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Am I a good candidate for breast revision?

Here are some of the common reasons people give Dr. Savalia when they are considering breast implant revision surgery:

  • I’m disappointed in how my breasts look after breast augmentation
  • I want to change the size of my breast implants
  • I’ve experienced a breast implant rupture
  • A complication following breast implant surgery has compromised how good my breasts look
  • My breasts looked good for some time, but now my implants feel too firm and have changed shape

Why choose Newport Beach Center for Plastic Surgery?

  • Dr. Savalia currently serves as a Clinical Assistant Professor at UCI Medical Center and Keck School of Medicine
  • He is listed in Orange Coast Top Doctors for 2019
  • Dr. Savalia performs procedures of the breast with artistry and skill in a warm and friendly environment

I take a step-by-step, comprehensive approach to revision, minimizing the additional surgical time and effort while still achieving the end goal of creating the desired breast appearance.

What should I expect with breast revision?

The typical breast implant revision surgery begins with Dr. Savalia placing a small incision in the same location as your original surgical incision. He removes the implant and revises, removes, or expands the capsule of tissue that surrounded it. Dr. Savalia uses temporary implants during surgery to ensure the breast pocket is ideal and places additional sutures if necessary, to correct any asymmetries. The area is irrigated and cleansed, after which he prepares a replacement implant for insertion into the breast pocket.

For implants that were initially placed over the chest muscle (subglandular), Dr. Savalia usually prefers to place the new implant under the muscle (submuscular) to improve breast shape and minimize the risk of problems developing with the implant capsule. The incision is closed in multiple layers to minimize tension on the scar.

Breast Revision FAQ

How is breast revision different than breast implant surgery?

Revision cases are almost always more challenging than the initial augmentation procedure and must be approached on an individual basis to ensure the result you envision is achieved. Dr. Savalia takes a step-by-step, comprehensive approach to revision, minimizing additional surgical time and effort while still achieving the end goal of an excellent outcome. Before any surgery, he assesses the following: breast skin quality, tissue thickness, current implant size, position, and profile, as well as current symmetry. A thorough evaluation combined with a sound surgical plan offers you the best opportunity to attain the result you want.

How important is communication between doctor and patient in breast revision surgery?

Dr. Savalia believes that good communication between doctor and patient is extremely important in achieving a positive outcome for all cosmetic surgery procedures, and this is especially true for breast implant revision cases. He will spend as much time as necessary to understand your concerns and come up with a plan to help you achieve the breasts you envision for yourself.

Does breast tissue need reinforcement in breast revision surgery?

When performing surgery to improve the appearance of breast implants, Dr. Savalia will occasionally use a support material such as Strattice™ Reconstructive Tissue Matrix. This naturally derived product can reinforce weak or inadequate breast tissue, and it also supports growth of your own tissue. Dr. Savalia typically uses Strattice™ to correct concerns such as bottoming out, fold malposition, symmastia (when implants appear to merge), recurrent capsular contracture, or wrinkling and rippling.


Breast implant revision is most typically performed to correct capsular contracture (excess scar tissue formation around an implant) or implant malposition (implants that are too close together, too far apart, or “bottomed out”). But there is a wide range of possible reasons why a woman may be dissatisfied with her breast implants, and Dr. Savalia will evaluate each case individually. Here is a quick look at the main types of implant revision procedures he performs:

Breast Implant Replacement

Dr. Savalia can exchange breast implants for larger or smaller implants or replace a ruptured implant. He also replaces implants in many cases of malposition and when correcting capsular contracture.

Breast Implant Removal

If you no longer wish to have implants, Dr. Savalia can remove the implants and perform surgery to create an attractive, smaller breast. In these cases, a breast lift can often help to enhance the outcome, particularly for women who had larger implants.


The capsule that naturally develops around a breast implant may need to be removed entirely when it is overly firm or constricting the breast implant (capsular contracture).


Tightened scar tissue around a breast implant can sometimes be corrected by cutting the scar capsule. In this procedure, the original capsule remains in place but is surgically altered.

Newport Beach Center for Plastic Surgery

We encourage you to contact us today to schedule a consultation at Newport Beach Center for Plastic Surgery in Orange County to learn more about breast implant revision or replacement in Newport Beach. Along with his supportive staff, Dr. Savalia is committed to helping you reach your cosmetic goals and will take the time necessary during your consultation to give you his recommendations and educate you about all of your options.

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We are now open and seeing Patients! View Update View Our Specials

We are now open and seeing Patients!

You are on our minds during this recent outbreak of Coronavirus (COVID 19), and we felt it is necessary to keep you informed of the procedures and actions we are taking to ensure your health and safety.

Our practice is considered a low-risk environment, however, we take the well-being of our patients and staff as our highest priority and it is always best to take sensible precautions during a time like this. Please note the following in regard to all patient appointments:

  • We have implemented a “No Hand Shaking” policy at our practice during the outbreak to help limit casual contact and ensure the health and safety of our patients and staff. Please know that we appreciate you and are always happy to see you!
  • If you are experiencing symptoms of respiratory illness (cough, shortness of breath, fever above 100.4), we respectfully request that you reschedule your appointment at our practice until you are free from any symptoms for a period of at least 48 hours. We have asked our staff to do the same.

In addition to our already extensive level of cleaning and sterilization, we have supplemented these efforts with additional cleaning and sanitization of hard surfaces.

Kindest Regards,

Dr. Nirav Savalia and his Staff

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