Breast Revision Miami
Implant Revision, Explant & Replacement From $4,499.
Breast implants are highly durable, but they are not lifetime devices. Whether you are experiencing capsular contracture, have detected a rupture, are dissatisfied with your current shape, or simply wish to have your implants safely removed, revision surgery restores your comfort and confidence. Every revision at Spectrum Aesthetics is meticulously planned and performed by board-certified plastic surgeon Dr. Nidia De Jesus.
- Specialized in capsular contracture release, explant, and implant exchange
- Capsulectomy options (partial, total, and en bloc) matched to medical necessity
- Manufacturer warranty assistance to potentially offset surgical costs
- We welcome all patients, regardless of where your initial surgery was performed
Board-Certified Expert
Dr. Nidia De Jesus, MD
$4,499
Starting Price
10+
Complications Treated
20k+
Happy Patients
14+
Years of Excellence
What Is Breast Revision Surgery?
Breast revision (implant revision surgery) is any operation that corrects, replaces, or removes existing breast implants and the surgical pocket they rest in. It is a highly specialized discipline because the surgeon must navigate previously operated anatomy, scar tissue, and altered surgical planes.
The scope of a revision is broad. It may involve releasing a contracted capsule, exchanging a ruptured implant, correcting an implant that has bottomed out, repairing symmastia (where implants cross the midline), or safely removing the implants entirely (explant surgery). A thorough diagnosis dictates the exact surgical plan.
We believe in absolute transparency: implants are not lifetime devices. The most common reason an initially perfect augmentation eventually requires a revision is simple device age. Addressing this reality proactively ensures you maintain your health and ideal aesthetic over time.
Conditions Corrected by Revision Surgery
Our clinic routinely treats the following complications. Identifying your specific concern is the first step toward creating a precise surgical correction plan.
Capsular Contracture
The body naturally forms a scar tissue capsule around any implant. If this capsule thickens and tightens, it squeezes the implant, causing firmness, distortion, and sometimes pain. We correct this by releasing or removing the capsule (capsulectomy) and exchanging the implant.
Implant Rupture
Saline implants rupture visibly, deflating over a few days. Silicone ruptures are silent and typically detected via routine MRI or ultrasound. Correction involves safe removal, capsulectomy if indicated, and implant replacement.
Bottoming Out
Over time, an implant may descend below the natural inframammary fold, increasing the distance between the nipple and the fold and creating a bottom-heavy appearance. We correct this by rebuilding the internal fold with reinforced support.
Symmastia
When the surgical pockets cross the midline of the chest, the skin bridge between the breasts lifts, eliminating natural cleavage (informally known as a "uniboob"). We repair the midline support and restore natural separation.
Double Bubble
This occurs when the implant slips below the natural breast tissue, creating the appearance of two distinct, stacked contours. Correction involves meticulously adjusting the surgical pocket or the fold position.
Explant (Removal)
Chosen for lifestyle changes, peace of mind, or simply the desire to be finished with implants. We remove the implants and capsules safely, often combining the procedure with a breast lift to reshape the deflated tissue beautifully.
Capsular Contracture and Capsulectomy
Capsular contracture is the single most common reason augmentations require revision. Understanding how it is treated ensures you make an informed decision.
How Contracture is Graded
We use the standard Baker scale. Grade I is soft and natural. Grade II is slightly firm but natural in shape. Grade III is firm and visibly rounded or distorted. Grade IV is hard, painful, and highly distorted. Grades III and IV require surgical intervention, while early Grade II is typically just monitored.
Capsulotomy vs. Capsulectomy
A capsulotomy releases the capsule by scoring it open, relieving constriction while leaving the scar tissue in place. A capsulectomy physically removes the scar tissue. Dr. De Jesus determines the necessary extent of removal (partial or total) based on your capsule's character and health.
Understanding "En Bloc" Capsulectomy
Many patients inquire about "En Bloc" removal—extracting the implant and the entire capsule together as one unbroken, sealed unit. This is an excellent technique specifically indicated for confirmed BIA-ALCL, concerning ruptures, or specific severe contractures. However, it is not always medically necessary or anatomically possible (such as when the capsule is extremely thin or adherent to the ribcage). Dr. De Jesus will perform an en bloc removal when medically indicated, and a total capsulectomy when it provides the safest, most effective outcome for your body.
