Please ensure Javascript is enabled for purposes of website accessibility

Flap Revision Surgery

These procedures refine breast contour after natural tissue reconstruction.


Most breast reconstruction takes place over multiple procedures. Even after an immediate natural tissue flap reconstruction, revision procedures can improve breast contour, volume, and symmetry. Flap revision surgery can take place at any point after the reconstructed breast has healed. It is frequently coordinated with nipple areola reconstruction.

Types of Flap Revision Surgery Procedures


This procedure removes excess fat from a breast reconstruction that is too large.

Fat Grafting

Fat grafting increases flap volume by moving fat from another area of the body to the reconstructed breast. It can also be used to improve contour by filling indentations or cavities.

Implant Placement

In some cases, a breast implant can improve the size and shape of a natural tissue reconstruction.

Lump Excision

Issues with blood supply can cause fat necrosis in a reconstructed breast, which results in lumps. These lumps can be removed in a secondary procedure. Radiation therapy increases the risk of fat necrosis.

Abdominal Bulge or Hernia Repair

This highly specified type of abdominal wall repair addresses abdominal wall bulges associated with abdominal flaps. It is not a typical hernia repair. It requires a specific technique.

Procedure details:

  • Revision procedures can take place at any time after initial breast reconstruction has healed, even years later
  • Most procedures are performed on an outpatient basis
  • A plastic surgeon can help you determine which procedure is right for you
  • In many cases, nipple areola reconstruction can be coordinated with flap revision surgery
  • Treatments like radiation and chemotherapy impact procedure timing

Risks & Benefits

Flap revision surgery typically carries minimal risk. Specific risks are dictated by the type of revision surgery performed. Revision procedures take place after initial breast reconstruction has fully healed, usually on an outpatient basis.

These procedures are generally well tolerated with an easy recovery period. They can help patients achieve the best possible breast contour.