Revision Breast Surgery

Personalized Correction with Dr. Puyana

When Results Don’t Match Expectations. Expertise Makes the Difference.

Breast surgery is deeply personal — and when the results of a prior procedure do not meet expectations, the emotional impact can be just as significant as the physical one. Revision breast surgery exists for patients who have already undergone breast surgery but remain unhappy with their breast shape, position, volume, or overall outcome.

Revision cases are inherently more complex than primary breast surgery. Scar tissue, altered anatomy, implant position, and previous surgical decisions all play a role. Achieving improvement requires advanced judgment, technical precision, and a customized strategy tailored to each individual.

At Puyana Plastic Surgery, Dr. Salomon Puyana specializes in revision breast surgery with a clear focus on restoring balance, improving shape, and aligning results with your aesthetic goals — even when previous surgery fell short.

What Is Revision Breast Surgery?

Revision breast surgery refers to corrective procedures performed after a previous breast operation, such as breast augmentation, breast lift, breast reduction, or implant-based surgery. The goal is to address aesthetic or structural concerns that remain unresolved or developed over time.

Unlike primary breast surgery, revision procedures require a detailed evaluation of existing implants, scar tissue, breast tissue quality, and chest wall anatomy. No two revision cases are the same, which is why a personalized treatment plan is essential.

Dr. Salomon Puyana designs each revision breast surgery based on the specific issues present and the improvements the patient wants to achieve.

Why Choose Revision Breast Surgery?

Patients seek revision breast surgery when their current results do not reflect their expectations or desired appearance.

Revision breast surgery may be appropriate if you experience:

Residual ptosis (persistent sagging) after breast lift or augmentation
Lack of upper pole fullness or cleavage
Lateral displacement of implants (implants shifting outward)
Bottoming out (implants dropping too low)
Visible rippling or implant edges
Desire to change breast size or implant type
Capsular contracture (scar tissue tightening around the implant)

Revision surgery allows these concerns to be addressed in a comprehensive and thoughtful way, improving breast shape, proportion, and long-term satisfaction.

Common Reasons for Revision Breast Surgery

Revision breast surgery can involve one or multiple corrective steps depending on the problem being addressed. Common revision procedures include:

Correction of Residual Ptosis: Improving breast position when sagging persists or recurs
Implant Exchange: Changing implant size, profile, or type to better match aesthetic goals
Correction of Implant Malposition: Addressing lateral displacement, bottoming out, or asymmetry
Capsular Contracture Treatment: Releasing or removing scar tissue around the implant
Improving Upper Pole Fullness: Adjusting implant placement or adding supportive techniques

Rippling Correction: Changing implant type, placement, or adding tissue coverage

Dr. Puyana carefully evaluates the underlying cause of eachissue to select the most effective solution.

Internal Bra with GalaFLEX®

The Internal Bra with GalaFLEX® is an advanced surgical support technique designed to reinforce the breast’s internal structure and provide added long-term support. GalaFLEX® is a bioresorbable surgical scaffold that is placed internally during breast surgery to strengthen soft tissue and help maintain breast position over time.

Dr. Salomon Puyana uses the Internal Bra with GalaFLEX® in select patients who would benefit from additional internal support. The scaffold acts as a temporary framework, supporting the breast as the body gradually replaces it with the patient’s own collagen.Dr. Salomon Puyana uses the Internal Bra with GalaFLEX® in select patients who would benefit from additional internal support. The scaffold acts as a temporary framework, supporting the breast as the body gradually replaces it with the patient’s own collagen.

By reinforcing the breast from the inside, the Internal Bra with GalaFLEX® helps improve stability, shape retention, and durability of results.

What to Expect Before, During, & After Surgery

Pre-Surgery Planning
Dr. Salomon Puyana conducts a comprehensive consultation, reviews prior surgical history, evaluates implant position and tissue quality, and discusses your concerns and goals. A customized revision plan is developed to address all identified issues.
Surgery Day
Revision breast surgery is performed in our fully accredited surgical facility with experienced anesthesia care and strict safety protocols. All patients return home the same day. Surgical time varies depending on the complexity of the revision.
Recovery
Recovery timelines vary based on the extent of correction. Swelling and discomfort gradually improve over several weeks. Dr. Puyana provides detailed post-operative instructions to support healing and optimize results.

Frequently Asked Questions

About Revision Breast Surgery

1. Is revision breast surgery more complex than primary surgery?

Yes. Revision surgery requires advanced planning and technical expertise.

2. Can multiple issues be corrected in one surgery?

Often yes, depending on the individual case.

3. Will my implants need to be replaced?

Not always, but implant exchange is common in revision cases.

4. Can capsular contracture be corrected?

Yes. Treatment may involve release or removal of scar tissue.

5. Will scars be worse after revision surgery?

Scars are managed carefully and placed strategically. At Puyana Plastic Surgery, we also offer advanced scar-improvement treatments, including microneedling and laser therapy, to help optimize scar appearance as healing progresses.

6. Can revision surgery improve cleavage?

Yes, when anatomically appropriate.

7. Is recovery longer after revision surgery?

Recovery depends on the extent of correction but is often similar to primary surgery.

8. How long should I wait before revision surgery?

Typically several months after the original procedure

9. Am I a good candidate for revision breast surgery?

Most patients with unresolved concerns after breast surgery are candidates.

10. When will I see final results?

Results continue to refine over several months as healing progresses.

Why Choose Puyana Plastic Surgery?

Revision breast surgery demands experience, precision, and problem-solving skill.

Advanced Revision Expertise: Specialized experience correcting complex breast surgery outcomes
Personalized Treatment Plans: Every revision is tailored to the patient’s anatomy and goals
Comprehensive Approach: Addressing shape, position, volume, and implant-related concerns

Patient-Centered Care: From consultation through recovery

Dr. Salomon Puyana is trusted by patients seeking thoughtful,expertly executed revision breast surgery.

Crafting the Most Beautiful Version of You.

Revision breast surgery is about restoring confidence when previous results missed the mark. With Dr. Puyana’s expertise and individualized approach, complex breast concerns are corrected with precision — creating results that feel balanced, intentional, and aligned with your vision.

Schedule Your Private Consultation

Schedule your private Schedule your private consultation with Dr. Salomon Puyana and take the next step toward results that finally reflect your expectations.