To Replace or Remove?
Most revision consultations arrive at a crucial fork in the road: repair the current issue with new implants, or remove them permanently. We support both decisions entirely.
Revision with Implant Exchange
If you still desire the volume and shape of augmented breasts but are experiencing an issue like a rupture, contracture, or size dissatisfaction, we perform an exchange. We safely remove the old devices, repair the surgical pocket, and place fresh implants using a strict biofilm-conscious protocol to dramatically lower the risk of future contracture.
Explant (Removal Without Replacement)
If your goal is to be completely finished with implants due to lifestyle changes or health concerns, we perform an explant. Because tissue that has stretched around an implant for years does not simply snap back, an explant is frequently paired with a Breast Lift (Mastopexy) to reshape the deflated tissue into a beautiful, natural contour.
Breast Implant Illness & Textured Implants
If you are experiencing anxiety regarding the systemic health impacts of your breast implants, your concerns will be heard, respected, and addressed with absolute medical candor.
Breast Implant Illness (BII)
Some patients with implants report systemic symptoms such as chronic fatigue, joint pain, and brain fog. These symptoms are very real to the patients experiencing them, and we take them seriously. While a definitive scientific mechanism linking implants directly to these symptoms has not yet been established, we fully support patients who choose explant surgery for peace of mind. Many report significant improvement post-removal, and we provide safe, comprehensive capsulectomy options to facilitate this.
Textured Implants & BIA-ALCL
A rare immune-system lymphoma (BIA-ALCL) has been linked to certain textured-surface implants, leading to global recalls. While the absolute risk remains very low, patients carrying textured implants reasonably request removal out of caution. We support this request fully, providing specific risk assessments based on your implant's make and year, and performing intact removal with pathology testing to ensure your total peace of mind.
How Your Breast Revision Procedure Runs
Revision surgery takes one and a half to four hours depending on the complexity of the operation. It is performed under general anesthesia with same-day discharge.
Review, Imaging, and Marking
We review any available implant cards or prior operative reports. Ultrasound or MRI imaging is utilized for silicone devices if a rupture is suspected. Standing markings map the surgical plan, often reusing original incision lines when possible.
Navigating Altered Anatomy
Revision surgery requires navigating previously altered tissue. Dr. De Jesus meticulously identifies capsule planes, releases scar tissue, and re-establishes healthy anatomy to ensure the new repair is built on a solid, safe foundation.
Capsulectomy, Repair, or Removal
The core operation proceeds: the capsule is removed or released, folds are reconstructed to correct bottoming out, the midline is repaired for symmastia, or implants are removed entirely for explant patients.
Exchange or Closure
If exchanging implants, new devices are placed using a strict no-touch technique and antibiotic irrigation to prevent future contracture. Explant cases are beautifully closed, frequently incorporating a breast lift to restore natural shape.
Pathology and Same-Day Home
Removed capsules and implants are sent to pathology per our strict safety protocols. You are fitted with a supportive surgical bra and discharged to recover comfortably at home with your companion.
Revision Safety: Operating on Altered Anatomy
Revision surgery carries the baseline risks of any breast operation, plus the unique complexities of navigating scarred anatomy and aging devices. We utilize strict protocols to manage these layers safely.
- Recurrence Prevention: Capsular contracture has a known recurrence rate if placed back into the exact same conditions. We utilize fresh pocket planes, thorough antibiotic irrigation, and no-touch implant handling to aggressively fight recurrence.
- Pathology Protocols: Capsules and explanted devices are routinely sent for pathology examination. This is the ultimate safety net to accurately diagnose ruptures, atypia, or rare lymphomas.
- Warranty Assistance: Many patients are unaware that manufacturer warranties may cover replacement devices and offer financial assistance for severe contracture or ruptures within specific timeframes. We identify your device and help you file your claim.
