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Breast Implant Revision
Do I need a revision?
Without an exam it's hard to say for certain whether you need a revision, but a few patterns are worth watching for. An asymmetric infra-mammary crease, or a pocket that feels tighter on one side, can point to capsular contracture, where scar tissue around the implant thickens and squeezes the pocket. Implant malposition or simple soft-tissue stretch can produce similar-looking asymmetry, so the underlying cause matters for planning treatment. Most of these issues, whether capsular contracture or pocket-related asymmetry, are correctable with a limited revision rather than a full redo. The right next step is an in-person exam with a board-certified plastic surgeon who can assess the crease position, capsule firmness, and implant position directly, and confirm what's driving the asymmetry before recommending surgery.
Clinical Context
Breast asymmetry after implants can have several causes, including capsular contracture (scar tissue tightening around the implant), implant shifting, or natural changes in skin and tissue over time. Factors like weight changes, breastfeeding, and the original implant position can all affect how the pocket looks years later. Because these causes can look similar on the outside, an in-person exam is the only way to tell them apart and determine whether revision surgery is needed.
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