Before & After

After a breast augmentation procedure, a woman may be unhappy with her outcome for any number of reasons. These may include a desire to increase or decrease her cup size, an implant complication or rupture, or the desire to forego implants and opt for an all-natural look instead. Dr. Delgado has extensive expertise in the field of breast revision surgery and can perform implant removal or exchange to better align your results with your wishes.


Procedure Time Anesthesia Recovery Time Issues Treated
2-3 hours; more for an added breast lift General 7-10 days; 4-6 weeks before resuming exercise Capsular contracture, implant malposition, rippling, rupture, implant exchange, and more


While most breast augmentation procedures result in a high rate of patient satisfaction, there are times when clients do not get the results they were hoping for. A breast implant revision in San Francisco can help correct any issue that may have arisen during your primary surgery. This includes scar contraction, implant deflation or rupture, changes in the breast shape from pregnancy or weight fluctuations, and a desire to exchange or remove the implants. Regardless of the reason for the revision, the goal of the procedure is to create a breast appearance that is balanced, aesthetically pleasing, and well-suited to the individual.


  • Capsular contracture – This occurs when excess scar tissue forms around the implant. The inflamed tissue may harden and constrict the implant, compromising its cosmetic appearance and causing discomfort ranging from mild to severe.
  • Deflation or rupture – Saline implants will appear deflated if they rupture, while silicone implants will hold their shape, especially if they are gummy bears. Women with silicone implants may need to undergo regular MRIs to detect if rupture has occurred.
  • Skin laxity – Sagging skin occurs over time and can cause the implant to migrate, necessitating a revision procedure. In addition to aging, multiple pregnancies can lead to increased skin laxity in the breasts. The skin will bounce back after breastfeeding for younger mothers, but with each additional pregnancy, more skin will droop and lose its integrity.
  • Desire for an implant exchange – Sometimes a woman will change her mind about her current implant size and wish to go smaller or bigger. As long as no complicating factors are present, this is a relatively straightforward and simple procedure. The implants can also be switched from saline to silicone or from silicone to gummy bear if the patient so desires.
  • Implant malposition or asymmetry – Occasionally, the implants will shift from their intended position, altering the cosmetic appearance of the chest. They may migrate upwards, downwards, inwards, or outwards, or only one implant may be affected while the other remains anchored in place. Here, the doctor will need to correct the breast capsule, potentially using ADM (Acellular Dermal Matrix) as an internalized mesh bra to keep the implants stationary. 
  • Implant rippling or wrinkling – This complication is typically due to implants themselves rather than the surgical technique or the patient’s body. Those with a limited amount of breast tissue to cover the implants or those who have opted to place the implants above the pec muscles may also see rippling occur at a greater frequency. 
  • Desire to remove implants completely – Some women will want to remove their implants because they are tired of the extra weight. Others may have experienced BII (breast implant illness) and want to get to the root of their symptoms. Finally, some women may just wish to go back to a more natural look, in which case Dr. Delgado can perform a breast lift in tandem with implant removal to ensure an aesthetically pleasing outcome.


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  • Correction of cosmetic flaws
  • Increased comfort
  • Increased breast symmetry
  • A more natural look
  • Enhanced self-confidence
  • A better quality of life
  • Peace of mind


An ideal candidate for breast implant revision in San Francisco is unhappy with some aspects of their primary breast augmentation surgery and would like a correction to the chest. They are both physically and mentally healthy, with no major medical concerns that might limit the scope of their procedure. Lastly, patients will need to have realistic expectations for their outcome, which is based on a private consultation with Dr. Delgado and his team of experienced, caring providers.


Breast implant revision surgery is performed on an outpatient basis under general anesthesia and takes around 1-2 hours on average. Using general anesthesia ensures you are completely comfortable and relaxed during surgery and that you feel no pain whatsoever.

Dr. Delgado will seek to use the previous incisions wherever possible so as to avoid creating new scarring. He will remove the old implants through the openings and analyze the scar tissue. Any scar tissue that has hardened will be excised.

The doctor will then assess the viability of the breast capsule, either reducing or enlarging the pocket as needed. In certain cases, Dr. Delgado will need to create a new capsule beneath the pec muscles, which can help decrease the chance of implant visibility and rippling.

In order to achieve the best possible outcome, Dr. Delgado may incorporate ADM (Acellular Dermal Matrix) or mastopexy as part of your breast implant revision process. He will discuss all of your options with you in-depth during your initial consultation.


Breast Augmentation Implant Revision Surgery – Part 6


After breast revision surgery, you will be fitted with bandages and drains that stay in place for the first few days. You will need a friend or family member to drive you home after you wake up from the anesthesia. This person should also stay with you the first night of your recovery.

To help manage any swelling, bruising, or tenderness, Dr. Delgado will provide you with prescription pain medications. He will also send you home with a detailed and personalized aftercare plan.

You will be able to take gentle walks after your surgery, which can help improve circulation as well as enhance your mood. However, it’s important that you abstain from vigorous exercise and heavy lifting for up to 4 weeks, or as instructed by the doctor.

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The risks for breast implant revision surgery are similar to other types of breast surgery and include anesthesia risks, bleeding, infection, poor wound healing, and a poor cosmetic result. If breast lift surgery is performed at the same time, the patient may need to undergo scar revision and management.

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Dr. Miguel Office background
Dr. Miguel Delgado


Dr. Delgado received elite training at among the most prestigious institutions in the country. He graduated with honors from the University of California San Francisco, continuing his education with an internship and residency at Johns Hopkins University teaching hospital in Baltimore, Maryland. Additionally, he pursued a plastic surgery residency at Stony Brook University Medical Center in East Meadow, New York.

Dr. Delgado is passionate about his work and stays ahead of the curve by taking note of the latest advances and breakthroughs in cosmetic science. Despite this openness towards new innovation, Dr. Delgado is conservative and cautious. He will painstakingly test and retest any new technique or device before making it available to his patients.

As far as his approach goes, Dr. Delgado goes the extra mile to ensure your complete satisfaction and well-being. He listens carefully to your concerns and creates a treatment plan that is tailored specifically to your goals.

Breast Implant Revision FAQS

How to I prepare for breast revision surgery?

What is the cost of breast implant revision surgery?

Will I have new scars from breast implant revision?

How long should I wait after my initial procedure before undergoing breast implant revision?

Can the breast implants just be removed?

Is there a manufacturer warranty for failed implants?

How to I prepare for breast revision surgery?

Dr. Delgado will provide you with specific instructions for stopping certain medications and what to eat and drink on the day prior to your surgery.

What is the cost of breast implant revision surgery?

The cost of revision surgery will vary, depending on your individual reasons for pursuing the procedure and the specific techniques used by Dr. Delgado to correct your issues.

Will I have new scars from breast implant revision?

Whenever possible, Dr. Delgado strives to reuse previous incisions so as not to create new scarring. However, if the patient chooses to undergo a breast lift as part of their revision process, new incisions may be inevitable.

How long should I wait after my initial procedure before undergoing breast implant revision?

Patients should wait six months before undergoing implant revision. After six months, the scar tissue will have softened, and a clear picture of the surgical outcome can be perceived

Can the breast implants just be removed?

Yes, but if you would like to remove your implants, you may need to undergo a breast lift at the same time to avoid a deflated and visually unappealing chest appearance.

Is there a manufacturer warranty for failed implants?

Yes. Dr. Delgado uses Mentor Implants, which come with a lifetime replacement for failed implants and a ten-year warranty for compensation toward replacement surgery.


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