- Accredited Environment: Surgery takes place exclusively in a Joint Commission Accredited operating suite with licensed anesthesia providers and continuous monitoring.
Revision risks include bleeding, infection, delayed healing through scarred tissue, capsular contracture recurrence, changes in sensation, and standard anesthesia risks. Every detail will be discussed transparently during your consent conversation.
Your Breast Revision Preparation Checklist
Ensuring your body and records are ready for surgery is critical for a smooth recovery.
Implant Records (If Available)
If you have your original implant card (listing manufacturer, size, and lot number) or operative report, please bring it. However, it is not required. We routinely handle complex revisions without prior surgical records.
Imaging
Silicone devices require an ultrasound or MRI prior to revision planning to assess rupture status. Past imaging from your routine surveillance schedule is also highly beneficial.
Symptom Timeline
Document when firmness began, when shapes changed, or when pain occurs. A clear timeline of your complication helps Dr. De Jesus diagnose the issue more accurately.
Nicotine Cutoff
You must be completely nicotine-free for four to six weeks prior to surgery. Revision requires operating on tissue with altered circulation, making this rule absolute.
Medical Clearance
Routine bloodwork and medical clearance are coordinated with your physician. All results must be firmly in hand well before your surgery day.
Home Setup
Prepare front-closure tops, ensure meals are prepped, and arrange for a responsible adult to assist you for the first 24 to 48 hours. You will sleep elevated on your back initially.
Breast Revision Recovery Timeline
Revision recovery often runs slightly behind a primary augmentation because your body is healing the new repair while simultaneously navigating scarred tissue.
Soreness and Support
You will experience tightness and soreness across the operated zones, managed with prescribed medication. Your surgical bra stays on constantly. Patients undergoing an explant without replacement often find this phase easier than their original augmentation.
First Visits and Incision Checks
We check your incisions and repaired zones early. Fold and midline repairs are examined specifically to ensure the internal support is holding. Pathology results from any removed tissue are reviewed with you in person.
Activity Returns in Stages
Most patients return to desk work by week two. Light cardio resumes around week four, and full training (including chest work) clears at six to eight weeks upon surgical sign-off. Structural repairs may require the full eight weeks to ensure maximum strength.
Settling and Final Assessment
Swelling resolves entirely, and the revised contour settles beautifully. New implants will drop and soften naturally. Exchange patients will restart their standard imaging surveillance schedule for the new devices at this time.
Meet Dr. Nidia De Jesus, MD
Every breast revision at Spectrum Aesthetics is planned and performed by Dr. Nidia De Jesus, MD, our board-certified Medical Director. Revision is a core focus of her practice, and her deep expertise ensures complex complications are handled safely and effectively.
Dr. De Jesus treats your surgical history as vital data. She meticulously reviews your symptom timeline, imaging, and anatomy to explain exactly why an implant failed or shifted. Whether she recommends a total capsulectomy with exchange or an explant with a breast lift, her guidance is rooted purely in medical necessity and your personal goals.
- Board-Certified Plastic Surgeon
- Expertise in contracture, rupture, malposition, exchange, and explant
- Specializes in Partial, Total, and En Bloc Capsulectomy
- Provides Manufacturer Warranty identification and filing assistance
What Revision Patients Say
"Seven years after my augmentation, one breast hardened. Dr. De Jesus graded the contracture, explained the capsule clearly, and her team found my implant was still inside the warranty window. The program covered a real share of the cost. Total capsulectomy and a new implant, and it feels perfectly natural again."
Denise M. Contracture Revision & Exchange
"I asked for en bloc removal based on internet research. Dr. De Jesus explained why a total capsulectomy was the safer, better operation for my specific anatomy. I had them removed with a lift, and at six months flat I look exactly like the version of myself I missed. Incredible, honest surgeon."
Elaine R. Explant with Lift
"Sixteen years with textured implants and a lot of anxiety. Dr. De Jesus walked me through the actual risk numbers and what removal would entail. I had them removed with pathology on everything. The clean report and peace of mind are worth more than the surgery. Her team even helped file the warranty paperwork."
