Breast Implant Revision Surgery | London, UK | Mr. Ivo Gwanmesia Skip to main content

Breast implant revision is a surgical procedure designed to correct complications or dissatisfaction after a previous breast surgery, usually after breast augmentation. While most breast surgeries are highly successful, complications can arise that require surgical correction in some cases. When you meet with Mr Gwanmesia, he will assess your concerns and determine how best to correct your complications. This may include removal and/or replacement of your breast implant(s).

Reasons to Undergo Breast Implant Revision

The following are some of the most common reasons why women choose to undergo breast revision.

Capsular Contracture

While still relatively uncommon, capsular contracture is a reason to undergo breast revision. Capsular contracture is when the scar tissue that naturally forms around the breast implant begins to tighten and harden excessively, causing pain, discomfort, and an unnatural appearance. The necessary correction is surgical removal of the scar tissue and may also include replacement of the implant(s).

Anatomical Implant Shifting

If an anatomical breast implant shifts within the breast pocket, the breast may appear misshapen or deformed. Shifted anatomical implants can be repositioned or replaced with round implants during breast revision surgery.

Implant Rupture

The rupture rate of breast implants has significantly diminished in recent years. However, if an implant rupture occurs, the implant will need to be replaced. Ruptured implants can be replaced during breast revision surgery.

Bottoming Out

Although it is normal for breast implants to settle down or descend after breast augmentation, in some cases, the implant will fall below the breast crease. This causes the upper breast to lose volume and the nipple to appear abnormally high on the breast. Mr Gwanmesia can surgically elevate the breast implant to correct bottoming out and improve its placement.

Implant Positioning Issues

In some cases, issues with the position of the breast implants may warrant breast revision. Whether they were poorly placed in the initial augmentation procedure, they have shifted since then, or they have slid below the breast crease to create double bubble deformity, the implant(s) can be removed and replaced according to the patient’s desires.


Symmastia occurs when breast implants are positioned too close together, causing the breasts to become connected in the middle. Breast revision surgery for symmastia manipulates the breast pocket to reposition the implants and correct the midline connection so that the breasts appear more natural.


Dissatisfaction with the results of breast augmentation is the most common reason women undergo breast implant revision surgery. Whether you wish to change the size, type, shape, texture, profile, or another aspect of your breast implants, breast revision surgery can help you achieve the look you desire.

If you are experiencing complications or dissatisfaction after your initial breast augmentation implant surgery, contact us right away to schedule your breast revision consultation. Mr Ivo Gwanmesia can alleviate your concerns and help you achieve the results you desire. To schedule your consultation today, please call us at 02074741300 or fill out our online contact form.

You can get to our London office through the Oxford Circus and Bond Street Underground in the City of Marylebone. We are located on the 10 Harley Street next to the Cavendish Square Gardens.


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Breast Implant Revision FAQ

Breast revision surgery will not only improve your self-esteem and confidence, but it can relieve any discomfort caused by adverse breast augmentation results.

Over time, a woman’s breasts tend to change in size, laxity, and shape. Pregnancy, extreme weight fluctuations, and aging can all affect how the breasts look, even after undergoing breast augmentation surgery. Breast revision can address the natural changes in the breasts after augmentation to provide you with a more pleasing chest appearance.

Wrinkling or rippling can typically be seen along the sides of the breasts in patients who are thin or have very small breasts and thin skin. In some instances, a patient’s breast implants may be too large and can cause visible rippling. Breast revision surgery can address this issue by repositioning the implants or removing them entirely.

Yes. In very rare occasions, some patients may end up with the incorrect breast implant size. That is why it is important to speak with your plastic surgeon in detail regarding your expectations prior to your surgery. Breast revision surgery can correct breast implants that are too large or too small by replacing them with a more appropriate size.

The length of your recovery will depend on the extent of correction required as well as the techniques used during your procedure. You may go back to work within one week but must avoid any strenuous activity for at least three to four weeks.

Most complications related to your breast revision procedure are uncommon, but there are some risks to any surgery. These include:

  • Changes in sensation
  • Hematoma
  • Scarring
  • Unsatisfactory results

On average, women will replace their breast implants 10 years after their original breast augmentation surgery due to breast changes, complications, or feeling unhappy with their implants. However, replacing your breast implants every 10 years is not always necessary. If you are happy with the look and feel of your implants, then there may be no need to replace them.

General anesthesia is administered for breast revision surgery.

If you are unsatisfied with your breast appearance or are experiencing any pain or discomfort, breast revision may be right for you. Your breasts require at least six months to one year to fully heal from your previous breast augmentation. It is recommended that you let your breasts heal naturally before considering revision surgery.

Breast revision surgery can correct current breast issues and provide support to your breasts to minimize any risk of new issues developing. However, some issues, such as capsular contracture, may occur and follow-up appointments with your surgeon will help ensure quality and long-term results.

Dr Ivo Gwanmesia

Dr Ivo Gwanmesia is one of Harley Street’s most experienced and renowned craniofacial plastic surgeons. With over a decade of professional experience, he has transformed the lives of countless patients from all over the UK & abroad.

Due to his vast and hands-on training in the UK and the US, Dr Ivo now specialises in more than a dozen different aesthetic, craniofacial and transgender procedures. Some of them include face, neck, and brow lifts, upper and lower blepharoplasty, breast reduction & breast uplift as well as facial feminisation surgery, to name a few.

Dr Gwanmesia has also conducted pioneering research, which led to the development of a new technique for the reconstruction of the middle vault of the nose, known as the ‘Fulcrum Spreader Graft’. He was also part of a study comparing the efficacy of the Sheen Spreader Graft and the Fulcrum Spreader Graft. The study has since been published on PubMed and the Journal of the American Society of Plastic Surgeons.