Revision surgery begins with diagnosis, not with a promise to “redo” a prior operation.
Prior surgery can alter normal tissue planes, scar behavior, blood supply, volume and structural support. A revision plan therefore depends on identifying what is actually wrong: contour irregularity, malposition, asymmetry, scar, volume excess or deficiency, implant-related issues, tissue laxity, or a combination of factors.
Principles of revision planning
- Define the specific problem rather than treating dissatisfaction as a single diagnosis.
- Distinguish what can be improved from what should be left alone.
- Account for prior scars, prior procedures and altered tissue quality.
- Choose the smallest operation that reliably addresses the dominant problem.
- Discuss uncertainty openly; revision surgery can be less predictable than primary surgery.
Selected revision resources
Breast revision, liposuction revision, silicone lip revision and cosmetic revision provide more focused context.