Top Reasons for Breast Implant Revision Surgery

DECEMBER 22, 2013
Robert T. Grant, MD, MSc, FACS


Synmastia can occur when the pockets that hold the implants in place cross over one another and meet in the middle of the chest. This causes one or both implants to shift toward each another, creating the appearance of a single large breast. This can be a difficult problem to solve, but with proper planning, it can be corrected.

Double bubble deformity

Double bubble deformity looks as if the breast implant were stacked upon the breast tissue, creating a nearly 2-tiered breast. It can occur in women who have had implants placed below the muscle and may have been in need of a breast lift, or when an attempt is made in the initial breast augmentation to lower the infra-mammary fold. As with most revision surgeries, the treatment is unique to the patient and her needs.

Implant coverage issues

When the tissue that covers an augmented breast is too thin, rippling may occur around the breast. This can often be corrected by moving implants that are above the muscle to partially below it, which is called site changing. Other techniques include fat grafting to provide additional tissue to the area, though they are still in the research phase.

Changes in breast tissue

Age, pregnancy, and significant weight loss are some of the most common factors that can cause the breasts to undergo change. When the body changes, a former breast augmentation surgery may need to be revised in order to maintain the best results. Because the changes each person may go through are different, the approaches used in this instance are varied.


Over time, even the most successful breast augmentation surgeries can require revision. It is important that any adverse reactions from a breast augmentation procedure are discussed between the patient and plastic surgeon as soon as changes are noticed, so that a plan may be put in place to correct them.

Robert T. Grant, MD, MSc, FACS, is Chief of the combined Divisions of Plastic Surgery at New York-Presbyterian Hospital-Columbia University Medical Center and New York-Presbyterian Hospital-Weill Cornell Medical Center. He is also Associate Clinical Professor of Surgery in the College of Physicians and Surgeons at Columbia University and Adjunct Associate Professor of Clinical Surgery at Weill Cornell Medical College. For more information about Dr. Grant or to contact him, visit his website at

Related Coverage >>>
Copyright© MD Magazine 2006-2020 Intellisphere, LLC. All Rights Reserved.