Replace Implants or Correct Breast Enhancement Issues in Nashville

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Have concerns with your implants? Over time, many women choose to update or replace their implants with breast revision at Nashville Plastic Surgery Institute. Plastic surgeon Dr. Jacob Unger has received international recognition for advanced breast enhancement treatments, including secondary breast augmentation and reconstruction. He provides a full range of breast revision approaches to deliver optimal results. Even if your original breast surgery was well executed, remember that the body can change with time, as can personal taste, style, and preferences.

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Ready to discover more about breast revision in Nashville, TN? Contact the Nashville Plastic Surgery Institute online for more information. Submit a contact form to request a consultation or call 615.932.7700 to learn more about our approach.

What Is Breast Revision Surgery?

What is a breast revision? Breast revision is a cosmetic surgery procedure that involves replacing old breast implants with new ones, changing or improving the appearance of the implants, or addressing changes that have occurred after breast augmentation surgery. Existing saline or silicone implants can be removed and replaced. In 2023, breast revision surgery has continued to be in high demand as patients are seeking more natural-looking breasts, which often involve smaller implants or fat grafting to the breasts.

What Is Dr. Jacob Unger's Approach to Breast Revision?

*Individual patient results may vary.

Our plastic surgeon’s artistry, skill, and experience in breast surgery has led to the creation of the “Bioengineered Breast” concept, combining various new approaches to solve some of the world’s most challenging breast problems.

Many patients who have had breast procedures at other plastic surgery practices are not satisfied with their results. Whether complications occurred during or after surgery or their aesthetic needs simply were not met, every patient deserves to be happy with their breasts. To correct the results of a previous breast procedure, Dr. Unger offers breast revision.

Dr. Unger on Breast Revision Surgery

Your first step is a consultation with Dr. Unger. During your consultation, the two of you will discuss your breast revision needs and goals. 3-D Imaging analysis may be employed in order to get the best idea of your exact situation. Dr. Unger will recommend the optimal course of treatment and will walk you through every step of it.

We frequently utilize Dr. Patrick Maxwell’s original “Bioengineered Breast” approach to breast revision. This may involve a variety of revision techniques, including fat grafting, regenerative matrix material, and creation of a neopectoral pocket in the tissue. Form-stable gummy bear breast implants may be used, along with specialized techniques to minimize the appearance of post-surgical marks. The patient will be under general anesthesia.

Dr. Jacob Ungers bioengineered breast revision is a two-stage process involving acellular dermal matrix, and implant, and fat transfer for successful breast revision in Nashville.

A “bioengineered” breast revision, developed by Nashville’s Dr. Jacob Unger, aims to re-create the look and feel of a natural breast by using an acellular dermal matrix as “scaffolding” in the upper and lower portions of the breast, the insertion of an appropriate implant, and fat grafting. This advanced two-stage technique can restore feminine contours and confidence to women who have experienced complications after a previous augmentation procedure or who want a new look after years with the same implants.

What Are the Different Types of Breast Revision Surgeries?

Breast Augmentation Revision

Breast implants can cause numerous issues with the breasts. Breast asymmetry, capsular contracture (tightened scar tissue around the implant), rippling, and double bubble malformation are all problems that may stem from a previous breast augmentation procedure.

Implant drift or deflation may have occurred; these implants may need to be either surgically repositioned or replaced. Older types of implants can often be replaced with the newer gummy bear implants.

Some patients may feel that the aesthetic results of a previous breast augmentation were not what they were hoping for. For these patients, larger or smaller breast implants can be used in breast revision.

Breast Lift or Breast Reduction Revision

While the breast lift and breast reduction procedures often have separate goals—perkier breasts and lighter breasts, respectively—they both involve removal of tissue from the breasts. They also change the overall shape of the breasts.

Too much or too little tissue may have been removed during the procedure, leading to results that did not match the patient’s aesthetic goals. When the position, volume, or shape of your breasts is not to your liking after these surgeries, Dr. Unger will be happy to provide breast revision for a lift or reduction.

Breast Reconstruction Revision

For those cases where a plastic surgeon has performed breast reconstruction that is not to a patient’s liking, Dr. Unger and offer breast revision. The ability to precisely and safely revise the results of an already extremely complex procedure is not found in just any plastic surgeon. Dr. Unger’s high degree of skill and experience makes him the perfect choice for such a procedure.

What Are the Benefits of a Breast Revision?

  • Reposition implants that have shifted position over time
  • Remove scar tissue that has contracted around an implant
  • Replace deflated or outdated implants with shapely, more natural-feeling ones
  • Enhance the results of a previous breast enhancement procedure
  • Correct another surgeon’s failed procedure


Explore what’s possible with breast revision in Nashville, TN, at Nashville Plastic Surgery Institute. Submit a contact form to request a consultation or call 615.932.7700 to learn more about our experience with this cosmetic surgery.

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Who Is a Candidate for Breast Revision?

How do you know if you need a breast revision? Who is a good candidate for breast implant revision? Those are two of the main things you may be asking yourself if you do not like how your augmented breasts look or feel.

If you had breast augmentation in the past and are dissatisfied with your implants or concerned about their condition, breast revision surgery could be ideal for you. Patients may qualify for breast revision if they are unhappy about the size, shape, or appearance of their breast implants, are concerned about their condition or integrity, are physically healthy and at a stable weight, maintain realistic expectations, and are a non-smoker.

There are many reasons why you may want to undergo breast revision. Your implants may be causing pain or discomfort, a rupture of a breast implant may have occurred, implants may have gradually fallen below the breast creases because the skin and tissues are not providing enough support for them, implant displacement may have occurred, the breast implant shape may have changed, capsular contraction may have occurred, or you may be unhappy with the size of your breasts and wish you had chosen a larger or smaller size.

