Complex Breast Revision Surgery

Revision breast surgery is among the most technically demanding procedures in aesthetic surgery. Whether you’re struggling with implant malposition, capsular contracture, asymmetry, rippling, or other concerns, each revision case brings its own distinct challenges. These are not routine corrections, and they require sophisticated problem-solving and a deep understanding of breast anatomy.

Board-certified plastic surgeon Dr. Andrew H. Rosenthalapplies more than 2 decades of focused expertise to these cases, offering patients throughout Boynton Beach, Boca Raton, Delray Beach, and Palm Beach County the highest level of surgical judgment and precision.

Strategic Breast Revision Planning

Dr. Rosenthal’s background in both breast reconstruction and aesthetic breast revision, including breast implant removal, shapes his individualized, highly analytical approach to complex cases. He also draws on extensive leadership experience—serving on national breast surgery advisory panels for Allergan and LifeCell—to offer unique insights into implant technology, biologic materials, and emerging surgical strategies.

To restore proportion, stability, and natural contour, Dr. Rosenthal may incorporate advanced techniques such as:

• Acellular dermal matrix (ADM) reinforcement to support weakened tissues
• Internal bra support for durable shaping and improved implant positioning
• Precise pocket reconstruction to correct malposition or recurrent asymmetry
• Fat grafting when soft-tissue deficiency contributes to rippling or contour irregularities

He thoughtfully selects each technique based on the patient’s anatomy, prior surgical history, and goals.

Expertise Built on Research & Leadership

Dr. Rosenthal’s experience extends beyond the operating room. His leadership and scholarship in breast surgery elevate his clinical approach and give patients access to best-in-class care.

His background includes:

• Section editor for Breast and Trunk Reconstruction chapters in the Michigan Manual of Plastic Surgery, a widely respected surgical reference
• Member of the National Council of Leaders in Breast Aesthetics, contributing to national best practices
• Clinical investigator for trials in scar revision and tissue healing, deepening his understanding of biologic behavior after prior operations

This foundation of research and leadership directly informs his revision strategies, especially in cases complicated by scarring, thin tissues, implant history, or prior reconstructive work.

A Customized Approach

Successful breast revision surgery begins long before entering the operating room. Dr. Rosenthal conducts a meticulous evaluation that may include:

• Comprehensive review of prior operative reports
• Analysis of implant data, imaging, and previous complications
• High-resolution in-office imaging to assess implant position, capsule quality, and soft-tissue integrity
• A detailed discussion of goals, expectations, and long-term planning

This process ensures that every operation is designed not only to correct the visible issues but also to reinforce long-term stability and comfort.