Complex Breast Revision
Ballerina breast augmentation in Scottsdale with board-certified plastic surgeon Dr. Ashley Howarth to create refined volume, graceful proportions, and soft upper pole restraint. Each procedure is thoughtfully planned to align with your body, your goals, and the way you want to look and feel.
Experience the exceptional care and personalized touch of a board-certified female plastic surgeon who prioritizes your well-being every step of the way. Discover why Dr. Ashley Howarth stands out as one of the best plastic surgeons in Arizona for results that look and feel beautifully natural.
Complex Breast Revision in Scottsdale
Breast revision surgery is one of the most nuanced and emotionally sensitive procedures in aesthetic plastic surgery. Whether you’re addressing implant-related complications, poor results from a previous surgeon, or changes in your body over time, revision requires thoughtful planning, technical precision, and deep understanding.
Dr. Ashley Howarth is a Mayo Clinic–trained, board-certified plastic surgeon with extensive experience in complex breast revision. Patients come to her after living with results that feel incomplete, uncomfortable, or simply not their own. Through careful evaluation, surgical skill, and a calm, collaborative approach, Dr. Howarth helps restore balance, comfort, and confidence.
What Is Complex Breast Revision?
Complex breast revision refers to secondary (or tertiary) breast surgery performed to correct or improve the outcome of a previous augmentation, lift, reduction, or reconstruction. It may involve replacing or removing implants, correcting asymmetry, improving scarring, releasing internal scar tissue, or refining shape and projection.
Dr. Howarth takes a comprehensive approach—starting with why the initial result failed, and what’s needed to create a stable, beautiful, long-term outcome. Depending on the case, she may recommend new implants, fat grafting, internal support techniques, or advanced tissue rearrangement. Every revision is unique, and each one is guided by empathy, transparency, and respect for the patient’s experience.
Reasons Women Choose Complex Breast Revision
CORRECT COMPLICATIONS OR DEFORMITIES
Capsular contracture, rippling, implant malposition, and double-bubble deformities are among the most common reasons women seek revision. Each can be corrected with surgical precision and a plan that prioritizes long-term stability.
IMPROVE POOR AESTHETIC RESULTS
Some patients are unhappy with size, shape, projection, or symmetry after surgery with another provider. Revision can restore balance and deliver the refined, natural look they originally envisioned.
REMOVE OR REPLACE IMPLANTS
Patients may want to downsize, switch implant types, or remove implants altogether—especially after complications or lifestyle changes. Dr. Howarth helps guide each decision with clarity and compassion.
RECLAIM COMFORT AND CONFIDENCE
Many women seek revision because their current results don’t reflect who they are—or how they want to feel. Corrective surgery offers not just physical improvement, but emotional restoration after years of frustration or discomfort.
Complex Breast Revision Consultation Process
A Thoughtful, One-on-One Conversation
Your consultation for breast revision begins with a full discussion of your history—what was done previously, what didn’t go as planned, and how you feel in your body today. Dr. Howarth creates a safe, judgment-free space to express frustrations and hopes, while guiding you through what’s possible, realistic, and right for your anatomy.
You’ll receive a comprehensive evaluation, including implant assessment (if applicable), scar placement, skin elasticity, and overall breast shape. Dr. Howarth will then build a customized surgical plan designed not just to correct—but to elevate—your result. Every step is explained in clear, approachable language, with ample time for questions and discussion.
This process is collaborative, not prescriptive. Dr. Howarth believes revision is about reclaiming control—not just cosmetically, but emotionally. Her role is to listen closely, plan carefully, and operate with precision.
From consultation to confidence
Selecting a Plastic Surgeon with a Commitment to Excellence
CAREFUL PLANNING
Revision starts with identifying what went wrong—and what’s needed to make it right. Dr. Howarth performs a detailed assessment of your anatomy and surgical history to ensure every decision supports a long-term, satisfying outcome.
