When board-certified plastic surgeon Dr. Saba Motakef — better known as Dr. Saba — founded Motakef Plastic Surgery + Med Spa in Orange County, California, he knew he wanted to help patients discover the newfound confidence that only comes with achieving one’s dream physique.
“I specialize in providing customized plastic surgery solutions for my patients,” he says. “I like to understand each individual patient’s goals, lifestyle, and aesthetic preferences. This allows me to create tailored treatment plans that align with their aesthetic vision.”
For some patients, that aesthetic vision comes to life after a single procedure. For others, it’s a journey that unfolds over time.
Dr. Saba has seen that the trend is especially common with breast augmentation surgeries. Some patients will undergo a breast augmentation surgery, complete the healing process, and realize they need a revision surgery.
Patients seek revisions for a wide range of reasons. Sometimes, there’s a problem with the implants themselves. They may rupture, deflate, or shift over time. Some patients are simply dissatisfied with their results because of poor symmetry or surgical technique.
Other patients develop capsular contracture, a painful complication caused by scar tissue hardening around the implant during the healing process. Capsular contracture doesn’t always require surgery, but in most cases, revision surgery is the best way to relieve pain and ensure a patient’s breasts maintain their natural appearance.
Some patients seek revisions because of aging or lifestyle changes.
“Over time, changes such as weight fluctuations, pregnancy, or the natural aging process can impact breast tissue, leading to sagging or volume loss,” Dr. Saba says. “Patients also may feel their implants are too large or too small and seek a change to better suit their current aesthetic preferences or lifestyle.”
What should patients look for when choosing a surgeon to perform a revision? Dr. Saba notes that it’s critical to select a surgeon who regularly performs revision surgeries — not just breast augmentations. “Revision breast surgery is more complex than primary augmentation,” he says. “It requires expertise in addressing scar tissue, implant positioning, and reshaping the breast pocket. If you’re considering a revision, look for a surgeon who frequently performs revision cases.”
Dr. Saba also suggests that patients review a surgeon’s portfolio of before and after pictures, focusing on the results of revision surgeries. Patient testimonials and reviews can also offer valuable insight.
However, he also stresses that patients should pay attention to their own experience with the surgeon in the time leading up to the procedure. “A top surgeon should offer a transparent plan detailing the revision approach, potential risks, and realistic expectations for recovery and results,” he says.
Dr. Saba notes that a customized approach is key. “No two revisions are the same,” he says. “Your surgeon should personalize the procedure to address your unique anatomy, goals, and challenges from the initial surgery.”
There’s nothing wrong with deciding to get a breast augmentation revision. However, if at all possible, patients should take steps to avoid the need for a revision in the first place. Choosing a board-certified plastic surgeon for the initial breast augmentation is a great place to start.
“I think what a lot of people don't understand about plastic surgery is that any medical doctor can offer it,” says Dr. Saba.
“This is a big problem in Florida and Miami. A lot of non-plastic surgeons are doing cosmetic surgeries, and they’re licensed, so they can technically do it — but that doesn't mean that they've been trained in it. It creates a dangerous kind of environment,” he continues.
To become board-certified, a plastic surgeon must complete a plastic surgery residency, pass rigorous exams, and demonstrate a strong ethical standing. “It's not easy,” Dr. Saba says. “I'm board-certified in plastic surgery. Plastic surgery is a tough specialty to get into. Only around 200 people a year get into it and get certified.”
Board-certified plastic surgeons are more likely to take the time to complete an in-depth consultation, use advanced imaging tools, and select the appropriate implants for a particular patient — all of which reduce the risk of needing a revision later on.
Choosing the right surgeon makes a difference, but the success of a breast augmentation doesn’t hinge solely on the doctor. Patients who follow post-op instructions and are committed to maintaining a stable lifestyle post-procedure can often avoid revision surgeries.
Every breast augmentation (and revision) is a collaborative effort between doctor and patient. And when a qualified surgeon and a proactive patient work together, beautiful, lasting results are well within reach.
The information in this article is for informational purposes only and should not be considered medical advice. Readers are encouraged to consult a qualified healthcare professional before making any health-related decisions.
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