Breast Implant Revision Sydney | Breast Revision Surgery

Breast Implant Revision

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Breast Revision

Breast Revision

Breast Revision Surgery

Breast augmentation is a very common procedure with some 25,000 operations being performed in Australia every year. Other breast operations, such as mastopexy (breast lift) and breast reductions are also very common. For most women, the results are worth the operation. However, all surgery comes with the risk of complications. There are number of scenarios that may require a repeat operation.


Here you can find a brief list of the most common issues that may follow breast surgery and the ways in which they can be corrected.


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Capsular contracture

This is the most common complication after implant surgery and can occur anywhere from a few months to many years afterwards. Common signs are increasing, dragging or tight discomfort in one breast and a firm feeling to the breast. In severe cases, the contracture (which is actually scar tissue around the implant), may distort the shape of the breast.


The most common way to deal with contracture is to remove the scar tissue and replace the old implant with a new one. Dr Kohout favours the use of polyurethane implants in this situation as they hold a smaller risk of the contracture recurring.

Implant rupture or deflation

All implants have a finite life span and, as with all mechanical devices, they will eventually fail. Most commonly, this is due to wear and tear of the implant capsule. This complication is often silent, ie it doesn’t produce any obvious signs or discomfort. It is usually found on routine ultrasound examination.


Unless there is an associated capsular contracture as well, I generally treat this condition by removing the ruptured implant and substituting with a new one. Some patients take this opportunity to reassess the size of their implant: some choose to go larger, some smaller.

‘Double Bubble’

This complication appears most commonly where a large implant is used in a small body frame. The implant projects beyond the natural borders of the breast tissue and creates the visual appearance of two breast contours: one from the implant and one from the natural breast tissue.

There are a number of possible solutions to ‘double bubble’, including fat grafting, reduction of the stretched tissue, a breast lift or using a different implant.

Bottoming out

This condition can occur in larger breasts or with the use of larger implants. It looks as if the lower part of the breast has stretched to a lower, fuller position than planned. This is more common if your skin is thin or has previously been stretched, for example, during pregnancy or with significant weight loss.


Correction of this condition often involves removing the excess stretched tissue. It is also sometimes necessary to change the implant size to better match the position of the breast tissue and the implant.

Waterfall deformity

This breast appears unnatural and unproportioned with a high, prominent upper pole and empty, flattened lower breast. The nipple is usually positioned low on the breast, leading to an unnatural look.


There are a number of different techniques available to correct this problem, including altering the shape of the implants, altering the size of the implants or performing a breast lift.

Symmastia or ‘Uniboob’

In this condition, there is a bridge of tissue between the two breasts, meaning the natural separation between them is absent. It is difficult to achieve attractive cleavage with this condition, and makes the fitting of bras and clothes a challenge.


Correction of symmastia may involve using smaller implants, internal stitching or placing the implant into a different pocket under the muscle.

Wrong size

You may have heard that patients always wish they had “gone bigger”, or used a larger implant. Sometimes this is true, but it is also common the other way. Occasionally patients choose an implant that they find too large, heavy or uncomfortable. “Going smaller” is almost as common as “going bigger”.


This is easy to correct, and Dr. Kohout will work with you to choose an implant that is more appropriate for your lifestyle.

To find out about our pricing, please see our Breast Surgery Pricing page

Sydney Practice

185-211 Broadway
Sydney, NSW 2000

Orange Location

60-62 McNamara St
Orange, NSW 2800

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