Gloria H. Textured Implant Removal
"Implant exchange after 22 years with a retired surgeon and zero records. Dr. De Jesus's team worked everything up from an ultrasound, identified the device, and performed the exchange smoothly. They reused the 22-year-old incision, and the recovery was easier than my original surgery."
Patricia C. Implant Exchange (No Prior Records)
Traveling to Miami for Breast Revision
Revision is the most common out-of-state surgery we see, as patients travel to ensure complex complications are fixed perfectly by a specialist. The trip generally runs seven to ten days.
Virtual Consult & Workup
We review your history, symptoms, and any imaging virtually. Your surgical plan and written quote are provided before you book a flight. We also run the manufacturer warranty check early, as program benefits can significantly reduce your costs.
Surgery Day
The revision runs 90 minutes to 4 hours depending on scope. You walk gently the same evening wearing your surgical bra, sleeping elevated at your hotel or recovery house.
Early Repair Checks
Post-operative visits examine the repair zones directly to ensure structural supports are holding. Pathology results from removed tissue are reviewed with you in person before you fly home.
Travel Clearance & Fly Home
Dr. De Jesus clears you for the flight, reviewing comfort and circulation precautions. Telehealth follow-ups continue seamlessly from your home through month six.
Breast Revision Frequently Asked Questions
How much does breast revision surgery cost in Miami?
At Spectrum Aesthetics, breast revision pricing starts at $4,499 for an all-inclusive package covering the surgeon's fee, anesthesia, facility fee, pathology on removed tissue, and follow-ups. The extent of the capsulectomy, a new implant for exchange, structural reinforcements, or adding a lift will adjust the final quote. We also assist with manufacturer warranty claims, which can reduce your out-of-pocket costs.
Can you fix breast surgery done by another surgeon?
Yes. Correcting complications from surgeries performed elsewhere is a core focus of our practice. You do not need your original surgeon's permission or even their records. While records are helpful, we routinely diagnose and successfully revise implants using new imaging and precise operative techniques.
What is capsular contracture, and how is it fixed?
Capsular contracture occurs when the natural scar tissue capsule around an implant thickens and tightens, causing firmness, distortion, and pain. It is corrected surgically via a capsulectomy (removing the scar tissue) and typically exchanging the implant. We use a strict biofilm-conscious protocol to drastically reduce the risk of it returning.
Do I need an "En Bloc" capsulectomy?
En bloc removal (removing the implant and capsule as one intact unit) is indicated for concerning ruptures or confirmed BIA-ALCL. However, it is not always possible or medically necessary. If the capsule is thin or adherent to the ribcage, a total capsulectomy is often the safer, highly effective alternative. Dr. De Jesus will recommend the safest technique for your body.
Implant removal or exchange: how do I decide?
If your goal is to maintain volume but fix a complication (like contracture or rupture), an exchange rebuilds your result. If you wish to be finished with implants entirely due to health concerns, lifestyle changes, or peace of mind, an explant (removal) is the best choice. We fully support both paths and will guide you through the aesthetic outcomes of each.
What will my breasts look like after implant removal?
This depends on your skin's elasticity. Removing large implants from stretched skin often results in deflation and sagging. For this reason, an explant is frequently paired with a Breast Lift (Mastopexy) to reshape the remaining tissue into a beautiful, natural contour.
What is breast implant illness (BII), and can removal help?
BII refers to systemic symptoms like fatigue, joint pain, and brain fog reported by some patients with implants. We take these symptoms very seriously. While science has not definitively established a causal link, many patients report significant improvement after explant surgery. We provide comprehensive, safe removal options for patients seeking peace of mind.
Will insurance cover my breast revision?
Rarely for cosmetic revisions. However, manufacturer device warranties commonly cover replacement devices and sometimes offer financial assistance for ruptures or severe contractures within specific time windows. We check your eligibility and provide full filing assistance during your consultation.
Can capsular contracture come back after revision?
