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About the treatment
Breast Revision
Overview
Breast revision is a surgical procedure that can be performed to improve the appearance or function of the breasts. It can be used to correct a variety of problems, including:
- Breast asymmetry
- Breast sagging
- Breast implants that have ruptured or deflated
- Breast tissue that has been removed due to cancer
Breast revision surgery can be performed on both men and women. The procedure typically takes several hours and is performed under general anesthesia.
The recovery from breast revision surgery typically takes several weeks. During this time, it is important to wear a support bra and avoid strenuous activity.
Breast revision surgery can be a very effective way to improve the appearance and function of the breasts.
Candidate
Maintaining general health and well-being practices is essential before, during, and after breast revision surgery. These practices can enhance the recovery process, reduce risks, and optimize outcomes. Here are five key health and wellness recommendations to consider:
- Quit smoking: Smoking can negatively impact blood flow, healing, and increase the risk of complications.
- Adopt a healthy diet: Eating nutritious foods provides the body with essential nutrients for recovery and immune function.
- Manage stress: Emotional and physical stress can interfere with healing. Engage in stress-reducing activities like exercise, meditation, or spending time in nature.
- Follow post-operative instructions: Adhering to the surgeon's instructions is crucial for proper healing, minimizing pain, and preventing complications.
- Engage in light activity: Gradual activity helps prevent blood clots and promotes circulation, but excessive exertion should be avoided.
By prioritizing health and wellness practices, individuals can create an optimal environment for successful breast revision surgery and long-term recovery.
Side & After Effects
Breast revision is a surgical procedure that can be performed to improve the appearance or function of the breasts. While it can be a successful procedure, it is important to be aware of the potential risks and after effects before undergoing surgery.
Risks
- Bleeding
- Infection
- Seroma (a collection of fluid that can form under the skin)
- Hematoma (a collection of blood that can form under the skin)
- Fat necrosis (a condition in which the fat cells in the breast die)
- Skin loss
- Nerve damage
- Scarring
After Effects
- Pain
- Swelling
- Bruising
- Numbness
- Tingling
- Changes in breast sensation
- Changes in breast shape
- Asymmetry (one breast being larger or smaller than the other)
- Rippling (a wavy appearance to the breast)
It is important to discuss the risks and after effects of breast revision with your surgeon before undergoing surgery. Your surgeon can help you determine if the benefits of breast revision outweigh the risks and if you are a good candidate for the procedure.
Things to Know
Procedure Time
3 Hours
Overnight Stay
Yes
Recovery Time
1-2 days
Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
ASPS Ambassador Appointment 2005-Present
America's Top Plastic Surgeon Award 2004-Present
America's Top Physicians Award 2005-Present
America's Top Surgeon Award 2008-Present
Board Certification(s)
American Board of Plastic Surgery (ABPS)
Fellow of the American College of Surgeons (FACS)
Location
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2100 Webster St unit 520, San Francisco, CA 94115, USA
Questions and Answers
Dr. Horton does not have any Q&A at this time.
Schedule a consultation
Breast Revision

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
High Patient Satisfaction
Safe & Reliable
Customizable
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both t...
Breast Revision by Karen M. Horton, MD, MSc, FACS.
About the Procedure
Introduction
Introduction
Breast Revision Breast Revision
Overview
Breast revision is a surgical procedure that can be performed to improve the appearance or function of the breasts. It can be used to correct a variety of problems, including:
- Breast asymmetry
- Breast sagging
- Breast implants that have ruptured or deflated
- Breast tissue that has been removed due to cancer
Breast revision surgery can be performed on both men and women. The procedure typically takes several hours and is performed under general anesthesia.
The recovery from breast revision surgery typically takes several weeks. During this time, it is important to wear a support bra and avoid strenuous activity.
Breast revision surgery can be a very effective way to improve the appearance and function of the breasts.
