Why We Offer Breast Revision at Refine

We offer breast revision because we believe every woman deserves to feel confident, comfortable, and empowered in her body, especially after prior surgery has fallen short. That’s why Dr. Gabrick, a board-eligible plastic surgeon with elite Vanderbilt and Yale training and advanced expertise in complex aesthetic and reconstructive breast surgery, performs our breast revision procedures. Known for his meticulous technique and empathetic, patient-focused care, Dr. Gabrick delivers refined, natural-looking outcomes through surgical precision and deeply personalized treatment.

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What Is Breast Revision Surgery?

Breast revision is a highly individualized surgical procedure to address issues stemming from a previous breast augmentation or reconstruction.

Each surgical plan is personalized after an in-depth consultation and may involve implant exchange, pocket revision, capsule removal (capsulectomy), fat grafting, or a breast lift (mastopexy).

Common Breast Revision Concerns We Address

1. Capsular Contracture

Hardened scar tissue around the implant can cause distortion or discomfort. Treatment may involve capsulectomy (removal of the capsule) and implant replacement or removal.

2. Implant Malposition

Whether implants sit too high, low, wide, or unevenly, precise surgical pocket revision can restore proper placement and symmetry.

3. Rippling, Double Bubble, Bottoming Out

Visible rippling or unnatural contours like the “double bubble” can be corrected through pocket adjustments, implant replacement, fat grafting, or a lift.

4. Dissatisfaction with Previous Results

Some patients are simply unhappy with their initial results. We specialize in understanding and improving both the technical and emotional outcomes of prior surgery.

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Benefits of Breast Revision Surgery

  • Relief from pain, tightness, or hardness due to capsular contracture
  • Correction of asymmetry, shape distortion, or malposition
  • Restoration of a more natural, youthful breast contour
  • Improved confidence and comfort in clothing and daily life
  • Ability to downsize, upgrade, or remove implants
  • Restored harmony between your body image and self-image

Are You a Candidate for Breast Revision Surgery?

You may be a good candidate for breast revision surgery if you are in generally good health and are a non-smoker, or are willing to stop before surgery.

Additionally, ideal candidates typically present with one or more of the following medical or structural concerns:

  • Capsular contracture (scar tissue that causes implant hardness, pain, or distortion)
  • Implant rupture or deflation, confirmed via imaging or clinical exam
  • Implant malposition
  • Rippling, double bubble deformity, or visible implant edges
  • Asymmetry or contour irregularities following prior breast surgery
  • Changes in breast tissue due to aging, weight fluctuations, or pregnancy
  • Desire to remove or replace implants due to lifestyle, health, or aesthetic changes

Patients who have undergone multiple previous surgeries or have significant scar tissue may still be candidates, though revision may be more complex. 

"Dr. Gabrick is an exceptional plastic surgeon whose expertise and bedside manner truly set him apart. His attention to detail and surgical skill are evident. I wholeheartedly recommend Dr. Gabrick to anyone considering cosmetic or reconstructive surgery—he’s the kind of surgeon who combines artistry with precision and care."

Why Choose Refine Facial Plastic Surgery and Aesthetics?

During his plastic surgery residency at Vanderbilt, Dr. Gabrick earned the Bruce Shack Award for excellence in patient care and surgical mentorship. He has also published extensively in peer-reviewed journals on outcomes in breast reconstruction and aesthetic surgery, including research conducted during his fellowship at Yale. Backed by this evidence-based foundation and a patient-first philosophy, Dr. Gabrick delivers breast revision outcomes that are beautiful, medically sound, durable, and designed to restore both form and function.

What to Expect During Your Consultation

Your consultation at Refine is a collaborative, judgment-free experience. Dr. Gabrick will:

  • Thoroughly review your surgical history
  • Evaluate your current anatomy
  • Discuss your concerns
  • Listen to your goals

Using advanced imaging and morphing technology, we’ll create a tailored treatment plan that prioritizes safety, symmetry, and long-term satisfaction.

