In some instances, a previous breast augmentation can produce unsatisfactory results, such as improper size, excessive firmness, wrinkles or ripping, or a positional shift of one or both implants. Dr. Fiala has extensive experience in helping women with this challenging area. Since each patient is different, the treatment plan for a breast revision must be individualized for each person. A combination of techniques can be used, including changing the implant size, capsulectomy or capsulotomy (removing the scar tissue), internal suturing or use of a different style of implant. The intended result is a more satisfactory, more symmetrical breast appearance and a more positive self image.