The Breasts
Breast Implant
Breast Implant
Revision
Restoration, Correction, and Refinement.
Restoration, Correction, and Refinement.
Revision surgery is among the most technically demanding procedures in aesthetic plastic surgery, requiring both surgical precision and the artistry to achieve the outcome you originally envisioned. At Edition, Dr. Schwartz approaches every revision with fresh eyes and without judgment—whether our team is addressing a complication, a mechanical issue, or the natural evolution of your results over time. With over 25 years of experience and more than 10,000 surgeries, Dr. Schwartz’s background in physics allows him to diagnose the root cause of dissatisfaction with clinical precision, identifying whether the challenge lies with the implant itself, the position of the surgical pocket, or the surrounding tissue’s response.
A successful revision is never a one-size-fits-all solution; it is a highly specialized craft focused on restoring structural integrity and elegance. Often, what feels like an issue of size is actually an issue of profile or shape relative to your unique anatomy. Dr. Schwartz utilizes a tailored surgical plan that may include releasing sections of the pectoral muscle to drop a high implant or performing a capsulorrhaphy to support an implant that has shifted or bottomed out. By meticulously refining the breast fold and the integrity of the pocket, Dr. Schwartz ensures the implant is perfectly integrated with your natural frame, targeting a reoperation rate of less than one percent.
Undergoing a revision is a personal and often emotional journey, and at Edition Plastic Surgery, we are committed to providing a compassionate environment where your aesthetic goals remain the central focus. Dr. Schwartz’s commitment to our patients begins with a direct, honest conversation about what can be achieved, followed by a meticulous surgical execution intended to help you reclaim your confidence. Our goal is singular: to deliver a beautiful, sustainable, and balanced result that finally feels like yours.
Dr. Schwartz performs implant exchanges for our patients looking to change their size, profile, or upgrade from older saline models to modern cohesive silicone gel. By utilizing premium options like Allergan’s five distinct profiles, he can customize your results to achieve a more natural and elegant aesthetic that better suits your current frame.
To address the hardening of scar tissue around an implant, Dr. Schwartz performs a meticulous capsulectomy to remove the thickened capsule entirely. By combining this with a fresh implant exchange and pocket repositioning, he restores a soft, natural feel to the breast while utilizing our systematic approach to minimize the risk of recurrence.
Whether your implants have 'bottomed out,' shifted laterally, or sit too high, Dr. Schwartz utilizes advanced internal suture techniques like capsulorrhaphy to restore proper positioning. By precisely reforming the anatomical pocket or releasing muscle attachments to allow an implant to drop, he recreates the balanced, symmetric cleavage you originally desired.
When aging, weight fluctuations, or pregnancy cause the skin envelope to stretch, a simple implant exchange may not be enough to restore your shape. By combining your revision with a mastopexy (breast lift), Dr. Schwartz can tighten the skin and elevate the nipple-areolar complex to create a comprehensive rejuvenation that implant replacement alone cannot achieve.
For your absolute safety and comfort at Edition Plastic Surgery, Dr. Schwartz typically performs revision surgery under general anesthesia. Most of our patients return to light daily activities within three to seven days, though you should plan to wait six weeks before resuming strenuous exercise to ensure all internal adjustments heal correctly.
For our patients choosing to remove their implants entirely, Dr. Schwartz performs thorough explantation, including en bloc capsulectomy when indicated. To ensure you remain confident in your appearance after removal, our team will discuss options like simultaneous fat transfer or a mastopexy to optimize your natural breast volume and contour.
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All photographs are of actual Edition Plastic Surgery patients. Individual results may vary.
Revision surgery begins with an honest conversation. Every step of the Edition experience is designed to give you clarity, confidence, and exceptional care.
Dr. Schwartz will conduct a thorough examination, review your surgical history, and listen carefully to your concerns and goals. If you have prior operative notes or implant records, please bring them — they are genuinely useful. You will leave with a clear understanding of what is possible and a specific surgical plan, without pressure.
Revision surgery requires careful pre-operative planning, including imaging if indicated, implant selection, and in some cases coordination with your primary care physician. Our patient concierge manages every logistical detail — pre-operative labs, facility scheduling, and a comprehensive preparation guide.
Revision procedures are performed as outpatient surgery under general anesthesia at our accredited facility. Operative time varies with complexity — a simple implant exchange may take one hour, while a comprehensive revision with mastopexy may take two to three. You are discharged the same day with all supplies and instructions provided.
Recovery following revision surgery is typically similar to a primary augmentation, though complex procedures may involve slightly more initial discomfort. A supportive surgical bra is worn continuously. Most patients are comfortable moving around their home within 24–48 hours, with a follow-up appointment scheduled in the first week.
