Revisionary surgery to correct problems following primary breast augmentation is a potentially complex clinical issue. Scarring, compromised vascularity, and other anatomical changes resulting from prior surgery increase both the operative difficulty and risk of post-operative complications. In this review, the authors outline the etiology and management of common problems that motivate patients to seek secondary breast augmentation; including capsular contracture, malposition, ptosis, rippling, and asymmetry. It is the aim of this chapter to provide the reader with a foundational understanding of the tools and techniques available to treat affected patients in order to maximize the probability of future success. This review contains 3 figures, 6 tables, 31 references Keywords: breast augmentation, breast revision, capsular contracture, malposition, ptosis, rippling, acellular dermal matrix, revision augmentation
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