Duration
3 Hours
Overnight Stay
Yes
Recovery Time
1-2 Weeks
Effective Period
8-10 years
Maintaining general health and well-being practices is essential before, during, and after breast revision surgery. These practices can enhance the recovery process, reduce risks, and optimize outcomes. Here are five key health and wellness recommendations to consider:
- Quit smoking: Smoking can negatively impact blood flow, healing, and increase the risk of complications.
- Adopt a healthy diet: Eating nutritious foods provides the body with essential nutrients for recovery and immune function.
- Manage stress: Emotional and physical stress can interfere with healing. Engage in stress-reducing activities like exercise, meditation, or spending time in nature.
- Follow post-operative instructions: Adhering to the surgeon's instructions is crucial for proper healing, minimizing pain, and preventing complications.
- Engage in light activity: Gradual activity helps prevent blood clots and promotes circulation, but excessive exertion should be avoided.
By prioritizing health and wellness practices, individuals can create an optimal environment for successful breast revision surgery and long-term recovery.
- Improved appearance: Breast revision surgery can improve the size, shape, and symmetry of the breasts, resulting in a more aesthetically pleasing appearance.
- Increased confidence: Many women who undergo breast revision surgery experience an increase in their confidence and self-esteem.
- Improved breast function: In some cases, breast revision surgery can improve breast function, such as by correcting nipple inversion or improving the ability to breastfeed.
- Pain relief: Breast revision surgery can relieve pain caused by breast asymmetry, sagging breasts, or breast implants that have ruptured or leaked.
- Improved breast health: Breast revision surgery can improve breast health by removing excess breast tissue that may increase the risk of breast cancer, or by replacing implants that have become damaged or outdated.
Risks of Breast Revision Surgery:
- Bleeding and infection: As with any surgery, there is a risk of bleeding and infection during or after breast revision.
- Seroma: A collection of fluid that may form under the incision, requiring drainage.
- Hematoma: A collection of blood that may form under the incision, requiring drainage or surgery.
- Fat necrosis: The death of fat cells, which can lead to lumps or deformities.
- Asymmetry: The breasts may not be perfectly symmetrical after surgery.
- Overcorrection or undercorrection: The breasts may be larger or smaller than desired or not have the desired shape.
- Wound healing issues: The incisions may take longer to heal or may leave scars.
- Implant complications: If implants are used, they may rupture, leak, or cause infections.
- Capsular contracture: A condition where scar tissue forms around the implant, causing it to become hard and uncomfortable.
- Nerve damage: Nerves in the breasts can be damaged during surgery, leading to numbness or sensitivity loss.
- General anesthesia risks: Common risks associated with general anesthesia include nausea, vomiting, and respiratory problems.
Safety of Breast Revision Surgery:
- Experience of the surgeon: The skill and experience of the surgeon play a crucial role in the safety of the procedure. Choose a board-certified plastic surgeon who specializes in breast revision.
- Preoperative planning: Careful planning, including proper patient selection, thorough evaluation, and detailed discussion of goals and risks, is essential for a safe outcome.
- Advanced surgical techniques: The use of modern surgical techniques, such as endoscopic or fat grafting, can reduce the risk of complications.
- Post-operative care: Following the surgeon's instructions during the recovery period is vital to minimize risks and promote healing.
- Regular follow-up: Regular check-ups with the surgeon allow for monitoring and timely intervention if any issues arise.
Overall, breast revision surgery can be a safe and effective procedure when performed by a qualified plastic surgeon and with proper patient care. However, it is important to be aware of the potential risks and weigh them against the benefits before making a decision.
Preparation for Breast Revision Surgery
Pre-Operative Evaluation:
- Medical History and Physical Exam: Review your medical history, current medications, allergies, and general health.
- Mammogram and Ultrasound: To assess breast tissue, determine the size and shape of implants needed, and rule out any underlying breast issues.
- Blood Tests: To check your overall health, including blood count, clotting factors, and hormone levels.
