

Beyond 6 Weeks

  • Full recovery: Most patients feel completely normal by 6-8 weeks
  • Final results: Implants settle into final position; scars continue to fade over 12-18 months
  • Follow-up appointments: Dr. Esmailian schedules check-ins to monitor healing and address any concerns

Important note: Recovery timelines vary by individual. Dr. Esmailian provides personalized post-operative instructions and is available to address any questions during your healing process.

Minimizing Scarring After Breast Revision

One of Dr. Esmailian's priorities is minimizing visible scarring:

  • Reusing incisions: Whenever possible, he uses your original incision to avoid additional scars
  • Precise closure technique: Meticulous layered closure reduces scar visibility
  • Scar management: Dr. Esmailian recommends silicone scar sheets, sunscreen, and time for optimal scar fading
  • Scar revision: If needed, minor scar revisions can be performed after 12-18 months

Most revision scars fade significantly within 12-18 months and become nearly imperceptible over time.

Advanced Surgical Techniques

Dr. Esmailian employs advanced methods to optimize revision outcomes:

En Bloc Capsulectomy

For severe capsular contracture, Dr. Esmailian removes the entire scar capsule as one unit (en bloc), reducing recurrence risk and improving long-term results.

Acellular Dermal Matrix (ADM) Support

In cases of thin breast tissue, significant rippling, or recurrent complications, ADM (such as Strattice or Alloderm) provides additional support and coverage, improving implant longevity and aesthetic outcomes.

Internal Bra Technique

This advanced approach uses fascial support or mesh to create additional structural support, particularly beneficial for patients with poor tissue quality or those seeking maximum implant stability.

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Addressing Revision-Specific Concerns

Can Revision Surgery Correct Capsular Contracture?

Yes. Capsulectomy combined with implant exchange successfully treats capsular contracture in the majority of cases. Dr. Esmailian uses en bloc capsulectomy techniques to minimize recurrence.

What If I Had a Poor Result from My Previous Surgeon?

Dr. Esmailian specializes in correcting suboptimal results from previous surgeries. During consultation, he'll review your operative reports and imaging to understand what was done and develop a strategy to achieve your desired outcome. Many patients find that revision by an experienced surgeon dramatically improves their results.

Is Revision Surgery Riskier Than Initial Augmentation?

Revision carries similar risks to initial augmentation but with some additional considerations due to existing scar tissue. Dr. Esmailian's experience with complex revision cases minimizes complications. Complication rates for revision surgery are comparable to primary augmentation when performed by board-certified surgeons.

How Long Do Revised Implants Last?

Like initial implants, revised implants are not lifetime devices. The FDA recommends that patients understand implants may require replacement over time. Most patients enjoy their revised implants for 10+ years before considering another revision.5

Combination Procedures with Breast Revision

Breast revision can be combined with other procedures for enhanced results:

Breast Lift with Revision

If your breasts have sagged due to weight loss, pregnancy, or aging, combining revision with breast lift (mastopexy) restores youthful position and shape while updating your implants.

Fat Grafting with Revision

Fat transfer can address rippling, improve upper pole fullness, or enhance natural contours alongside implant revision.

Tummy Tuck or Body Contouring

Many patients combine breast revision with body contouring procedures like tummy tuck as part of a comprehensive aesthetic plan.

Dr. Esmailian will discuss combination options during your consultation if appropriate for your goals.

Cost of Breast Augmentation Revision in Orange County

The cost of breast revision surgery varies based on several factors:

  • Surgical complexity: Simple implant exchange costs less than complex capsulectomy or combination procedures
  • Implant choice: Premium implants (gummy bear, IDEAL) cost more than standard saline or silicone
  • Facility fees: Outpatient surgery center costs
  • Anesthesia fees: Board-certified anesthesiologist charges
  • Post-operative garments and medications: Additional supplies

During your consultation, Dr. Esmailian's office provides a detailed cost estimate. Many patients find financing options available to make revision affordable. Please contact our office for specific pricing information and to discuss payment plans.

Frequently Asked Questions About Breast Revision Surgery

How long after my initial augmentation can I have revision surgery?

Will my insurance cover breast revision surgery?

Can I breastfeed after revision surgery?

How noticeable will my scars be after revision?

What if I want to remove my implants completely without replacement?

What makes Dr. Esmailian different from other revision surgeons?

How long do breast implants last?

How long after my initial augmentation can I have revision surgery?

Most surgeons recommend waiting at least 6 months after your initial augmentation to allow swelling to resolve and implants to settle. However, if you're experiencing complications like rupture or severe capsular contracture, revision may be performed sooner. Dr. Esmailian evaluates each case individually.

Will my insurance cover breast revision surgery?

Insurance typically covers revision only if deemed medically necessary (e.g., treating rupture or infection). Cosmetic revisions are usually not covered. Dr. Esmailian's office can verify your coverage and discuss financing options.

Can I breastfeed after revision surgery?

Breast revision typically does not affect your ability to breastfeed, especially if your original incision is reused.6 However, discuss this concern with Dr. Esmailian during consultation.

How noticeable will my scars be after revision?

Most revision scars fade significantly within 12-18 months. By reusing your original incision and using meticulous closure techniques, Dr. Esmailian minimizes scar visibility. Scars are typically well-hidden by bra or swimsuit lines.

What if I want to remove my implants completely without replacement?

Dr. Esmailian performs implant removal (explantation) for patients who no longer want implants. Depending on your breast tissue quality and skin elasticity, you may benefit from a breast lift to address any sagging after implant removal.

What makes Dr. Esmailian different from other revision surgeons?

