Breast Revision in Novato, CA

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About Breast Revision Surgery

Breast augmentation is one of the most popular cosmetic surgeries in the United States, and in most cases, it offers beautiful and natural outcomes. However, sometimes a woman can be unhappy with the results of her breasts and may require breast revision surgery. It is important to note that not all revision surgeries are due to doctor error. While there are a few surgeries that do end with a poor outcome, there are women who desire a different size implant while others may have a problem and ask to have the breast implant revised or taken out altogether. In addition, there are some women who require revision surgery for a specific condition. Seasoned plastic surgeons Drs. Francisco Canales and Heather Furnas provide breast revision surgery and give a thorough assessment at Plastic Surgery Associates of Novato in Novato, CA so that a healthy and desired outcome is achieved.

Ideal Candidates

If you have any trouble (whether cosmetic or medical) about your breast implants, please schedule an appointment for a consultation with Dr. Canales or Dr. Furnas to talk about your goals and to create your unique surgical plan. Whether it is scarring, breast sag, rippling, or size variations between the breasts, revision surgery can help repair the condition and create a more appealing and healthy outcome. This procedure can also help if you would like to change size, implant styles, or address any other aspect of your breasts.

Common Reasons for Revision

Secondary breast augmentation either takes out an implant that no longer functions or is no longer wanted. Breast revision surgery may also be performed to switch implant size or go from silicone to saline (or vice versa). There are a few other common cases in which a revision or secondary surgery is wanted.


Asymmetry occurs when the breast implants look out of balance. This is because of a wrong sized implant, sagging or drooping on one side, or another condition that can possibly cause asymmetry. A physical examination would need to be made to determine what is causing the asymmetry, then surgery would be implemented to correct the condition, and finally, new implants would be inserted to attain a proportionate appearance.

Bottoming Out

Bottoming out is a condition that may happen when one or both breasts drop too low or "bottom out." In many cases, this is a positioning and placement error from the first treatment. To fix this, a new placement positioning approach may be recommended. In some cases, tissue grafting will be needed, as well as a surgically produced pocket to encircle the new implant. For most women, switching to a silicone implant will solve this problem.

Breast Size

There are times revision surgery is as simple as receiving a larger or smaller sized implant. With the original surgery, you may have chosen to go too small or big. A new breast implant size can be chosen to attain the desired goal.

Capsular Contracture

This is the term used for an area of hardening because of scarring, occurring when the smooth tissue around the breast implant becomes hard and thickens. While breast implants do result in some internal hardening, most individuals will never realize this. In some patients, the scarring could change the implant placement, which could change the implant function and create an undesirable outcome. Scar removal surgery to clean up and remove scarring would be needed.

Implant Rippling

Rippling occurs when there are noticeable lines and ripples beneath the skin. This condition generally forms around the edge of the implant. Rippling is more common in females who are relatively thin. Often, this condition can be repaired by simply changing to a silicone implant.

Implant Rupture

Although this is a rare occurrence, implant rupture may occur. If a saline breast implant ruptures, deflation will take place rather quickly. Therefore, a visible defect will occur. On the other hand, if an implant made of silicone ruptures, it is only caught through an MRI. In either case, if a rupture happens, an additional treatment will be needed.


This condition happens when implants are positioned too close together. In most cases, this is because the implant selected was the wrong shape, size, and width. A secondary procedure will correct this issue by picking an implant that is acceptable to your body type and looks balanced.

What to Expect

After your surgery and an observation period, you will be sent home to start your recovery. The overall recovery varies based upon the complexity of your surgery. Any type of revision that requires grafting or complex reconstruction will incur a longer recovery, which may take up to several months. You should begin to see your results once the swelling begins to disappear. Dr. Canales or Dr. Furnas will go over what is normal during your recovery, as well as suggestions to help speed your healing. You should attend follow-up appointments as directed so we can assess your recovery and results.

Frequently Asked Questions

How much does breast revision surgery cost?
The cost of breast revision surgery can vary greatly, depending on what needs to be done. During your consultation, we will listen to your concerns and goals before performing a physical exam to assess your implants. Then, we can explain your options before developing your surgical plan. The cost of revision surgery will depend on the extent of the procedure, as well as what you choose for your new implants. It is best to focus on getting the results you want by selecting an experienced plastic surgeon, like Dr. Canales or Dr. Furnas, rather than the cheapest option. To help make your surgery easier to afford, Plastic Surgery Associates of Novato accepts several payment methods, and we can help you find low-interest financing.

What if Dr. Canales or Dr. Furnas weren't my original surgeon?
Dr. Canales and Dr. Furnas can perform your revision surgery even if they weren't the surgeons who performed your breast augmentation. Breast revision surgery can be more complex than the original augmentation if you want dramatic changes or have problems so it's better to choose a plastic surgeon, like Dr. Canales or Dr. Furnas, who has years of experience and advanced training in breast surgery. Dr. Canales and Dr. Furnas also invite their patients to return to Plastic Surgery Associates of Novato for revision surgery after their implant surgery if they have a problem or want a change.

What about loose skin?
If you are having your implants removed or are changing to a significantly smaller size of implants, you may need to have excess skin removed during your surgery. After listening to your goals and assessing your current implants, we can discuss the need for a breast lift to remove loose skin. If you lose a significant amount of weight, become pregnant, or breastfeed after augmentation surgery, a revision with a lift can help you get better results.

Will there be new scars?
If possible, Dr. Canales and Dr. Furnas will make incisions for revision surgery in the original augmentation incisions. However, if this is not possible, they will place the new incisions where they will be less visible. Breast revision surgery typically uses a transaxillary incision (through the armpit), a periareolar incision (on the lower edge of the areola), an inframammary incision (under the fold of the breast), or TUBA incision (through the belly button). Dr. Canales or Dr. Furnas will go over scar care management so your incisions heal properly and blend into your skin.

Do I have to change my implants?
While implants can last a long time, they will need to be replaced at some point. After augmentation surgery, it is important to have your implants checked regularly so Dr. Canales and Dr. Furnas can help you decide when your implants should be replaced. With so many advances in the medical field, you may want to consider the newest implant shapes and types to achieve your best look during breast revision surgery.

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Average Cost  
$9,000 - $14,000
Recovery Time  
1-3 Weeks
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Change Your Mind

Breast implant revision surgery is a custom treatment tailored for your individual concerns by plastic surgeon Dr. Canales or Dr. Furnas. If you're displeased with your breast implants or want a different outcome, we welcome you to contact our Novato, CA office to book your appointment at Plastic Surgery Associates of Novato. There are many factors to think about, and we will provide you with a full physical examination, create your revision recommendations, and help set realistic goals and expectations.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.