When your first breast surgery didn't go right.

Yes. International patients who had primary surgery elsewhere are the typical revision case. Bring whatever documentation you have — operative notes, implant card, before/after photos, current concerns. We can plan revision without the original surgeon's involvement.

For aesthetic revisions (size, shape, position), wait 6–12 months minimum after primary surgery — tissue needs to settle and the final result needs to be visible. For capsular contracture or symptomatic complications, wait until symptoms are stable but don't postpone indefinitely. For BIA-ALCL concerns, evaluate immediately.

Operative notes from primary surgery (or as much detail as you have), implant card or implant details (manufacturer, size, profile, surface, lot number), before-and-after photos from primary surgery, photos of your current state, and a clear written summary of what bothers you most about the current result.

Yes — explant without lift is a valid choice. Whether you'll need a lift depends on your skin envelope, original implant size, and your priorities. Some patients accept some sagging in exchange for no implants and minimal scarring; others want the lift to address the skin laxity. Both decisions are reasonable.

En bloc capsulectomy means removing the implant together with its surrounding scar capsule as a single intact unit. It's medically necessary in some specific cases (such as confirmed BIA-ALCL or significant capsular contracture). For most other indications it's a patient preference rather than medical necessity. Dr. Erdal will explain whether en bloc is indicated for your specific case.

Capsulectomy plus implant exchange in one operation is the standard approach. New implants are typically placed in a different plane (e.g., subglandular → subfascial or submuscular) or with a different surface to reduce recurrence risk. The capsule is fully removed.