Breast revision surgery

Breast revision surgery is about more than just correcting the results of a previous procedure. It addresses issues such as changes in shape, capsular contracture, uncomfortable firmness, implant movement, asymmetry, or dissatisfaction with size, while helping you regain a natural, confident, and stable breast contour. Because the first surgery often leaves scar tissue, adhesions, or skin laxity, revision work is more delicate and complex than primary augmentation. It requires careful assessment and planning by surgeons who understand how every layer of tissue interacts. Capsular contracture, for example, happens when the tissue around the implant thickens, making the breast feel firm or rounded. Correcting this safely requires precise dissection of the capsule to minimise trauma to surrounding tissue. We use advanced endoscopic techniques to gently release and reshape the area, preserving the muscle and ensuring a safe, natural outcome.

Explained by a Specialist

Breast revision surgery is more complex than the first operation, because there are many factors to consider. After your initial surgery, the tissues may have changes such as scar tissue (capsule), adhesions, tissue damage, or implant shifting. This means it isn’t always possible to tell the cause of a problem just by looking at the surface.

The most important step in a revision is understanding the current structure of your breast. The thickness and extent of the capsule, the position of the implant, and the condition of your breast tissue and skin all need to be assessed together. Without this, the same problem could easily happen again.

In our experience, issues such as capsular contracture, asymmetry, or changes in feel are rarely caused by the implant alone. They are often the result of how the supporting structures and capsule interact. Surgical planning focuses on addressing these structural factors. Depending on the case, this may involve removing the capsule, changing the implant layer, replacing the implant, or supplementing the tissue to achieve the most stable and natural result.

It’s important to remember that revision surgery isn’t just about making the breast bigger. The goal is to restore balance within what your existing tissue can safely support. Revision surgery is about rebuilding a breast that looks natural, feels soft, and lasts.

WOOA Creates Satisfying Breasts

Rediscovering the Beautiful I-line

Through personalized breast pocket design and precise dissection, we create a natural I-line cleavage that resembles the natural breast shape, without being too wide or too narrow, avoiding any artificial appearance.

Axillary Incision
Revision Surgery
Available

Precisely through the original incision site, our specialists at WOOA, with over 20 years of experience and expertise, perform complete capsule removal and complex axillary incision revisions.

Complete 
Capsule Removal

Complete capsule removal is crucial in revision surgery. With WOOA's expertise, we prevent the need for secondary or tertiary surgeries by minimizing tissue damage and performing complete capsule removal.

Recommended for

✓ Those suffering from hard breasts due to capsular contracture after surgery

✓ Those experiencing pain due to inflammation or side effects

✓ Those troubled by unsatisfactory size or size asymmetry

✓ Those who have experienced displacement of the implant downward

✓ Those whose implants have merged in the middle, causing the cleavage to disappear

The surgical method varies based on the type of revision surgery needed.

Capsular Contracture

Capsular contracture, where a capsule forms around the implant and hardens. In severe cases, it leads to deformities and pain, requiring revision surgery

Double Line
/Bottoming Out

Double lines, where two breast folds are visible, and bottoming out, where the implant shifts and creates a bulge at the bottom, are potential side effects that may require revision surgery

Breast Synmastia

The condition where both breasts appear fused, caused by damage to the sternal fascia that separates the two, requires revision surgery

Before / After

Treatments that work best together

FAQ

1. When should I consider breast revision surgery?

Revision surgery can help if you experience issues such as capsular contracture, changes in the feel of your breasts, implant displacement, asymmetry, loss of shape, dissatisfaction with previous results, or any significant complications that need correcting.

2. Do I need to replace my existing implant?

If the implant is in good condition, it can often be left in place. However, if there is contracture, damage, or deformation, the implant may need to be replaced or removed and re-inserted. Your surgeon will recommend the safest approach after a careful assessment.

3. Is it always necessary to remove the capsule?

Capsule removal is required if it is causing the problem. Using minimally invasive techniques, we aim to preserve surrounding tissues while performing either a full or partial removal, depending on what your case requires.

4. Does revision surgery take longer to recover from?

Recovery is generally similar to a standard augmentation, though it may take a little longer depending on the extent of adhesions. Most patients can return to normal daily activities within 3 to 4 days, and light walking can begin after around 4 weeks, with exercise gradually increased as advised.