Additionally, we’ll discuss cost and financing options. Breast revision surgery in Nashville starts at $10,000, depending on complexity, implant selection, and whether additional procedures like a lift or fat grafting are involved. 

You’ll leave feeling informed, supported, and empowered to make the right decision for your body, without pressure.

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Breast Revision Procedure

Breast revision surgery is performed under general anesthesia at one of our fully accredited surgical facilities. Depending on the extent and complexity of the correction, the procedure typically takes 1.5 to 3 hours.

Whenever possible, Dr. Gabrick utilizes your existing incision sites—typically along the inframammary fold (breast crease) or around the areola—to minimize additional scarring.

Depending on your needs, the procedure may involve one or more of the following techniques:

  • Capsulectomy or capsulotomy to remove or release hardened scar tissue (capsular contracture)
  • Pocket adjustment to reposition implants that have shifted, bottomed out, or become malpositioned
  • Implant exchange to switch sizes, types, or to correct rupture or rippling
  • Fat grafting to smooth contour irregularities or camouflage visible implant edges
  • Mastopexy (breast lift) if the natural breast tissue has sagged or lost support

Recovery and Results

  • Week 1: Swelling, soreness, and bruising are expected. Most patients resume light activity within a few days.
  • Weeks 2–3: Discomfort decreases significantly. Many return to work or social activities by week two.
  • Week 6+: Final shape begins to settle. You may resume more intense physical activity.
  • 3–6 months: Swelling resolves, and scars begin to fade. Final results become visible.

Alternative/Related Procedures

  • Breast Lift (Mastopexy): To reposition and reshape the breast without implants.
  • Fat Transfer to the Breast: A natural alternative or enhancement option.
  • Implant Removal (Explant Surgery): For those wishing to return to a natural breast size.
  • Body Contouring: For patients combining revision with post-pregnancy or weight-loss procedures.
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FAQs

How soon after my initial breast augmentation can I have revision surgery?

Will I need new implants?

Can fat grafting help with rippling or contour irregularities?

What kind of scars should I expect?

How long will the results last?

What if I want to remove my implants completely?

What if I had multiple prior surgeries?

Is it riskier than primary breast augmentation?

What are the risks of breast revision?

How soon after my initial breast augmentation can I have revision surgery?

Typically, it’s best to wait at least 6 months to 1 year, unless the issue is urgent (e.g., capsular contracture or implant rupture).

Will I need new implants?

Not always. In some cases, we can reposition existing implants. Others may benefit from replacement, switching sizes or materials, or removal altogether.

Can fat grafting help with rippling or contour irregularities?

Yes. Fat grafting softens visible implant edges or adds natural volume to deficient areas.

What kind of scars should I expect?

We often use existing incision sites, minimizing additional scarring. When new incisions are necessary, we place them strategically and offer guidance on scar care.

How long will the results last?

With proper care and lifestyle habits, results can last many years. Our team will offer guidance on maintaining your outcome long-term.

What if I want to remove my implants completely?

We can safely perform explant surgery and sculpt your natural breast with or without a lift.

What if I had multiple prior surgeries?

We specialize in complex revision cases. Careful evaluation and imaging help us plan the best course of action, even after multiple prior procedures.

Is it riskier than primary breast augmentation?

Revision can be more complex due to scarring or prior anatomy changes, but it's highly safe and effective when performed by experienced surgeons like ours.

What are the risks of breast revision?

As with any surgery, risks may include infection, bleeding, scarring, asymmetry, implant rupture, or recurrence of capsular contracture. These risks will be reviewed in detail at your consultation.

Restore Confidence. Reclaim Comfort. Rediscover You.

If you're living with complications from breast implants or simply wish to refine your look, we invite you to explore what’s possible through honest, advanced breast revision surgery. Schedule your consultation with us in Nashville today.

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Experience the transformative difference that working with Dr. Bryant can have on your life. Schedule a consultation with us in Nashville today.

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