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Charles A. Messa, III, MD, FACS

Board Certified by the American Board of Plastic Surgery
Weston Cosmetic Surgery Center

Call Us Today 954.659.7760

Weston, Florida
And Surrounding Suburbs

Secondary Breast Augmentation


One of the most common cosmetic surgery procedures performed is breast augmentation. Over 300,000 women undergo breast augmentation each year. Breast enhancement can correct underdeveloped breasts, breasts that have lost shape and volume after childbirth or weight loss, or correct asymmetry and position of the breast. They make a woman feel more confident and improve self-esteem and create a more attractive figure. The procedure is extremely safe with a low incidence of complications. That being said, a breast implant is a device that can shift or become displaced. When additional surgery is required to correct breast implant position or shape, it is often referred to as secondary breast augmentation.

When a second operation or procedure is desired, or necessary, after breast enhancement, it typically involves adjustment of the implant capsule. The capsule is a fibrous membrane that surrounds the implant. A capsule always forms around the implant. It should be thin and pliable making the implant feel soft. When the capsule becomes thicker, most commonly as a result of inflammation, this is called a capsular contracture. This process makes a breast feel firm and can lead to breast asymmetry and malposition of the implant. There are multiple techniques to repair a capsule contracture, most commonly a capsulectomy, or removal of the capsule and implant replacement is performed. The procedure is individualized, based on the patient’s clinical appearance and anatomy.

Breast implants can also become displaced, become positioned too high, located too close to the middle (symmastia), or too low (bottoming out), or too laterally (to the side, or under the armpit). To correct these various problems, a capsulorrhaphy, or plication, with or without ADM (acellular dermal matrix) is indicated. This procedure involves creation of a new pocket by adjusting the existing capsule surrounding the implant with suturing techniques.

With Dr. Messa’s extensive experience in cosmetic breast reconstruction, women can achieve an aesthetic natural appearance of their breasts even after a less than ideal initial breast augmentation procedure.

During your consultation, Dr. Messa will review your treatment options for breast augmentation. He will discuss if you are a good candidate, surgical options and techniques, potential risks and complications of surgery, pre and post-operative instructions, and recovery course, as well as what to expect after surgery.

Dr. Messa is board certified by both the American Board of Plastic Surgery and the American Board of Surgery, an active member of the American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and a Fellow of the American College of Surgeons. He is a recognized expert in cosmetic plastic surgery and consultant for Allergan Medical and has achieved Black Diamond Level as one of the top 1% of plastic surgery practices in the country by volume.

To schedule your complimentary consultation with Dr. Messa, please call our office at (954) 659-7760.