Dr. Esmailian combines extensive surgical experience with a patient-centered philosophy. He takes time to understand your concerns, reviews your previous surgical records, and develops a customized plan addressing your specific needs. His expertise in advanced techniques—including en bloc capsulectomy, ADM support, and complex repositioning—allows him to achieve superior results, even in challenging revision cases. Many patients choose Dr. Esmailian specifically to correct unsatisfactory results from previous surgeons.

How long do breast implants last?

Breast implants are not lifetime devices. The FDA recommends that patients understand implants may require replacement over time. Most patients enjoy their revised implants for 10+ years before considering another revision. Regular monitoring and follow-up appointments help ensure implant integrity and early detection of any complications.7

Dr. Esmailian
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About Dr. Farbod Esmailian

Medical Credentials & Board Certifications

Dr. Farbod Esmailian is a board-certified plastic surgeon with extensive training and credentials that position him as a leader in breast revision surgery:

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How long to wait to have sex after Breast Augmentation?

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How long do I have to sleep on my back after Breast Augmentation?

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Signs of Capsular Contracture

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How do you massage breasts after Breast Augmentation?

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What would cause my breasts to shrink?

Education & Training:

  • Medical Degree: George Washington University School of Medicine & Health Sciences (1999)
  • Residency Training: University of Southern California (USC) and prestigious training institutions
  • Fellowship Training: Advanced plastic and reconstructive surgery training
  • Clinical Experience: Over 25 years of clinical experience in cosmetic and reconstructive surgery

Board Certifications & Professional Credentials:

  • Board-Certified: American Board of Plastic Surgery
  • Fellow of the American College of Surgeons (FACS): Designation recognizing advanced surgical training and commitment to patient safety
  • Active Member: American Society of Plastic Surgeons (ASPS)
  • Member: Orange County Society of Plastic Surgeons

Hospital Affiliations & Facility Credentials:

  • MemorialCare Long Beach Medical Center
  • Los Alamitos Medical Center
  • State-of-the-art surgical facility in Los Alamitos, CA

Professional Recognition & Awards:

  • RealSelf Top 100 Plastic Surgeon: Recognition for expertise and patient satisfaction
  • Consistently High Patient Ratings: 5.0/5.0 on multiple independent review platforms

Expertise in Breast Revision Surgery

Dr. Esmailian specializes in complex breast revision cases, including:

  • Correction of capsular contracture using advanced en bloc capsulectomy techniques
  • Correction of implant malposition and asymmetry
  • Correction of poor results from previous surgeons
  • Advanced techniques using acellular dermal matrix (ADM) for optimal outcomes
  • Combination procedures (breast lift, fat grafting) with revision

Continuing Education & Advanced Training

Dr. Esmailian is committed to staying current with the latest surgical techniques and technologies. He regularly pursues advanced training in:

  • En bloc capsulectomy techniques for capsular contracture management
  • Acellular dermal matrix (ADM) applications in revision surgery
  • Advanced implant positioning and symmetry techniques
  • Emerging technologies in breast surgery

Professional Philosophy

As Dr. Esmailian states, "Every patient deserves personalized care that respects their unique anatomy and aesthetic goals. Revision surgery requires not just technical skill, but the ability to listen, understand, and deliver results that exceed expectations."

Dr. Esmailian is committed to transparent communication, realistic expectations, and exceptional surgical outcomes. His compassionate approach and meticulous surgical technique have earned him the trust of thousands of patients throughout Orange County and beyond.

Contact Dr. Esmailian for Your Breast Revision Consultation

If you're considering breast augmentation revision in Orange County, Dr. Farbod Esmailian is ready to help you achieve your aesthetic goals. Whether you're addressing complications, correcting previous surgical results, or simply updating your implants, his expertise and personalized approach ensure exceptional outcomes.

Schedule your private consultation today to discuss your breast revision options and take the first step toward renewed confidence.

1 American Society of Plastic Surgeons. What is breast implant revision surgery? Available: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision. Accessed November 14, 2025.
2 Seminars in Plastic Surgery. Revision Breast Augmentation. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186996/#. Accessed November 14, 2025.
3 Headon H, Kasem A, Mokbel K. Capsular Contracture after Breast Augmentation: An Update for Clinical Practice. Arch Plast Surg. 2015 Sep;42(5):532-43. doi: 10.5999/aps.2015.42.5.532. Epub 2015 Sep 15. PMID: 26430623; PMCID: PMC4579163. Available: https://pubmed.ncbi.nlm.nih.gov/26430623/. Accessed February 27, 2024.
4 Susini P, Nisi G, Pierazzi DM, Giardino FR, Pozzi M, Grimaldi L, Cuomo R. Advances on Capsular Contracture-Prevention and Management Strategies: A Narrative Review of the Literature. Plast Reconstr Surg Glob Open. 2023 Jun 9;11(6):e5034. doi: 10.1097/GOX.0000000000005034. PMID: 37305202; PMCID: PMC10256414. Available: https://pubmed.ncbi.nlm.nih.gov/37305202/. Accessed February 27, 2024.
5 FDA. What to know about breast implants. Available: https://www.fda.gov/consumers/consumer-updates/what-know-about-breast-implants. Accessed November 14, 2025.
6 Schiff, M, et al. The impact of cosmetic breast implants on breastfeeding: a systematic review and meta-analysis. International Breastfeeding Journal 2014; 9: 17.10.1186/1746-4358-9-17. Accessed November 14, 2025.
7 FDA. What to know about breast implants. Available: https://www.fda.gov/consumers/consumer-updates/what-know-about-breast-implants. Accessed November 14, 2025.

Page updated: December 05, 2025

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