How Do You Plan Your Breast Revision?

If you are considering breast revision, it’s recommended that you do some research, such as reviewing before and after photos and finding out more about what to expect during recovery. Preparing in advance for breast revision will help to ensure that you have reasonable expectations and a smooth recovery. Dr. Unger understands the hopes, expectations, and possible disappointments from your previous procedure or procedures. He likewise understands the hope and expectation you bring to your breast revision consultation with him. Using his extensive world-renown experience in breast revision, his empathy and commitment, and his artistic eye, and in some cases with the help of 4-D Imaging analysis, Dr. Unger will carefully address your particular challenges and concerns.

He will also discuss your findings and objectives with you thoroughly before he offers specific guidance on how you can meet your goals through a breast revision procedure such as:

  • Revision breast augmentation: NPSI is internationally recognized for skill in replacing and revising breast implants that are positioned asymmetrically, have developed excessive scar tissue, or shifted position over time. We also perform breast revision to replace traditional saline implants or older silicone implants with the newer and more natural- feeling “teardrop,” form-stable, or “Gummy Bear” implants. Beyond this, we are uniquely experienced and possess internationally recognized skill in treating other surgeon’s patients who have experienced multiple failed breast aesthetic procedures that tend to create thinned, stretched skin with wrinkle problems, “bottoming out” or other implant malposition problems such as “double bubble” deformity, symmastia, or severe and multiply recurrent capsular contracture problems.
  • To help patients correct these severe conditions Dr. Maxwell (since retired from NPSI) developed the “Bioengineered Breast” approach incorporating individually selected implants, regenerative materials, and fat grafting along with tissue-specific pocket maneuvers he has developed to create more exact results. Using his approach, we are frequently able to create a new surgical space such as the “neopectoral pocket” (another technique he originated) into which he places a form-stable “Tear Drop” or “Gummy Bear” implant (which he developed with Allergan); adds a regenerative matrix material as a tissue “thickener,” implant stabilizer, or capsule deterrent; and refines the results with fat injections. Successful clinical outcomes utilizing this approach to help correct particularly challenging problems have gained NPSI many international referrals for revision breast augmentation.
  • Mastopexy and reduction: A patient may sometimes feel her previous surgeon removed too much or too little tissue, or she may be unhappy with how weight and tissue changes have stretched her skin. She may also have had problems with another surgeon’s breast lift procedure that compromised the position of her implant, or her implant has caused her breasts to sag severely, requiring surgical correction. These conditions also vary from straightforward to more challenging, and require a surgeon to combine the necessary steps to solution into a surgical breast revision procedure plan. The clinical outcomes produced in these challenging situations have also led to many international referrals for our practice. Our surgeons are sensitive to the concerns of all patients, no matter how large or small the problem, and can help you find a more flattering breast volume, shape, and position through revision breast lift.
  • Breast reconstruction: This highly complex procedure requires a particularly advanced level of skill, and Dr. Unger has years of experience creating beautiful results for a wide range of secondary breast reconstruction patients.

Dr. Unger is recognized internationally for his exceptional surgical skills and natural-looking results. He uses special techniques to minimize scarring and will be happy to help you understand what to expect at each stage of breast revision.

What Does the Breast Revision Procedure Involve?

Before your surgery, you will meet with Dr. Unger and his experienced, helpful staff to answer any follow-up questions about breast revision. Many breast revisions will be performed in the NPSI OR Suite located in our private clinic. Hotels are conveniently located for out-of-town patients.

Breast revision is performed with the patient under general anesthesia or twilight anesthesia.

What Is Recovery Like After Breast Revision?

Gauze dressings or bandages will be applied to your incisions after breast revision surgery. Depending on what type of breast revision surgery you have had, you may need to wear a support bra or another type of garment. Dr. Unger will provide guidelines for how to care for the surgical sites, which medications will need to be applied or taken orally, any specific concerns to watch out for, and when you will need to follow up with him.

How long does it take to recover from breast revision? The typical breast revision patient returns to everyday activities within a week and feels fully recovered within about a month. You will continue to heal from breast revision as swelling gradually subsides.

What Is Post-Operative Care Like for Breast Revision?

Once your breast revision is complete, Dr. Unger will recommend various postoperative care practices based on the specifics of your procedure. Generally, you will be able to go back to your daily schedule in around a week after the date of breast revision. In around one month, you should be recovered and ready to enjoy your breast revision results.

Dr. Jacob
World Renowned Plastic Surgery


Dr. Jacob Unger is a board-certified plastic surgeon committed to superior outcomes and building vital relationships with each patient. He takes every step to improve the patient experience, from the first consultation through enjoying long-term transformative results. Discover what sets our skilled and experienced team apart.


Dr. Jacob

Dr. Jacob Unger is a board-certified plastic surgeon committed to superior outcomes and building vital relationships with each patient. He takes every step to improve the patient experience, from the first consultation through enjoying long-term transformative results. Discover what sets our skilled and experienced team apart.


Which Breast Procedures Are Available in Addition to Breast Revision Surgery?

Aside from breast revision surgery, Nashville Plastic Surgery Institute also provides many other types of plastic surgery to address the breasts, including breast augmentation, breast lift, breast reconstruction, breast reduction, and breast asymmetry correction. Breast revision and other types of breast surgery can be done as part of a Mommy Makeover—a combination of surgeries designed to address physical changes associated with pregnancy. Many individuals have a breast lift in conjunction with breast augmentation revision to correct changes caused by pregnancy or weight fluctuations.


For more advice about breast revision in Nashville, TN, contact the Nashville Plastic Surgery Institute online. Request a consultation or contact our offices by phone at 615.932.7700 to learn more about our advanced techniques.

Request Your Consultation