Breast revision is a secondary surgery performed to replace or remove existing breast implants, correct implant-related complications, or improve the appearance of the breasts after a previous breast augmentation. Common reasons for revision surgery include:
The breast implant revision surgery approach varies based on the condition of your existing breast implants, your aesthetic goals, and the techniques used during your initial surgery or primary breast augmentation. The decision to undergo breast revision should be made with an experienced board-certified plastic surgeon who understands the intricacies of secondary surgery and can help ensure a safe and successful outcome.
A capsulectomy, also known as a full capsule removal, is the surgical procedure used to remove capsules that have formed around a patient’s breast implants. A capsulectomy from Janiga MDs is designed to remove the capsule and restore a more natural look to the breast.
Similarly, a capsulotomy is the surgical procedure used to open a capsule that has formed around an implant. The formation of these capsules typically follows a patient’s breast augmentation surgery and is a natural response by the body’s immune system to the presence of a foreign object. A capsulotomy is designed to restore a more natural look to the breast and relieve any discomfort it may be causing.
We also offer capsulorrhaphy breast revisions. Some patients who have previously undergone a breast augmentation may seek breast revision surgery. One of the most common reasons is the desire to replace their current implants with a smaller option. During a breast revision, the current capsule may need to be tightened with internal suturing, or capsulorrhaphy, and the skin is tightened or lifted to effectively hold the newer, smaller implant.
Before your breast revision procedure, you will meet with Dr. Janiga to evaluate your current implants, breast health, and desired outcomes. During this time, we will review your first surgery records, perform a physical exam, and possibly request imaging to assess the condition of the implant pocket, the presence of scar tissue, or if a rupture occurred in silicone implants.
Together, we’ll discuss whether you want to remove the implants entirely, replace them with a smaller implant, correct capsular contracture, or address visible implant rippling. We’ll also talk about your implant type, implant size, and any concerns you may have about the breast revision cost, recovery process, or implant warranty. If needed, we’ll explore whether a breast lift should be performed during the same surgical procedure to improve your final breast shape and implant position.
Dr. Timothy Janiga is a board-certified plastic surgeon with over two decades of experience and countless patient success stories. His calm, expert, and meticulous approach has transformed the lives of both cosmetic and reconstruction patients, helping them feel good in their bodies. Dr. Janiga is an expert in all aspects of plastic surgery and specializes in cosmetic facial surgery, body contouring, and breast surgery.
Board-certified plastic surgeon Dr. Timothy Janiga performs breast revisions in our own surgical center, Mountain West, using general anesthesia.
Capsulectomies involve making an incision along the original breast augmentation procedure incisions, removing the saline or silicone breast implant, gently dissecting the capsule from the healthy tissue, and replacing the implant with a new one. At times, your original implant can be used. This procedure typically takes one to two hours with two hours of recovery time before going home.
Capsulotomies are also performed in an outpatient surgery center using general anesthesia. The procedure involves cutting through the scar tissue, opening the capsule, and relieving any uncomfortable tension it may have been causing. This procedure typically takes two to three hours, with two hours of recovery time before going home.
With a capsulorrhaphy, an incision is usually made in the fold underneath the breast, and the original implant is then removed. The capsule is tightened with internal suturing to accommodate a new smaller implant. The new implant, chosen and discussed during your initial consultation with Dr. Janiga, will then be inserted into the resized capsule. If a breast lift is also needed, incision size and placement may be different. A capsulorrhaphy typically takes around two hours with two hours of post-surgery recovery time before going home.
My experience with Dr. Janiga and his office, has been excellent in every way. From office visits to surgery, post-op, scheduling. It’s all been absolutely professional and worth every penny.
I loved Dr. Janiga. He was amazing throughout the whole breast reduction process and is very skilled and knowledgeable in his field! His staff is also amazing and sweet and I always felt taken care of when there. Super happy with my experience and will be recommending people to him in the future 🙂
Let’s face it, there’s only so much you can do yourself through diet and exercise. I am six months post-op on my Breast Augmentation and couldn’t be happier with my results. Before my surgery, I made the investment and consulted with a total of six of the top surgeons in this area before deciding that Dr. Janiga was the best. He is very professional and focused on his patient’s results. I also like that he is a Nevadan. I told him I didn’t know exactly what size I wanted, but how I wanted to look afterwards. He was willing to make the choice for me, and I was right in trusting his expertise. The surgery was a breeze, as was recovery. Also, it must be a great place to work as all of the staff there are so pleasant and helpful, which a testament to the doctors there. I highly recommend Dr. Janiga!
