Breast Revisioncorrecting and refining earlier results
Breast revision improves the shape, symmetry, and proportion of a previous augmentation, whether the goal is to correct a complication or simply to reach a result that fits you better today. It is careful, individual work, and it starts with a thorough evaluation by a surgeon who has spent decades focused on the breast.
What Breast Revision Addresses
Breast revision is surgery to adjust or replace existing breast implants and, when needed, to refine the surrounding tissue. Some patients come to correct a specific problem. Others are happy with the idea of implants but want a different size, shape, or position than they chose years ago. Both are common, and Dr. Lenny sees each often.
The frequent reasons for revision include capsular contracture, a tightening of the natural scar tissue around an implant that can change how the breast feels and looks; an implant that has shifted out of its intended position; a suspected silicone leak or saline deflation that reduces volume; and changes in your own breast tissue from weight shifts, pregnancy, or the ordinary effects of time. Revision can also increase or reduce implant size and, in some cases, exchange one implant type for another among the saline, silicone, and cohesive gummy bear options.
“Revision rewards patience and a practiced eye. My aim is not only to correct what changed, but to give you the natural, proportional result you would choose now.”
Am I a Good Candidate?
Good candidates are in stable general health, do not smoke, and have a clear sense of what they would like changed. If your current result bothers you, whether for medical or aesthetic reasons, that concern is worth a conversation. It helps to be at a steady weight and to have realistic expectations about what revision can accomplish.
Timing matters more with revision than many people expect. If you plan to lose a significant amount of weight or may become pregnant, both can affect the breast and the result, so Dr. Lenny will factor them into his advice. There is no single profile for a revision patient. The honest answer to whether revision is right for you comes from an in-person evaluation, not a checklist.
How Dr. Lenny Approaches Revision
Dr. Leonard Roudner is a board-certified plastic surgeon and a Diplomate of the American Board of Plastic Surgery. He founded the Aesthetic Surgery Center in Coral Gables in 1989 and has performed more than 30,000 breast surgeries. Revision draws on that depth, because correcting a prior result asks a surgeon to read tissue, scar, and implant position with a trained eye and to plan the least disruptive path to a better outcome.
His reputation rests on natural, proportional results, and that principle guides revision as much as a first augmentation. The plan is built around your anatomy and your goals rather than a fixed formula. Consultations are private and unhurried, and Dr. Lenny is known for a personal, chair-side manner that gives you room to ask questions and think clearly before you decide anything.
The Procedure and Anesthesia
Because every revision is different, the specifics of your surgery are planned around what needs to be done, from a straightforward implant exchange to releasing scar tissue or repositioning an implant. In some cases Dr. Lenny may recommend a breast lift at the same time so the skin and nipple position match the new result. The exact approach, including anesthesia and the length of surgery, is discussed and confirmed during your consultation.
Recovery and What Results to Expect
Revision is generally an outpatient surgery, meaning you go home the same day. Plan to bring a driver, and arrange for someone to stay with you for the first several nights. Depending on your age and health, Dr. Lenny may ask for medical clearance from your physician, and he will ask you to stop aspirin and other anti-inflammatory medications and to quit smoking before surgery.
Most patients ease back into light activity over the following weeks, with more strenuous exercise resuming later, on Dr. Lenny's guidance. Swelling settles gradually, and the breasts continue to soften and settle into their final shape over the following months. The goal is a balanced, natural-looking result that reflects what you would choose today. Your individual timeline and expected outcome are things Dr. Lenny will walk through with you directly.
Preparing for Your Consultation
A good revision plan rests on a clear picture of your history, so a little preparation helps. Before your visit, write down your known drug allergies, medical conditions, and every previous surgery, including any breast biopsies or earlier implant procedures. Bring your current medications, any family history of breast cancer, and recent mammogram results.
If you have the details of your original implant surgery, bring them. With your written permission, Dr. Lenny can often request them from your previous surgeon. To take the next step, call the office at 305-444-8585 to arrange a private consultation. Office hours are Monday through Friday, 8am to 5pm.
Frequently asked questions
What is capsular contracture?
It is a tightening of the scar tissue that naturally forms around any implant. When that tissue contracts, it can firm the breast and change its shape or how it feels. It is one of the most common reasons patients ask about revision, and it can often be addressed during surgery.
Can revision change my implant size or type?
Yes. Many patients choose revision simply to go larger or smaller, and in some cases to switch among saline, silicone, and cohesive gummy bear implants. Dr. Lenny will talk through which options suit your tissue and your goals during your consultation.
Should I have a breast lift at the same time?
Sometimes. After evaluating your skin, tissue, and nipple position, Dr. Lenny may recommend combining a lift with your revision so the result looks balanced. Whether it makes sense for you is decided together at your consultation.
How do I know if my implant has leaked or deflated?
A saline deflation usually shows as a noticeable loss of volume on one side. A silicone leak can be quieter and may need imaging to confirm. If you suspect either, an evaluation is the right next step, and Dr. Lenny can advise on what to do.
Do I need someone to drive me home?
Yes. Revision is generally an outpatient procedure, so you will need a driver for the day of surgery. We also recommend arranging for someone to stay with you for the first several nights while you rest.
Can I still get mammograms after revision?
Yes. Patients with implants continue routine breast screening. It helps to let the imaging center know you have implants so they can use the appropriate technique. Dr. Lenny is happy to discuss screening as part of your care.
How do I get started?
Call the office at 305-444-8585 to schedule a private consultation. Bring your medical history and, if you have them, the records from your original implant surgery. Dr. Lenny will evaluate your breasts and recommend the approach that best fits your goals.
“I went to the best in Miami. My breasts look amazing. Teardrop shape that both look and feel natural!”
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The clinic, uncut. Real before-and-after results, quiet moments in the operating room, and the Miami life behind 30,000+ breast surgeries. New work, every day.
30,000+ Breast Surgeries
Coral Gables, FL
The name Miami trusts to keep it natural.
For more than three decades, Dr. Leonard A. Roudner has built a singular reputation across South Florida: breast surgery that reads unmistakably natural, and an unhurried chair-side manner the editors, executives, and public figures in his Coral Gables waiting room have come to expect.
Board-Certified Plastic Surgeon. Diplomate of the American Board of Plastic Surgery. Member of ASPS and ASAPS, with hospital privileges at Baptist Hospital and South Miami Hospital. Since founding the Aesthetic Surgery Center in Coral Gables in 1989, Dr. Lenny has devoted his career to one pursuit: natural, beautiful breast surgery, and the personal, unhurried care behind every result.
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Private, unhurried, and personal. Meet with Dr. Lenny at the Aesthetic Surgery Center and get every question answered before you decide anything.
550 Biltmore Way, Suite #890
Coral Gables, FL 33134
Monday–Friday, 8:00am–5:00pm