- Consultation: Meet with your plastic surgeon to discuss your desired outcomes, surgical technique, implant options, and risks involved.
Prior to Surgery:
- Stop Smoking: Nicotine can impair wound healing.
- Avoid Blood Thinners: Aspirin, ibuprofen, and certain supplements can increase bleeding risk.
- Arrange for Post-Op Care: Plan for someone to help you with transportation, meals, and any necessary assistance after surgery.
- Fasting: Follow your surgeon's instructions regarding food and drink consumption before surgery.
- Medications: Inform your surgeon about any current medications and if you need to discontinue or adjust any of them before surgery.
Day of Surgery:
- Arrive on Time: Arrive at the hospital or surgery center at the scheduled time.
- Wear Comfortable Clothing: Loose-fitting, button-down clothing is recommended.
- Remove Jewelry and Accessories: Remove all jewelry, piercings, and nail polish.
- Shave the Area: Your surgeon will mark the surgical area for shaving prior to surgery.
- Sign Consent Forms: Review and sign all necessary consent forms before surgery.
Additional Considerations:
- Insurance Coverage: Check with your insurance provider to determine if breast revision surgery is covered and what the limitations may be.
- Emotional Preparation: Breast revision can be an emotionally challenging experience. Seek support from loved ones or a therapist to help navigate the process.
- Realistic Expectations: Discuss realistic expectations with your surgeon regarding the outcome of the surgery. It's important to understand the limitations and potential complications.
- Follow-Up Appointments: Schedule post-operative appointments with your surgeon to monitor your recovery and ensure proper healing.
Recovery from Breast Revision:
Immediate Post-Operative Period:
- You will be monitored closely in the hospital for a few days after surgery.
- You will likely have a drainage tube placed to remove excess fluid.
- Pain medication will be prescribed to manage discomfort.
- You will need to avoid strenuous activity and heavy lifting for several weeks.
Weeks 1-4:
- The drainage tube is usually removed within the first week.
- Swelling and bruising will gradually subside.
- You may experience some soreness and discomfort, which can be managed with pain medication.
- Avoid wearing a bra with underwires or tight clothing.
- Perform gentle range-of-motion exercises as guided by your surgeon.
Weeks 5-8:
- Swelling and bruising will continue to decrease.
- You can gradually increase your activity level but avoid strenuous activities.
- Continue with range-of-motion exercises.
- Scar tissue may start to soften and become less visible.
Months 2-6:
- Most of the swelling should have resolved.
- Your breasts will continue to soften and settle into their final shape.
- Scarring will continue to fade.
- You can resume most normal activities, including exercise.
Beyond 6 Months:
- The final results of your breast revision should be evident.
- Your breasts should feel natural and comfortable.
- Scarring should be minimal and well-concealed.
Tips for Recovery:
- Rest adequately and follow your surgeon's instructions carefully.
- Wear a supportive surgical bra as directed.
- Ice packs can help reduce swelling and pain.
- Avoid smoking and alcohol, as they can impair healing.
- Maintain a healthy diet to promote healing.
- Be patient and allow your body time to recover.
- Attend regular follow-up appointments with your surgeon to monitor progress.
- If you experience any unusual symptoms or concerns, contact your surgeon promptly.
Things to know before start
Preparation for Breast Revision Surgery
Pre-Operative Evaluation:
- Medical History and Physical Exam: Review your medical history, current medications, allergies, and general health.
- Mammogram and Ultrasound: To assess breast tissue, determine the size and shape of implants needed, and rule out any underlying breast issues.
- Blood Tests: To check your overall health, including blood count, clotting factors, and hormone levels.
- Consultation: Meet with your plastic surgeon to discuss your desired outcomes, surgical technique, implant options, and risks involved.
Prior to Surgery:
- Stop Smoking: Nicotine can impair wound healing.
- Avoid Blood Thinners: Aspirin, ibuprofen, and certain supplements can increase bleeding risk.
