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What is breast revision surgery?

Breast revision (also known as breast implant removal or explant surgery) is given to patients who have already undergone breast augmentation surgery, and who now want to change from saline to silicone implants, want a different sized implant, or simply want the implants removed. Dr. Rian Maercks has years of experience with breast revision surgery, and he has the ability to deliver the results you want. Regardless of why you’re seeking explant surgery, he can do this for you so that you’re once again confident in the way you look.

Ideal candidates for breast revision

  • Are dissatisfied with their original implant material, shape, or size
  • Have realistic expectations about the outcome of surgery
  • Are psychologically and physically healthy
  • Have breasts that are too far apart, too close together, or too low even after breast augmentation
  • Are experiencing capsular contracture, symmastia, “double bubble”, or implant deflation/rippling/rupture
  • Have had changes in breast tissue from pregnancy, breastfeeding, or weight gain

Why do people get breast implant removal?

When a professional, experienced plastic surgeon performs a breast augmentation, women are usually satisfied with the results and enjoy bigger, fuller, more natural-looking breasts. Unfortunately, not all doctors are up to par, and some women require explant surgery to correct mistakes that were made. Other times, women simply never get used to their new breasts and don’t feel comfortable with them. And then there are some women who loved their new breasts when they first got them, but enough time has passed that the implants’ shelf life has worn down. In addition, there are conditions that can arise even when a breast augmentation was performed well. These conditions include capsular contracture, implant migration, or changes resulting from weight loss or gain. Breastfeeding and childbirth also play a part in how the implants hold up.

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How much does breast revision in Miami cost?

As with every cosmetic procedure, the final cost depends on your individual situation. We can determine exactly how much your procedure will cost after your initial consultation, but the average cost of a breast revision surgery is $16,500. Insurance will only pay for a cosmetic surgery if the condition prevents some type of function, and it’s always a good idea to speak with your insurance company before scheduling a procedure. The most important part of your surgery is that you choose a qualified plastic surgeon that can handle any complications that come along. While cost is part of the bottom line, the focus is on your care and wellbeing — particularly if the first breast surgery didn’t go your way.

Change of planes to Cold Subfascial Breast Augmentation

Many women who have decided to undergo breast implant removal do so because of problems with their implants being placed under the pectoralis muscle. Some complications from this can include their breast shape changing, the implants sitting at an unnatural-looking position, or the implants feeling tight or painful. 

Dr. Maercks often uses Cold Subfascial Breast Augmentation© to correct this problem. This is a technique he developed himself in which implants are placed inside the fascia — a thin layer of strong tissue within the breast. The fascia is almost like an internal bra and provides excellent support to the implant. It also allows the implants to be customized more efficiently to fit the patient’s chest wall. Cold Subfascial Breast Augmentation allows for comfort, support, longevity, and the most natural-looking results. 

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Breast revision procedure details

Breast implant removal is a large part of breast revision surgery. The implants may be only removed, or they may be removed and replaced. This will depend on the patient’s preferences and the doctor’s concerns and will be discussed during the consultation. When explant surgery is performed, the incision is made either around the nipple or under the breast. It may also be necessary to remove any scar tissue that has developed around the implant during the time it’s been in the body. 

Drainage tubes are then used to remove any fluid or blood that collects in the implant pockets. The doctor then closes the skin with sutures and tightly wraps the chest to encourage the implant pocket to close. If the implants are to be removed and replaced, they may be replaced at a later date, requiring two surgeries for breast revision. If a capsule formed around the initial implant must be adjusted, it will either be decreased with sutures or increased with temporary implant sizers. Once the capsule reaches the correct sizes, the actual implants can be placed, and incisions are closed with sutures.


Any concerns or problems you had with your original implants should be corrected after a breast implant removal and/or replacement. You should notice the results immediately, and they will improve as the swelling subsides and goes away. Although breast revision surgery is a great way to ensure that you have firmer, fuller-looking breasts, it’s important to keep expectations realistic and realize that aging still occurs after surgery. Over time, the skin may sag and change the shape and size of the breast. Weight gain or loss can also affect how the breasts look and feel. The weight of your implant can also have an effect on how the breasts appear over time, and this should be considered when choosing your implant size with your doctor. Even with these concerns, breast revision surgery is considered long-term and long-lasting, meaning you can enjoy your breasts for decades. Following your doctor’s orders and attending all your post-op appointments is a huge part of getting the results you want. Here at The Maercks Institute in Miami, we’re committed to maximizing your results — and your treatment and follow-up plan will always reflect our goal to help you look the best you possibly can.


Recovery time from breast implant removal varies from patient to patient but typically lasts longer than the recovery period of the original breast augmentation. You should plan to be away from regular commitments for at least 7 to 10 days, and avoid strenuous exercise for at least two weeks after surgery. Do not immerse your breasts in a pool, spa, or tub for at least four weeks after the procedure.

Patients should expect swelling and discoloration, but these should resolve within a month. Most stitches will dissolve on their own, and those that won’t will typically be removed about one week after your surgery. Drainage tubes typically come out within one week after explant surgery.

Possible complications

All surgery comes with some type of inherent risk, and the benefits should always outweigh the possible costs before you make a decision to have a procedure done. Your plastic surgeon can discuss the risks and possible complications with you to determine if surgery is worth it. While the risks of complications are very low for explant surgery, it’s important that every patient approach the procedure with realistic expectations and goals. Following your doctor’s instructions and keeping up with your post-op care can also decrease your risks of any problems after surgery. 

Possible risks associated with explant surgery include:

  • Blood accumulations
  • Changes in breast or nipple sensation
  • Implant deflation
  • Capsular contracture
  • Bad reaction to anesthesia

Why choose The Maercks Institute for breast revision in Miami?

Regardless of your reasons for seeking breast revision, our team is here to help you. We are a high-profile, Miami-based surgical center that offers advanced techniques, world-class patient care, and invaluable experience. Not only is breast surgery one of our main services; president and medical director Dr. Rian Maercks is also a board-certified, double-fellowship trained plastic surgeon with specialized expertise in cosmetic breast procedures. His approach to both surgical and non-surgical procedures of the face and body have garnered him international recognition by surgeons and patients alike, and he elevates the standard of patient care and safety in every surgery he performs. His patients come to him with an issue, and he determines the best way to go about solving it. He is the expert who will formulate the ideal treatment for your specific needs, and he is able to offer a qualified, educated opinion about what is best for your body. To schedule a consultation for your breast revision surgery at our Miami office, we invite you to reach out to us today. 

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Help for capsular contracture

When extremely large implants are placed, one of the biggest concerns and complications is capsular contracture. This is a condition in which excessive sagging or stretching of the skin causes the implants to fall to the side of the body. As plastic surgeons have worked to correct this problem over time, they have used various materials to determine the best method. These materials bring their own risks and side effects, and recently a new substance has been introduced to the market. This material is a mesh made of purified silk and is used to help correct implant complications. The material is also used to reinforce tissue during breast reconstruction. This strong, biodegradable mesh is used to provide support and strengthen weakened tissue in the breast. 

This is particularly applicable in situations where the skin has been stretched excessively due to extremely large implants. This material can also be used to correct rippling in previous breast augmentation, and as a support during breast implant removal. Potential uses include the total resolving of capsular contracture, and it may eventually prevent the “bottoming out” of implants. This material eventually becomes part of the body over 1 to 2 years. Collagen grows into it, and it is re-absorbed as the body adjusts to the implants. Once the material is absorbed, the area is twice as strong as it would be on its own. Dr. Maercks will be happy to discuss how this valuable material may help you if you are experiencing capsular contracture. 

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