There is a recurrence risk if the surgical pocket is not properly managed. This is exactly why Dr. De Jesus utilizes a rigorous protocol: establishing fresh pocket planes, utilizing antibiotic irrigation, and employing a no-touch implant handling technique to aggressively prevent recurrence.
What if I don't have my implant card or any records?
This is extremely common and does not affect your eligibility for revision. We utilize imaging (Ultrasound or MRI) and operative findings to identify the device and plan the surgery accurately. Missing records are never a barrier to receiving expert care.
Expert Correction & Peace of Mind
Bring your medical history and concerns to a confidential consultation. Leave with a clear diagnosis, a strategic surgical plan, a warranty check, and a transparent quote starting at $4,499.
💎 Book My Free ConsultationMedical disclaimer: This page is educational and does not constitute medical advice or a guarantee of outcome. Surgical candidacy, pricing, and results vary by individual and can only be determined through consultation with a board-certified plastic surgeon. Breast revision surgery carries risk, including bleeding, infection, delayed healing, capsular contracture recurrence, changes in sensation, and anesthesia risks. Breast implant illness information reflects current published evidence and individual patient reports, and does not establish or exclude causation. Manufacturer warranty eligibility is determined solely by the device program's terms.
From $4,499
Breast Revision in Miami, Florida
Our plastic surgeons in Miami, perform breast reconstruction surgery in the safest way. They will cater to your every need so that you get the most desirable and attractive breasts. Secondary breast augmentation surgery is safe and has to be done only in extreme cases. So for the best surgical outcome in Miami, visit our surgeon who will guide you by giving you the best treatment.
Secondary breast surgery , is as popular as primary breast augmentation. When a woman chooses to improve the appearance of her breasts with breast implants, she is also assuming a lifelong endeavor to sustain the quality of her enhanced profile.If you take 100 women with breast augmentation and follow them for thirty or forty years, you will find that majority of these women will have had one or more additional surgeries on their breasts. Therefore, it is highly likely that breast augmentation patients will need a revised surgery during their lifetime.
Breast Revision at Spectrum Aesthetics, Miami
Our plastic surgeons in Miami, perform breast reconstruction surgery in the safest way. They will cater to your every need so that you get the most desirable and attractive breasts. Secondary breast augmentation surgery is safe and has to be done only in extreme cases. So for the best surgical outcome in Miami, visit our surgeon who will guide you by giving you the best treatment.
Secondary breast surgery , is as popular as primary breast augmentation. When a woman chooses to improve the appearance of her breasts with breast implants, she is also assuming a lifelong endeavor to sustain the quality of her enhanced profile.If you take 100 women with breast augmentation and follow them for thirty or forty years, you will find that majority of these women will have had one or more additional surgeries on their breasts. Therefore, it is highly likely that breast augmentation patients will need a revised surgery during their lifetime.
In general, there is no reason to change implants unless there is a significant issue.
- Breast contraction: when the breast implant is inserted into the body, the body’s response is to recognize the implant as foreign material. In response, it can form a scar capsule that encases the implant and walls it off from the body. An inflammatory process occurs which causes the scar tissue to thicken and constrict around the implant making it unnaturally hard. Though theories exist, it is not known exactly what triggers this response, nor why it happens to some people and not to others.
- Deflation or rupture of the breast implant.
- Laxity of the skin and the resulting changes in breast shape, as part of the normal aging process.
- Stretching of the skin and changes in breast shape caused by pregnancy and breastfeeding.
- Infection or bleeding in the early postoperative period, while uncommon, may occur in 1%-2% of patients nationwide.
Each breast revision case requires careful study
- Removal of the scar capsule and replacement of the implants, with the same size, larger or smaller.
- Breast lift, with or without changing out the breast implants.
- Remove the breast implants all together. (This option is rarely chosen by patients.)
Each breast revision case requires careful study of a patient’s need. Our doctors work on personalized treatment plan to achieve the best outcome.
During secondary breast augmentation, you can switch from saline to silicone, or vice versa. You can also change your implant size to larger or smaller ones.
With the benefit of our extensive experience and expertise with this revisable breast surgery in Miami, our surgeons will guide you through the various decisions that will customize your new look.