Implants typically last for 10-15 years without any issues. However, some women will experience implant rupture, rippling, capsular contracture, or other concerns that necessitate a revision process. For other patients, a revision procedure may be requested to switch to a different implant size or type or to remove the implants completely. Dr. Kinal is an experienced, knowledgeable breast surgeon who will correct imperfections, providing clients with improved quality of life and heightened self-confidence.

Why Choose Dr. Kinal?

Since an early age, Dr. Kinal has been deeply committed to the art and science of medicine, inspired by his mother, Sandy, who was a dedicated nurse. Today, Dr. Kinal helps patients to enhance their natural beauty with strategic, personalized procedures for the breast and body. Each client receives outstanding care in a state-of-the-art, safety-oriented practice setting, with careful screening to ensure candidacy.

Throughout his education and years spent in private practice, Dr. Kinal acquired the knowledge, technique, and experience that allows him to deliver sensational results. Through active listening, he has gained a deep understanding of what each patient is looking for, and he curates a customized treatment strategy to suit their unique figure and personality. Clients choose Dr. Kinal for his honesty and enthusiasm for creating the beautiful, elegant outcomes they desire. His energy and devotion to his craft are boundless. Dr. Kinal is board certified by the American Board of Surgery and is a Fellowship-Trained Cosmetic Surgeon with the American Board of Cosmetic Surgery. He holds a medical license in four states, including California, Tennessee, Georgia, and Florida. Dr. Kinal also serves as an Oral Protocol Examiner for the American Board of Cosmetic Surgery.

What is Breast Revision?

Breast revision surgery is performed to resolve problems related to a primary breast augmentation procedure. Patients may be dealing with implant complications, such as capsular contracture or BII (Breast Implant Illness), or they may be dissatisfied with the shape, size, or projection of their breasts. Breast revision can help restore comfort to the chest while refining the body’s contours and enhancing the patient’s self-image.

What is Breast Explant Surgery?

Breast explant surgery is performed to remove breast implants in the safest and most aesthetically viable manner possible. Typically, the surgeon can use the same incisions that were used for the initial breast augmentation procedure, ensuring minimal postoperative scarring. After the implants are removed, old scar tissue in the capsule may also be excised as needed. Dr. Kinal will often perform breast lift surgery or fat grafting after implant removal to ensure the chest appears natural, balanced, and symmetrical. 

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Before & After

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What Concerns Can Breast Revision Address?

Capsular Contracture

Capsular contracture occurs when excessive scar tissue forms in the pocket around the implants, causing pain and compromising the breast appearance. The condition can be treated with a capsulotomy to expand the capsule and soften the breasts, or it can be addressed with a capsulectomy to remove both the pocket and the implants together, reducing the chance of recurrence.

Double Bubble 

Double bubble breast deformity can occur if the implant is poorly placed during breast augmentation, as can happen when a transaxillary or transumbilical incision is chosen. With these approaches, the surgeon typically has a longer distance to contend with between the incisions and the surgical site, which decreases precision. Double bubble can be corrected by repositioning the implants, with or without a breast lift.

Bottoming Out

Bottoming out is an implant malposition complication that occurs when the implants are too heavy and sit too low on the chest wall. There may be loose skin at the bottom of the breasts, and the patient may experience discomfort. Dr. Kinal will correct the condition by repositioning, removing, or replacing the implants. He may also perform a breast lift to combat sagging or hanging skin in the area.


Implant rippling can occur regardless of whether the implant is placed above or below the pec muscle. Placing the device above the muscle tends to increase implant visibility, however, as there is no coverage from the muscle. Dr. Kinal can remove or replace the current implant, or he can reposition it beneath the pec muscle. If rippling is caused by over or underfilled saline implants, Dr. Kinal can add or remove the implant solution. 


Implant rupture is rare, but it may occur due to trauma or impact to the breast, or due to surgical error. With saline implants, it’s easy to tell that an implant has deflated right away. For silicone implants, women must undergo an MRI scan to confirm a rupture or leak has occurred. If the problem is not addressed soon enough, the patient may struggle with discomfort, asymmetry, and excess scar tissue in the capsule. Dr. Kinal will replace or remove the implants.

A Change in Aesthetic Taste

Aesthetic sensibilities tend to change over time, and what was once pleasing may no longer seem appropriate for some women. Some patients may wish to undergo breast implant exchange to change implant sizes, or they may want to undergo breast implant removal to get rid of the devices altogether. If the implants are removed, Dr. Kinal can perform a breast lift and/or fat transfer procedure to ensure a balanced and attractive final outcome.

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Is Breast Revision Right for Me?

Dr. Kinal will meet with each client to complete a physical examination and thorough medical review to ensure that breast revision is the appropriate choice. He will answer any questions and curate a personalized treatment plan that resolves aesthetic and functional concerns. Ideal candidates for breast revision are healthy non-smokers who are realistic in their expectations for their results. They seek improvement over perfection. 

What Can I Expect From My Recovery?

Breast revision recovery can be extensive, especially in cases where the capsule is removed or adjusted. A simple implant exchange will require less downtime. Patients should dedicate several weeks to the healing process and not push themselves to become active before they are ready. Some women find that hiring a helper to assist with chores and childcare can be beneficial.

The breasts typically take a few months to settle into a natural-looking position. Dr. Kinal will provide a thorough aftercare plan with instructions for bathing, sleeping, resuming exercise, and returning to work. He will also write prescriptions for pain medications to ensure recovery is smooth and stress-free.

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Dr. Kinal and his staff were outstanding. I felt entirely at ease, knowledgeable, and confident in my choice to have breast surgery. He is a magician! I am really delighted with my findings, and I am grateful that he took the extra time to ensure that I had precisely what I want. Nothing about my experience or outcomes would I change! I'm glad I went with them!

Meghann Battsh

Your Personalized Consultation

As part of his commitment to customized, concierge care, Dr. Kinal performs all breast evaluations himself during the consultation process, noting the breast size, shape, projection, skin quality, degree of ptosis, and skin thickness.

He will assess each patient’s overall health and risk factors and will delve into their medical history.

He empowers clients by providing a wide array of options for each procedure, which allows for a more satisfying outcome. The consultation is also a time during which Dr. Kinal will provide pricing and financing options. Finally, he will schedule the surgery dates. Most clients find that after this initial meeting, they have clearer expectations and feel that they have chosen the best practice possible for their surgery. 

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Is breast revision safe?

Can breast revision be performed in combination with other procedures?

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Is breast revision safe?

Some patients may be concerned about the risks of general anesthesia. To mitigate this, Dr. Kinal conducts pre-surgical testing and clearance to ensure each patient’s safety. This reflects his commitment to providing a seamless client experience that exceeds expectations.

Can breast revision be performed in combination with other procedures?

Some women choose to undergo a breast lift or fat grafting procedure in combination with breast implant revision. This is especially helpful after breast implant removal, as it can produce a more natural and aesthetically appealing final result.

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Timeless beauty begins with a personalized evaluation and thoughtful discussion of your goals and wishes for improvement.

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