My experience with Dr. Timothy Janiga and his entire team has been beyond stellar. He clearly met my needs with concise information and consultation. I felt prepared and in good hands throughout the process. I am now 4 months out from a major “beautification” project and couldn’t be happier with my selection of Dr. Janiga. I had no discomfort, and felt totally safe and cared for throughout the process which included pre-op, post-op and of course, the surgery itself. I highly recommend the team at JanigaMDs.
I have had an amazing experience as a patient with Dr. Janiga and his staff. I have been lucky to also have the opportunity to work with him. He is a very skilled surgeon and his results are incredible. Their scheduler, receptionists, nurses, all their staff are very knowledgeable and helpful.
Recovery after breast revision surgery typically involves mild sensitivity, swelling, and bruising that can last up to three weeks. Most women can return to work and light activity within a few days to a week, depending on the extent of the procedure. A supportive surgical bra is often recommended to reduce swelling and help stabilize the new implant or breast pocket. Strenuous activity should be avoided for several weeks or until cleared by your surgeon, and final results will continue to improve as swelling resolves and the implant settles into its final position.
Recovery time and outcomes may vary depending on the specific procedure, whether a breast lift was included, and your unique healing process. Dr. Janiga and his team are committed to supporting you throughout your recovery and beyond.
With a capsulectomy and capsulotomy, you will notice a release in tension previously caused by the capsules pushing on the implant. In addition, breasts will appear more natural-looking and feel softer after the procedure. For capsulorrhaphy patients, the new implants will have the smaller size that you desire.
When it comes to breast revision surgery, expertise, judgment, and a personalized approach are essential for correcting previous results and achieving a harmonious, refreshed outcome. JanigaMDs stands out because of the exceptional surgical leadership of board-certified plastic surgeon Dr. Timothy Janiga, whose education, training, and over two decades of clinical experience uniquely prepare him to handle even the most complex revision cases with confidence and care.
Dr. Timothy Janiga is a Fellow of the American College of Surgeons, a member of the Aesthetic Society, and an Alpha Omega Alpha Medical Honor Society member, reflecting rigorous training and professional standards in reconstructive and cosmetic surgery. Dr. Janiga completed his integrated plastic and reconstructive surgery residency at the University of Michigan, one of the nation’s leading programs. This academic background and level of training equip him to assess previous surgical outcomes and plan revision strategies that address asymmetry, implant issues, contour irregularities, and other concerns with precision.
Dr. Janiga has been honored with multiple awards for clinical excellence and patient satisfaction. These include repeated recognition as one of Nevada’s “10 Best Plastic Surgeons,” NAOPS Top 10 Plastic Surgeon, Best of Reno Plastic Surgeon, and numerous Patient Satisfaction awards. He has received hundreds of positive reviews from patients who value his individualized care, honesty, and compassion when performing transformative procedures like a breast revision.
JanigaMDs offers a distinctive, comprehensive approach to breast revision by integrating surgical excellence with long-term aesthetic care. Dr. Janiga collaborates closely with board-certified dermatologist Dr. Jennifer Janiga to ensure skin health, scar optimization, and overall aesthetic harmony are addressed alongside surgical correction. Patients value the practice’s attentive communication style, where concerns are carefully heard and expectations clearly defined, supporting confident decision-making and a smooth recovery.
We evaluate patients considering breast revisions in our Reno plastic surgery and cosmetic center. To arrange a consultation with Dr. Timothy Janiga, please send us an email or call 775-364-0224.
JanigaMDs is the only practice in Reno where patients can consult with both a board-certified dermatologist and a board-certified plastic surgeon in one visit.
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Founded in 2010, the team at JanigaMDs has been proven to provide the utmost care for all patients. With a 4.7 rating over almost 700 reviews, JanigaMDs is the premier aesthetic practice in Northern Nevada.
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