COVID-19 Update: Paul Rottler MD, FACS values the health and safety of our patients. Read more about how we are addressing the current situation. Read More

Contact Us Today!

* Date of Birth

Sign up to receive monthly breast self examination reminders

I agree to the Terms of Use

Revisionary Breast Procedures St. Louis

Revisionary Breast Procedures, St. Louis

On occasion, even careful planning and excellent surgical technique can produce disappointing surgical results or unmet expectations following breast enhancement surgery procedures such as breast reduction or breast augmentation. Revision surgery may help women who are disappointed with their results immediately after breast surgery as well as those who have seen unwelcome changes in their outcome over time.

Before & After Breast Revision Photos
Before & After Breast Revision Photos

View More Before and Afters

When considering breast revision surgery, your surgeon may recommend the use of a product known as Strattice Reconstructive Tissue Matrix (TM). Strattice is used to assist in the repair of complications associated with breast implant revision surgery. The following are common complications that may result from a breast augmentation.

Bottoming Out

Lengthened distance between the nipple and bottom of the breast due to skin stretching, resulting in the implant dropping lower than desired.


Fold Malposition

The inframammary fold or lateral fold has moved, allowing implants to move inferiorly or laterally.



Medial malposition presenting with implants too close together or even touching.


Wrinkling and Rippling

Appearance of implant wrinkles, ripples, or irregular contours on the skin surface.


The quality of the skin that envelops the breast tissue significantly influences the shape of the breasts. Even though breast skin contains special elastic fibers, there is natural and hereditary variation in the amount of elasticity and thickness of each person’s breast skin, which affects the overall appearance of the breasts. Thin breast tissue may not be adequate to mask wrinkling or rippling of a breast implant.

A rippled appearance also may be apparent when the pocket created to contain the breast implant is larger than the size of the implant. If the implant pocket is too large, a breast implant will not be able to maintain a stable position and volume can shift too much to the bottom of the implant. The breast implant should be able to maintain a stable position within the implant pocket to provide a natural and smooth appearance.

Correcting a Wrinkled or Rippled Appearance

During breast revision surgery, Dr. Rottler may consider reducing the size of the implant pocket and using Strattice Reconstructive Tissue Matrix (TM) to provide additional support to maintain the breast implant in the proper position. Similar to an external bra, Strattice™ TM is placed at the bottom of the breast to be used as an “internal bra,” helping to maintain the breast implant in a position that will give the breasts increased fullness at the top. This may result in reduced wrinkling and rippling of the breast implants.