Breast Revision Surgery

For some women, breast enhancement surgery may not give them the results they initially hoped for. This can be due to a number of reasons, including the presence of an existing issue like significant breast asymmetry or tuberous breasts. Breast revision surgery can correct a number of breast appearance concerns to help ensure a beautiful final result.

Dr. Alexander Nein is a board certified plastic surgeon who is known as a breast surgery specialist, and has helped hundreds of women in the Nashville area feel better about their appearance with breast revision surgery. In addition to performing breast enhancement, Dr. Nein offers a full complement of cosmetic surgery procedures for face and body.

If you’re ready to learn more, please contact us online today, or call 615-327-0201 to schedule your breast revision surgery consultation at our Nashville plastic surgery practice. We have patients travel to us from all parts of Tennessee including Franklin, Clarksville, Murfreesboro and other communities.


Considering Breast Implant Revision?

Breast revision is most commonly performed in women who have already undergone a previous breast augmentation. There can be many reasons why a woman is not happy with the appearance of her implants. In most cases, a problem has developed with the implant either soon after surgery or over time. Some examples include:

  • Ruptured, leaking or deflated breast implants
  • Visible rippling or wrinkling of the implants
  • Breasts that change shape when the muscle is contacted (known as animation deformity)
  • Hardened scar tissue that squeezes and deforms the implant (known as capsular contracture)
  • Breast implants that sit too low on the chest (known as “breast implant bottoming out”)
  • Breast implants that are too far apart or that shift too far to the sides when laying down.
  • Breast implants that are too close together or even touching (known as synmastia, symmastia or uniboob)
  • Noticeable breast asymmetry or size difference between the breasts

We have also seen women who want breast implant revision so that they can trade out to a smaller or larger implant size, swap saline implants for silicone (or vice versa), or decide to remove their implants entirely.

Regardless of your reason for seeking revision surgery, Dr. Nein has the experience to evaluate your unique concerns and the skill to achieve the look you really want. Breast implant revision generally is a more challenging surgery than the initial augmentation procedure, and should be performed by a surgeon like Dr. Nein who knows how to address a wide range of issues that can arise following breast augmentation.

At A Glance
Procedure Length 1 to 3 hours, depending on issue being addressed
Anesthesia General
In/Outpatient Outpatient
Side Effects Temporary soreness, swelling or bruising. Breasts and nipples may be sensitive for a few weeks following surgery.
Risks For breast implant revision, risks are similar to those associated with an initial breast augmentation.
Recovery Depending on procedure specifics, back to work in a few days. Back to a higher level of activity by a month after surgery.
Duration of Results Long-lasting, although breast implant revision does not prevent the possibility of needing to remove or replace implants in the future. Breasts may also change in appearance due to pregnancy or weight fluctuations.

Before & After Photos

Our patients share their before and after photos with you.
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Other Breast Revision Surgeries

Breast revision can also be performed to improve cosmetic concerns related to your natural breast anatomy, many of which could have an unwanted impact on other breast enhancement procedures:

  • Tuberous Breasts: Also known as tubular breast deformity, tuberous breasts are the result of constricted breast tissue growth, which forces breasts to grow in an elongated rather than round shape. Often, tubular breasts remain small, with large or puffy areola. For women with tuberous breasts considering implants, Dr. Nein must first release the constricted tissue in order to reshape the breast for the best results, similar to the steps performed in a breast lift.
  • Significant Breast Asymmetry: While every woman has some degree of asymmetry between breasts, some may notice a difference of a cup size or more. For these women, an implant can be used in the smaller breast to create a more balanced appearance. Sometimes, a breast reduction may be performed on the larger breast as well.
  • Large Areolas: Large areolas can look out of proportion with the rest of the breast. If you’re otherwise happy with your breast appearance, Dr. Nein can reduce the size of your areola in a fairly quick outpatient procedure. Areolas can also be reduced as part of a breast lift or breast reduction.
  • Inverted Nipples: Nipples that turn inward instead of outward can make breastfeeding difficult, and also affect the overall aesthetic of your breasts. A small incision is often enough to access the nipple and turn it outward, taking care to preserve the milk ducts.
  • Puffy Nipples: Puffy nipples are frequently seen in combination with tuberous breasts, and are typically the result of breast tissue that has herniated into the nipples. Puffy nipples can be flattened through a procedure that’s similar to an areolar reduction.

The best candidates for any type of breast revision should be in good health and should have already completed their families, as changes in weight or future pregnancies could affect your results.

Planning Your Procedure

Before your breast revision surgery, you’ll have a consultation with Dr. Nein to talk more about what results you hope to see from your procedure. Dr. Nein will go over more detailed information about what you can expect during your surgery and recovery.

Part of your consultation will include undergoing a physical evaluation. This helps Dr. Nein identify the presence of any specific issues (for example, diagnosing tuberous breasts) and make sure that the best option is being used to help you achieve your cosmetic goals. He may also ask questions about your general health, such as whether you’re taking any prescription or over-the-counter medications.

Your consultation is also a time for you to get to know Dr. Nein better, and ask any questions about breast revision you may have. Additionally, if anything comes up in between your consultation and your treatment, please don’t hesitate to contact our team. We’re always happy to help.

Your Recovery & Results

Many women say that recovery after breast revision surgery feels faster and easier than their initial breast augmentation. You can expect some soreness, especially at the incision sites, and may see some swelling or possibly bruising. Often, ice packs or bags of frozen veggies applied to your breasts can help you feel more comfortable.

As your recovery progresses, your new look will become gradually more visible. Any issues like implant malposition or breast asymmetry should be improved, and you should see a beautifully proportionate breast size and shape. If your revision surgery was performed to correct a cosmetic concern like tuberous breasts or inverted nipples, your breasts should look round and full for a look that’s both natural and flattering.

Breast Revision Surgery
Service Type
Breast Revision Surgery
Provider Name
Dr. Alexander Nein,
2400 Patterson St. Suite 202,Nashville,Tennessee-37203,
Telephone No.(615) 327-0201
Board-certified plastic surgeon Dr. Alexander Nein offers breast revision surgery, including breast implant revision and correcting tuberous breasts.