Breast Surgery
Breast Revision & Implant Exchange in Guadalajara, Mexico
Breast revision is a corrective procedure that updates or repairs the results of a previous breast surgery — exchanging implants for a new size or type, releasing capsular contracture, replacing a ruptured implant, repositioning a displaced implant, or removing implants entirely (explant), with or without a lift. It is one of the most individualized procedures in breast surgery: no two revisions begin from the same starting point, because each one addresses a specific problem left by an earlier operation. At Fibonacci Plástica, board-certified plastic surgeon Dr. Rigoberto Castellanos specializes in restoring comfort, symmetry, and natural shape — including for the many patients who travel to have work corrected that was done elsewhere. For patients coming from the United States, Canada, and across Mexico, the practice pairs surgical expertise with full bilingual concierge support, from virtual consultation through recovery.
What is breast revision surgery?
Breast revision surgery is any operation that corrects, updates, or reverses a previous breast augmentation or lift — addressing a problem with existing implants or changing a result the patient is no longer happy with.
Implants are not lifetime devices; over time they can rupture, shift, or become firm, and a patient's goals, body, and taste can change after pregnancy, weight changes, or simply with age. Revision restores comfort and appearance from wherever the previous surgery left off. Because revision corrects an existing result rather than starting from scratch, the surgical plan depends entirely on what is being fixed. Dr. Castellanos reviews your history, examines the implants and tissue, and may recommend imaging before confirming the approach during your consultation.
| Procedure | What it addresses |
|---|---|
| Implant exchange (size or type change) | Swapping current implants for larger, smaller, or different implants (e.g., a different profile, or saline to silicone) to update the result |
| Capsular contracture | Scar tissue (the capsule) tightens around an implant, causing firmness, distortion, or discomfort; treated by removing or releasing the capsule (capsulectomy/capsulotomy) and usually exchanging the implant |
| Implant rupture or leak | A saline or silicone implant fails and must be removed and replaced; often detected on imaging or by a change in shape |
| Malposition / "bottoming-out" | An implant sits too low, too high, too far to the side, or has dropped below the fold; repositioned and supported, often with internal sutures or mesh |
| Implant removal (explant) | Implants are removed permanently — with the capsule (total capsulectomy) when indicated — with or without a breast lift to restore shape to the natural tissue |
| Aesthetic update / lift | Sagging, asymmetry, or a dated look corrected by exchanging implants and/or adding a breast lift (mastopexy) |
Are you a good candidate for breast revision?
The best candidates are healthy adults who are unhappy with, or experiencing a problem from, a previous breast augmentation or lift — and whose original surgery has fully healed. Revision is appropriate whether your first surgery was performed at Fibonacci Plástica or somewhere else, including abroad.
- Have older implants you want to exchange, update, or remove
- Are experiencing firmness, pain, or distortion from capsular contracture
- Suspect or have confirmed an implant rupture or leak
- Have an implant that has shifted, dropped, or sits asymmetrically
- Want to downsize, or remove your implants entirely (explant)
- Have developed sagging or asymmetry since your original surgery
- Are in good general health, a non-smoker (or can stop before and after surgery), with realistic expectations
Patients who had surgery elsewhere are welcome and common. Bring any records you have — your operative report, implant cards, or imaging — but they are not required; Dr. Castellanos can assess and plan your revision even when the original details are unknown. The consultation, not a checklist, determines the right approach.
What to expect during breast revision surgery
Breast revision is performed under general anesthesia and, because it varies so widely, typically takes one to three hours or more depending on what is being corrected. Surgery takes place at Centro Médico Real San José – Valle Real, an accredited hospital in Guadalajara.
Wherever possible, Dr. Castellanos works through your existing incisions to avoid creating new scars. After anesthesia, the steps depend on the goal: for an exchange, the implant is removed, the pocket is assessed and adjusted, and a new implant is placed; for capsular contracture, the tightened scar capsule is released or removed (capsulotomy or capsulectomy) before a new implant is positioned; for malposition, the pocket is reshaped and reinforced — sometimes with internal sutures or a supportive mesh — to hold the implant in place; for explant, the implants (and capsule when indicated) are removed, and a breast lift may be added in the same operation to redrape the natural tissue. Because revision works with altered, previously operated anatomy, it generally demands more planning and surgical judgment than a first-time procedure — which is exactly why surgeon experience matters most here. You are fitted with a surgical bra and discharged with detailed post-operative instructions.