- Arrange for Post-Op Care: Plan for someone to help you with transportation, meals, and any necessary assistance after surgery.
- Fasting: Follow your surgeon's instructions regarding food and drink consumption before surgery.
- Medications: Inform your surgeon about any current medications and if you need to discontinue or adjust any of them before surgery.
Day of Surgery:
- Arrive on Time: Arrive at the hospital or surgery center at the scheduled time.
- Wear Comfortable Clothing: Loose-fitting, button-down clothing is recommended.
- Remove Jewelry and Accessories: Remove all jewelry, piercings, and nail polish.
- Shave the Area: Your surgeon will mark the surgical area for shaving prior to surgery.
- Sign Consent Forms: Review and sign all necessary consent forms before surgery.
Additional Considerations:
- Insurance Coverage: Check with your insurance provider to determine if breast revision surgery is covered and what the limitations may be.
- Emotional Preparation: Breast revision can be an emotionally challenging experience. Seek support from loved ones or a therapist to help navigate the process.
- Realistic Expectations: Discuss realistic expectations with your surgeon regarding the outcome of the surgery. It's important to understand the limitations and potential complications.
- Follow-Up Appointments: Schedule post-operative appointments with your surgeon to monitor your recovery and ensure proper healing.
Recovery from Breast Revision:
Immediate Post-Operative Period:
- You will be monitored closely in the hospital for a few days after surgery.
- You will likely have a drainage tube placed to remove excess fluid.
- Pain medication will be prescribed to manage discomfort.
- You will need to avoid strenuous activity and heavy lifting for several weeks.
Weeks 1-4:
- The drainage tube is usually removed within the first week.
- Swelling and bruising will gradually subside.
- You may experience some soreness and discomfort, which can be managed with pain medication.
- Avoid wearing a bra with underwires or tight clothing.
- Perform gentle range-of-motion exercises as guided by your surgeon.
Weeks 5-8:
- Swelling and bruising will continue to decrease.
- You can gradually increase your activity level but avoid strenuous activities.
- Continue with range-of-motion exercises.
- Scar tissue may start to soften and become less visible.
Months 2-6:
- Most of the swelling should have resolved.
- Your breasts will continue to soften and settle into their final shape.
- Scarring will continue to fade.
- You can resume most normal activities, including exercise.
Beyond 6 Months:
- The final results of your breast revision should be evident.
- Your breasts should feel natural and comfortable.
- Scarring should be minimal and well-concealed.
Tips for Recovery:
- Rest adequately and follow your surgeon's instructions carefully.
- Wear a supportive surgical bra as directed.
- Ice packs can help reduce swelling and pain.
- Avoid smoking and alcohol, as they can impair healing.
- Maintain a healthy diet to promote healing.
- Be patient and allow your body time to recover.
- Attend regular follow-up appointments with your surgeon to monitor progress.
- If you experience any unusual symptoms or concerns, contact your surgeon promptly.
Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Owner at San Francisco Plastic Surgery
San Francisco County, California
50 views today
Speaks: English, French
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
- 1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
- 2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
- 2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
- ASPS Ambassador Appointment 2005-Present
- America's Top Plastic Surgeon Award 2004-Present
- America's Top Physicians Award 2005-Present
- America's Top Surgeon Award 2008-Present
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
- Fellow of the American College of Surgeons (FACS)
2100 Webster St unit 520, San Francisco, CA 94115, USA
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Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Owner at San Francisco Plastic Surgery
San Francisco County, California
50 views today
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
- 1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
- 2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
- 2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
- ASPS Ambassador Appointment 2005-Present
- America's Top Plastic Surgeon Award 2004-Present
- America's Top Physicians Award 2005-Present
- America's Top Surgeon Award 2008-Present
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
- Fellow of the American College of Surgeons (FACS)
2100 Webster St unit 520, San Francisco, CA 94115, USA
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Questions and Answers
Q&A
Dr. Karen M. Horton does not have any Q&A at this time.
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