Return to desk work and light activity typically occurs within 7–10 days. More physically demanding activity is reintroduced gradually over six to eight weeks under Dr. Schwartz's direct guidance. Procedures combining implant exchange with mastopexy may have a slightly longer activity restriction timeline.
Swelling fully resolves and tissues settle into their final position over three to six months. Many revision patients report that seeing the final result — often for the first time without the complication or dissatisfaction that prompted the surgery — is profoundly rewarding. Dr. Schwartz monitors your progress closely throughout.
Revision breast surgery is not a procedure for a generalist. The technical complexity of working within existing scar tissue, correcting malposition, and managing capsular pathology demands a surgeon who has performed these procedures hundreds of times. Dr. Schwartz is one of the Dallas area's most sought-after revision specialists — patients travel from across Texas and beyond specifically for his expertise.
Full Credentials →Many patients hesitate to seek revision, unsure whether their concern warrants surgery. If you are unhappy with your current result for any reason — aesthetic or medical — a consultation is always appropriate.
If you are unsure whether revision is right for you, that uncertainty is itself a reason to come in. Dr. Schwartz will give you an honest assessment — including if he believes no surgery is needed.
Answers to the questions Dr. Schwartz hears most often from revision patients.
If you are dissatisfied with the look, feel, or position of your current implants, you are likely a candidate. At Edition Plastic Surgery, Dr. Schwartz sees our patients for a variety of reasons: some are purely cosmetic, such as desiring a different size or shape, while others are functional, such as addressing a ruptured implant, rippling, or painful scar tissue. If you are in good general health and have realistic goals for improvement, our team can design a plan to help you reclaim your confidence and your silhouette.
Most of our patients return to office-based work within 3 to 7 days. However, internal healing is a process that requires patience. Dr. Schwartz typically advises waiting 3 to 6 weeks before resuming strenuous exercise or heavy lifting. This window ensures the implants and the adjusted tissue pockets settle correctly into their new, more balanced positions, which is essential for the long-term longevity of your results.
Yes. A significant portion of our revision practice involves correcting outcomes from surgeries performed elsewhere. Revision requires working within existing scar tissue and altered anatomy, which demands greater surgical judgment than a primary augmentation. Dr. Schwartz approaches every case without judgment; our focus is entirely on achieving the best possible outcome for you going forward. While not required, bringing your prior surgical records or implant ID cards to your consultation can be helpful.
Capsular contracture occurs when the scar tissue capsule that naturally forms around an implant thickens and tightens, causing the breast to feel hard, look distorted, or become painful. It is graded on a scale of I–IV based on severity. Treatment involves a capsulectomy—the precise surgical removal of the thickened capsule—typically combined with implant exchange and pocket repositioning. Dr. Schwartz utilizes meticulous techniques to restore a soft, natural feel to the breast.
Yes. If your implants sit too high, it is often due to an incorrectly placed pocket or capsular contracture; Dr. Schwartz corrects this by releasing the pectoral muscle or removing scar tissue to allow the implant to drop. If they have 'bottomed out' and sit too low, Dr. Schwartz performs a procedure called a capsulorrhaphy to suture the pocket and reposition the implant higher on the chest, restoring the natural fullness and shape you deserve.
Absolutely. Revision is an ideal opportunity to reassess size, profile, and implant type. Many patients choose this moment to upgrade from older saline implants to modern cohesive silicone gel 'gummy bear' implants. At Edition Plastic Surgery, our approach centers on the implant profile—the specific shape—rather than just the volume. Choosing the correct profile for your current skin quality and anatomy is often the key to achieving a prettier, more sophisticated result.
For the majority of revision cases, Dr. Schwartz recommends general anesthesia. It provides the safest and most controlled environment for him to perform the precise internal work required, such as pocket reconstruction. While you will experience some soreness and pressure during the first few days of your recovery, our team manages this effectively with personalized pain protocols to ensure your transition back to your daily routine is as comfortable as possible.
The investment for revision surgery varies considerably based on the complexity of your specific case. A straightforward implant exchange is different in scope from a comprehensive capsulectomy with a breast lift (mastopexy). At Edition Plastic Surgery, we believe in being direct and honest about the process; we will provide a clear, personalized fee quote once Dr. Schwartz has diagnosed the exact cause of your concerns during your consultation.
Dr. Schwartz performs your revision as an outpatient procedure at our accredited surgical facility, where we ensure your recovery from anesthesia is managed with the utmost care and comfort. While our patients typically return to office-based work within three to seven days, you will need to refrain from strenuous exercise for several weeks to allow your implants to "drop and fluff" into their refined, natural position. To support your healing, our patient concierge team provides curated recovery amenities and comprehensive aftercare instructions designed for a seamless, premium experience. Throughout this journey, Dr. Schwartz closely monitors your progress through coordinated follow-up appointments, ensuring your recovery is handled with the same clinical precision as the surgery itself.