SURGICAL EXPERTISE
Dr. Howarth draws on a full range of techniques—including implant exchange, scar revision, internal pocket repair, fat grafting, and advanced lift methods—to restore balance and beauty. Every revision is tailored to your unique goals and tissue characteristics.
SUPPORTIVE RECOVERY
Because revision carries emotional weight, recovery is treated with the same care and attentiveness as the surgery itself. You’ll receive clear guidance, compassionate support, and close follow-up as you heal—so you feel confident every step of the way.
Begin Your Transformation
Meet your surgeon
Ashley Lynn Howarth, MD, FACS
Dr. Ashley Howarth is a board-certified plastic surgeon who completed her training in Plastic and Reconstructive Surgery at the Mayo Clinic Arizona. Prior to that, she trained in general surgery at Texas A&M Baylor Scott & White, and earned her medical degree from the University of Louisville School of Medicine. With nine years of combined surgical training, few surgeons possess the level of academic experience as Dr. Howarth.
She has quickly become one of Arizona’s most in-demand plastic surgeons, recognized for her surgical precision, natural aesthetic, and obsession with detail. Her clinical interests include cosmetic surgery of the face, breasts, and body, and she is known for delivering results that are refined, balanced, and thoughtfully executed.
In addition to her surgical practice, Dr. Howarth serves as an Associate Professor of Plastic Surgery at Mayo Clinic, where she helps train the next generation of plastic surgeons. She also serves as the youngest board member and Member-at-Large for the Arizona Society of Plastic Surgeons, a leadership role awarded by her peers.
As a working mother of three young boys, Dr. Howarth understands the challenges that women face. Her care is grounded in empathy, honesty, and individualized attention, with the goal of helping every patient feel confident, supported, and beautifully themselves throughout the entire process.
She proudly supports the Boys & Girls Clubs of Greater Scottsdale and sponsors their Celebrate Youth Gala each year. She also mentors young women interested in medicine and surgery by offering shadowing opportunities and career guidance, continuing her dedication to helping others grow—both in and out of the operating room.
“My life feels full and wonderful due to this transformation. I’m blessed to have had Dr. Howarth complete my surgery. Don’t wait to love your body and yourself!” – M.A.
FAQ
What are the most common reasons for breast revision?
Capsular contracture, implant rupture, asymmetry, bottoming out, rippling, and dissatisfaction with size or shape are all common. Dr. Howarth treats each case individually, focusing on correction, stability, and aesthetic refinement.
Can I have implants removed without replacing them?
Yes. Implant removal—also called explant surgery—can be done alone or combined with a lift or fat transfer for volume restoration. Dr. Howarth will help you understand how your breasts will look and feel without implants and guide you toward a result that reflects your preferences.
How soon can I have revision after a previous surgery?
It’s best to wait at least six months—sometimes longer—after your last procedure to allow swelling to resolve and scar tissue to settle. Dr. Howarth will assess your healing and determine the safest timing for revision.
Is revision more complicated than primary surgery?
Often, yes. Revision may involve scar tissue, stretched skin, implant displacement, or tissue damage from previous surgery. That’s why it’s essential to work with a surgeon like Dr. Howarth who has advanced training and experience in complex breast cases.
Will insurance cover breast revision?
In most cosmetic cases, no—insurance does not cover elective revision. However, Dr. Howarth’s team will provide a clear, personalized quote that reflects the surgical plan, implant cost (if applicable), and follow-up care.
What is recovery like after revision surgery?
Recovery depends on the complexity of your revision, but most patients can expect bruising, swelling, and soreness for the first 1–2 weeks. You’ll be guided through every step of healing and supported with detailed instructions and direct access to Dr. Howarth’s team.
Can I combine revision with other procedures?
Yes. Many women combine revision with a lift, implant removal, fat grafting, or body contouring. Dr. Howarth will build a comprehensive plan based on your goals and safety considerations.
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