Do I Need Breast Implant Revision Surgery?
Posted On: December 31, 2025 Author: The Office of Dr. Stuart Linder Posted In: Breast Implants
This blog explains the most common reasons patients become candidates for breast implant revision surgery, what symptoms to watch for, and how expert evaluation can help restore both confidence and peace of mind.
5 Min Read:
An Opinion on Breast Implant Revision
Breast implants are not lifetime devices. Over time, they may require replacement due to age, complications, or personal preference. Knowing when to seek a professional evaluation can protect your health and help restore confidence in your appearance. We spoke with Dr. Stuart A. Linder, a board-certified plastic surgeon in Beverly Hills, to explore key indicators that revision surgery may be needed—and when it may not.
What Is Breast Implant Revision Surgery?
Breast implant revision surgery is a procedure that corrects or replaces breast implants that are no longer functioning well or no longer fit your aesthetic goals. It may be performed for medical reasons, such as implant rupture or discomfort, or for cosmetic reasons like changes in body shape or implant appearance. Whether prompted by rupture, cosmetic dissatisfaction, or health concerns, revision surgery is highly personalized. As Dr. Linder notes, “Revision is not a failure; it is part of the natural lifecycle of breast implants.”
How Long Do Implants Last?
Most implants last 10–15 years, but this isn’t guaranteed. Dr. Linder explains that implant type and age are key determinants of whether revision is necessary. “Silicone implants can rupture silently. MRI is the only reliable method for detecting this. The FDA recommends an MRI three years post-op and every two years thereafter,” he says.
He recalls a case where a patient had 40-year-old silicone implants. “Her ultrasound looked fine, but surgery revealed a complete rupture and silicone migration. That’s why MRIs matter.” Regular screenings can help detect problems early, even when no symptoms are present.
Common Reasons for Implant Revision
Capsular Contracture
Scar tissue around an implant can harden, squeeze the implant, and distort the breast. This condition is called capsular contracture and often causes pain or visible changes. “Baker Grade IV capsular contracture—with pain and distortion—is a non-negotiable indication for revision,” says Dr. Linder. That means surgery is strongly recommended in these cases.
Implant Rupture or Leakage
Saline implants often show deflation when ruptured because the body absorbs the leaked fluid. Silicone ruptures are harder to detect. That’s why regular imaging, especially MRIs, is so important. Undetected ruptures can lead to more serious complications if not treated.
Implant Malposition or Aesthetic Deformities
Implants can move out of position due to aging, muscle activity, or issues from previous surgeries. “Symmastia, double-bubble deformity, or severe scar tissue distortion are clear revision indicators,” says Dr. Linder. These changes can affect how your breasts look and feel.
Physical Discomfort
Pain or pressure around the breasts can signal that something isn’t right. This may come from scar tissue, nerve involvement, or implant movement. Dr. Linder emphasizes, “Even light palpation pain is a red flag. Chronic discomfort deserves surgical evaluation.”
Lifestyle and Preference Changes
Some women choose revision surgery for personal reasons. These may include downsizing, switching from saline to silicone implants, or removing implants altogether. “These are elective but valid reasons for revision,” Dr. Linder adds. Advances in techniques and materials give patients more options than ever.
Signs That Require Evaluation
Not all breast changes indicate a problem. Dr. Linder helps patients tell the difference between normal aging and signs that something needs attention:
- Severe tissue hardening that feels firm or unnatural
- Pain or tenderness with light touch
- Noticeable breast distortion or misshaping
- Implants sitting too high, too low, or unevenly
“These signs indicate advanced issues—such as capsular contracture or rupture—and should not be ignored,” he advises. If you’re unsure, a professional evaluation can help clarify what’s going on.
Why Some Implants Fail
Dr. Linder has seen patterns in the types of implants that fail more often. He notes that implants placed over the chest muscle (subglandular) tend to show more rippling and complications over time. Patients who work out their chest muscles heavily may also experience more problems.
“Repetitive pectoral contraction contributes to scar tissue formation,” he explains. This insight is helpful when planning both your first surgery and any future revisions. It’s about matching implant type and placement to your lifestyle and body type.
What to Expect During Evaluation
Dr. Linder’s evaluation process is detailed and designed to give clear answers. “I assess symmetry, implant position, capsular distribution, nipple position, and more. Imaging and surgical history are also reviewed,” he says.
He also looks for signs of complications like bottoming out, double-bubble deformities, or implant rupture. Imaging tools such as MRIs are used to confirm diagnoses. For patients with textured Allergan™ implants, he provides additional screening to rule out rare conditions like ALCL (anaplastic large cell lymphoma).
Surgical Planning & Options
Every revision surgery is different. Dr. Linder explains, “Simple implant exchange may suffice for rupture. Complex cases need capsulectomy, implant replacement or removal, and possibly a breast lift.”
He carefully tailors the surgical plan to each patient’s needs. Some women only need a minor correction, while others may require more involved procedures to restore symmetry and comfort.
What to Ask Before Breast Implant Revision Surgery
Dr. Linder encourages patients to ask their surgeon thoughtful, informed questions:
- Are findings based on imaging, symptoms, or just fear?
- What exactly is wrong with my implants?
- What happens if I choose to wait?
- What surgery options best match my diagnosis and goals?
He stresses, “A good surgeon will recommend observation when it’s safe—and surgery only when it’s truly necessary.” Being fully informed helps you make the best decision for your health and appearance.
Want to Learn More About Breast Implant Revision in Beverly Hills, CA?
With more than 14,000 breast procedures performed, Dr. Linder brings extensive experience to each revision case. His personalized, evidence-based approach ensures that patients receive the appropriate care at the appropriate time.
If you’re experiencing symptoms or simply want to evaluate the state of your implants, schedule a consultation with Dr. Linder in Beverly Hills. Call (310) 275-4513 or fill out the contact form to begin your journey to restored confidence.