5. Can the results feel more natural than the first surgery?

By selecting the appropriate implant and addressing underlying structural issues, revision surgery can improve texture, shape, symmetry, and durability for a more natural, harmonious appearance.

​Pre and Post operative Care Guidelines​

1. Please inform us of any medications you are currently taking during your consultation.

2. Wear loose, comfortable clothing that does not put pressure on the surgical area.

3. Avoid wearing metal accessories on the day of surgery, and remove nail polish from hands and feet.

4. You may start eating approximately 8 hours after surgery; soft foods such as porridge or gruel are recommended.

5. Avoid applying body lotion to the surgical site or performing underarm hair removal until cleared by your surgeon.

Instructions

Please read carefully and check the information below.

Post-operative Care & Important Notes

1. Take it easy for the first 48 hours after surgery, and avoid lifting heavy objects for 2–4 weeks.

2. If smooth implants were used, follow the hospital’s instructions and perform regular massages to help prevent capsular contracture.

3. Full-body showers are permitted after your 7 day follow-up. Apply a waterproof bandage over the incision during the first week and check the wound before showering.

4. Sleep with your upper body raised at 20–30 degrees for the first 1–2 days. You can lie on your side from one month post-surgery and on your front from three months onwards.

5. Take all prescribed medications at the recommended times, as directed.

6. For revision surgeries, a drain may be used to remove fluid from the surgical site. It is typically maintained for 3–7 days, depending on your condition.

7. It is advisable to resume driving 7–10 days after surgery.

8. Light exercise such as walking, jogging, or hiking may be resumed two weeks after surgery. Activities involving significant arm movement—such as golf, tennis, swimming, or yoga—should be delayed until one month post-surgery, and upper-body strength training should be avoided until three months after surgery.

⚠ Failure to follow post-operative care instructions may lead to bleeding, infection, or inflammation.

Related Surgery / Treatment

We Incorporate 
All of WOOA's 
20 Years of Expertise

Capsule removal is the key to 
breast revision surgery We carefully remove 
thick capsules, over 0.6mm, 
without causing tissue damage

With WOOA's expertise, we can remove the implant along with the capsule, which causes capsular contracture and other complications, in one procedure.

WOOA KNOW-HOW

In cases where capsule removal is necessary, we identify the required cases through diagnosis. Through meticulous endoscopic skills, we perform the surgery without damaging the muscles. We complete the removal of the capsule with minimal pain.

1. Capsule
2. Implant

Case-by-case Approach to Capsule Removal

Capsulotomy

If only the shape of the breasts needs improvement, the capsule is partially incised, and the surgery is performed.

Capsulectomy

If conditions such as capsular contracture or other complications are found, the entire capsule is removed.

En Bloc Capsulectomy

If a condition such as a tumor is diagnosed, both the capsule and the implant are removed together.

Dual Plan Method

It is a surgical method where part of the implant is placed under the muscle and part is placed under the glandular tissue. This allows for a natural breast shape and feel, and can be performed without issue, even on individuals with a thin physique.

Disadvantages: Animation Deformity, Bottoming Out, and Lateral Displacement May \Occur

Triple Plane Method

Minimization of Animation Deformity

Minimization of Outward Rotation

Minimization of Bottom Sagging & Displacement

Natural Breast Shape

Minimal Pain After Surgery

This is an advanced double-plane surgery method unique to WOOA, which prevents side effects such as animation effects that can occur in traditional dual-plane techniques. It involves repositioning the inner part of the upper and lower chest muscles, while placing the middle part of the breast underneath the fascia.

Safe and Detailed WOOA 
Plastic Surgery Clinic

Thoroughly Ensuring Client Safety and
Carefully Planning Every Step of the Surgery

✓ Dedicated Responsibility System Eliminating 
   Proxy Surgeries

✓ Anesthesiologist On-Site & Dedicated
   Anesthesia Care

✓ University Hospital-Level Safety System

✓ Disposable Surgical Tools & Sterilization

✓ Dantrolene Available for Malignant
   Hyperthermia Contingency

✓ Pre-Surgery Breast Examination & Personalized 

   Consultation

✓ One-on-One Surgery Service with the Breast Team

✓ Surgery Embodying the Exclusive Know-How of
   WOOA

✓ Detailed Surgery Using Endoscopy

✓ Step-by-Step Aftercare Following Surgery

WOOA's Breast Surgery
Is One of a Kind

How to get to WOOA

Address

492, Gangnam-daero, Gangnam-gu, Seoul, 06119

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