Breast revision recovery timeline
Most patients traveling for surgery stay in Guadalajara for about seven days, then continue recovering at home over the following weeks. Recovery from a straightforward implant exchange is often comparable to the original augmentation, while a capsulectomy, explant, or combined lift may involve a bit more swelling and a longer settling period.
| Days 1–3 | Surgical bra worn continuously; soreness, swelling, and tightness are normal; discomfort managed with medication; rest and limited arm movement |
|---|---|
| Days 4–7 | Soreness eases; short walks encouraged; follow-up with Dr. Castellanos before traveling home |
| Week 1 | Most travel-in patients are cleared to fly home |
| Weeks 2–3 | Many return to desk work and light daily activity; no lifting, pushing, or overhead reaching yet |
| Weeks 4–6 | Strenuous exercise and heavy lifting restricted until cleared; swelling steadily improves; implants begin to settle |
| Months 3–6 | Most swelling resolves, implants settle into their final position, and scars continue to fade |
Wearing your surgical bra as directed and avoiding strain are among the most important factors in a smooth recovery and a stable final result. Our bilingual concierge team stays available throughout recovery.
Benefits of breast revision
Breast revision resolves the discomfort or disappointment of a previous surgery and restores a comfortable, natural, and symmetric result — on your terms.
- Relief from firmness, pain, or distortion caused by capsular contracture
- Replacement of ruptured, aging, or failing implants with current devices
- A new size or shape that fits your current body and goals (larger, smaller, or natural)
- Correction of implants that have shifted, dropped, or become asymmetric
- The option to remove implants entirely (explant), with or without a lift
- Renewed symmetry, position, and a refreshed, natural appearance
- Peace of mind from board-certified care in an accredited hospital
Beyond the physical, many patients describe real relief — both from discomfort and from years of self-consciousness about a result that no longer felt like them.
How much does breast revision cost in Mexico?
Breast revision in Guadalajara is priced individually based on what is being corrected — a simple exchange, a capsulectomy, an explant, a malposition repair, or a combined lift — along with implant choice, anesthesia, and facility fees, and typically costs significantly less than comparable surgery in the U.S. or Canada, even after travel. Because every revision is different, your exact price is confirmed after your consultation with Dr. Castellanos.
Pricing includes the surgeon's fee, anesthesia, and accredited-hospital facility costs. Many international patients find that board-certified revision in Guadalajara represents substantial savings versus prices at home — especially meaningful for patients facing the cost of correcting work done elsewhere. The complexity of the correction and any implants used affect the total. Contact us at 1-855-735-7751 or request a virtual consultation for a full, itemized estimate.
Why choose Dr. Castellanos and Fibonacci Plástica?
Dr. Rigoberto Castellanos is a board-certified plastic surgeon with international training and a fully accredited hospital setting — the credentials that matter most when choosing a surgeon to correct or update previous breast surgery.
Board-certified by the Mexican Council of Plastic, Aesthetic, and Reconstructive Surgery (Cert. #2247)
International member of ISAPS and the American Society of Plastic Surgeons (ASPS)
Trained at the Universidad de Guadalajara (graduated with honors) and Hospital Civil Fray Antonio Alcalde, with advanced training in Spain and Brazil
Operates at Centro Médico Real San José – Valle Real, one of western Mexico's most advanced facilities
Experienced in complex revision — capsular contracture, implant exchange, malposition repair, and explant, including correcting work performed elsewhere
Full bilingual concierge from virtual consultation through post-operative follow-up
See real patient results, learn more about your surgeon, or read about traveling for your care: Before & After Gallery · About Dr. Castellanos · Traveling for Your Care.
Frequently asked questions
Schedule your consultation
Fibonacci Plástica offers expert surgical care in a modern, accredited facility with full concierge support from arrival through recovery. Dr. Castellanos and our bilingual team will guide you through every step of your breast revision — including correcting work done elsewhere. Request your free virtual consultation or call 1-855-735-7751 today.
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