Breast Implant Revision

Although the goal of every breast augmentation is to help you look your best, sometimes the results may not quite be what you hoped for. Whether you want a size adjustment to increase or decrease your current implants, would like to change from saline to silicone implants (or vice versa) or have concerns about a shift in implant placement, implant revision surgery can help fix your breast implants.

Recognized as a breast implant revision specialist and one of the top cosmetic surgeons in the Mobile-Pensacola metro area, Dr. James Koehler is a board certified cosmetic surgeon serving patients from Gulfport to Gulf Shores and beyond. Dr. Koehler offers a wide range of plastic surgery procedures for both men and women, and is known for his caring commitment to a patient-first approach.

Contact us online or call our Fairhope, Alabama practice at 251-929-7850 to schedule your breast implant revision consultation today.

Are You a Candidate?

Women who are unhappy with their current breast implants can make good candidates for breast implant revision. Some signs that a revision might be necessary include a noticeable change in breast texture, a visible deflation of one or both breast implants or just the desire to choose implants that are larger, smaller or a different shape. It’s also important to be in good overall physical and mental health, and to have realistic expectations about your results.

In some cases, breast implant revision may be performed as part of a mommy makeover for women who want to update their look after pregnancy and nursing, after weight loss or in combination with other breast enhancement procedures. During your consultation, Dr. Koehler will go over all your options to help ensure that you’re a good candidate for implant revision before proceeding with surgery.

Meet Dr. Koehler

Educated at the University of Alabama and in practice for over 15 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.

Meet Dr. Koehler

About Breast Implant Revision

Breast augmentation is one of the most commonly performed cosmetic surgeries in the United States, and both silicone and saline implants have undergone rigorous testing by the FDA to ensure their total safety for patients. However, the combination of popularity and safety of breast implants doesn’t necessarily guarantee perfect results every time.

There are a number of reasons women may consider breast implant revision:

  • Asymmetrical Breast Revision: Every woman has some degree of natural asymmetry to her breasts, and if this is not accounted for properly during an initial breast augmentation by using implants of slightly different sizes, then even more marked asymmetry may be apparent following surgery. Breast implants may also seem asymmetrically placed after augmentation, if one breast rides too high, too low or off to one side. With breast implant revision surgery, Dr. Koehler can restore a balanced, beautiful look to your appearance.
  • Capsular Contracture Revision: Scar tissue growth is a normal part of the body’s natural healing process. The body recognizes outside objects as a potential threat, and builds scar tissue around that object—in this case, a breast implant—to isolate it from the rest of the body. While the presence of scar tissue is expected around implants, some women may experience excessive scar tissue growth that can feel firm to the touch or even painful. Capsular contracture revision removes this scar tissue capsule to restore a soft, natural look and feel to your breasts again.
  • Implant Removal (Explantation): Some women choose to have their implants completely removed. However, since the implants will stretch out the natural breast tissue and skin while in place, it may be necessary to reshape the breast during implant removal with a breast lift so your results will be as close to your pre-surgery figure after explantation as possible. Breast implant explantation is similar to the approach that Dr. Koehler would take during a standard breast reduction.
  • Implant Replacement: The failure rate of breast implants is quite low, but can still occur. If you notice a rupture in your saline implants or suspect a leak in your silicone implants, Dr. Koehler can replace the faulty implants with new ones during breast revision surgery.
  • Size Adjustments: A change in size is the most common reason women consider breast implant revision surgery, whether that means wanting a more dramatic look or implants that are more subtle. Dr. Koehler can help you choose the right size so you’re happier with your results the second time around.
  • Synmastia/Symmastia: Sometimes called a “uniboob” or “bread loaf deformity,” synmastia (also spelled as symmastia) occurs when the breast implants are no longer separated properly and join together in the chest midline. This most often happens due to an overaggressive surgical approach in an initial breast augmentation that caused the surgical pockets to meet in the middle of the breast instead of remaining separate. Breast implant revision rebuilds the internal pockets to fully separate the breasts again.

Even if your specific concern isn’t listed above, the truth is that simply feeling unhappy with the results of a previous breast augmentation is reason enough to consider breast implant revision. You can also find answers to frequently asked questions about revision surgery in our Breast Revision FAQs.

Please visit our Real Patient Photo Gallery to see before and after breast implant revision pictures of real patients just like you who wanted to fix their breast implants.

Breast Implant Revision Costs

At our practice, the price to fix breast implants starts at $3,000 . Your price may vary depending on your specific goals and whether additional procedures are performed at the same time. Dr. Koehler and his staff are happy to answer any questions you may have about cosmetic surgery pricing and help you fully understand the costs associated with your breast surgery revision.

What to Expect

The first step in any breast revision procedure is scheduling a consultation with Dr. Koehler, which will include a physical evaluation as well as a detailed discussion about your personal goals. This is a good time to ask any questions you may have about your surgery or recovery.

The specific approach Dr. Koehler will take during your revision surgery will vary depending on the issues that need to be addressed. Dr. Koehler is typically able to use the existing scars as incision points through which he can repair the surgical pocket, if necessary, and then remove or replace your breast implant.

Risks and Complications

The risks associated with breast implant revision are similar to the risks that can occur in a standard breast augmentation, and include bleeding or infection. The most common risk of revision surgery is the development or recurrence of capsular contracture. Dr. Koehler will go over all the risks and benefits with you before your procedure so you’re fully informed about what to expect.

Your New Look

The majority of women describe recovery after breast implant revision as similar to their initial augmentation, but quicker and with less discomfort. Although you should see a difference in your figure right away, keep in mind that initial swelling will disguise your final results at first. It’s also important to remember that the goal of breast implant revision surgery is improvement rather than perfection, so it’s important to have realistic expectations about your final result. Most importantly, you’ll feel relief that your concerns over a subpar earlier surgery are finally addressed, as well as enjoy a more positive self-image.

Dr. Koehler has the right combination of surgical skill and focus on patient care to help you feel and look your best. Please don’t hesitate to contact us online and schedule your breast implant revision consultation today, or call us at 251-929-7850.


Breast Implant Revision
Service Type
Breast Implant Revision
Provider Name
Dr. James Koehler,
7541 Cipriano Ct.,Fairhope,Alabama-36532,
Telephone No.(251) 929-4051
Board-certified cosmetic surgeon Dr. James Koehler offers breast implant revision in the Mobile-Pensacola area to fix breast implants or change sizes.