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Meet your Surgeon

Dr Steve Merten
Meet your Surgeon
Dr Steve Merten, MBBS, FRACS:
- Registered Specialist Plastic Surgeon
- AHPRA MED0001155669
Education and Training:
- Bachelor of Medicine, Bachelor of Surgery from Sydney University in 1991
- Fellow of the Royal Australasian College of Surgeons (FRACS) in 2001
- Fellowships in Aesthetic (Cosmetic) Surgery at the Melbourne Institute of Plastic Surgery and Monash University
- Fellowship in Breast Reconstruction at the University of British Columbia, Canada
What Is Breast Implant Revision?
Breast implant revision is a surgical procedure typically performed years after the initial breast augmentation. It addresses issues such as implant complications, changes in aesthetic preferences, or the natural ageing of implants. While breast augmentation is a common cosmetic procedure in Australia with a strong safety record, breast implants are not designed to last a lifetime and may require replacement over time, often after 15 to 20 years.
Reasons for breast implant revision include:
- Implant displacement, rippling, or wrinkling
- Dissatisfaction with the size or appearance of the breasts
- Complications such as hardening (capsular contracture), leakage, deflation, or rupture
- Systemic symptoms or adverse reactions to implant materials
- A desire to remove implants altogether (explantation)
It’s important to note that breast implant revision surgery is often more complex than the initial procedure. Therefore, it should only be performed by an experienced plastic surgeon who can advise on the best course of action for your individual needs.
Please note: Outcomes shown are only relevant for the individual patient and do not necessarily reflect the results other patients may experience. Results vary due to many factors including an individual’s genetics, diet and exercise.
What Are the Benefits of Breast Implant Revision?
Breast Implant Revision is for those who have had past Breast Enlargement and have either developed problems or have concerns with their results. The reasons for breast implant revision include:
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The implant has moved out of position, or is rippled or wrinkled
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The appearance of your breast enlargement is not as expected
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Are having problems with the implant, such as hardening, leakage, deflation or rupture
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Decide you no longer want implants

Implant size is not suitable or breast size has changed over time
Complications with contracture or infection have developed
Start to experience systemic problems caused by the implant material
Breast implant revision can also improve the cosmetic appearance of the breasts by removing scar tissue or repositioning the implant. The previous implant is usually replaced with a new one that may be a different size, shape, or texture.
What to Expect During Your Consultation?
The consultation process is an opportunity to discuss your goals and concerns with your plastic surgeon. During this time, your surgeon will:
- Evaluate Your Medical History: Discuss any previous surgeries, medications, and allergies.
- Assess Your Concerns: Understand your reasons for seeking breast implant revision, whether it’s due to complications, dissatisfaction, or a desire for implant removal.
- Perform a Physical Examination: Measure your breast dimensions and assess skin quality, tissue thickness, and implant position.
- Discuss Your Options: Explain the different types of breast implant revision procedures, including implant replacement, removal, or additional surgeries like a breast lift.
- Provide a Personalised Plan: Recommend an approach that aligns with your individual needs while focusing on safety and best practices.
You may bring photos or examples to help your surgeon understand your preferences and goals.
Considerations for Breast Implant Revision
Breast implant revision can address a range of concerns, including:
- Correcting implant malposition or asymmetry
- Replacing damaged or ageing implants
- Addressing concerns related to scar tissue or implant positioning
- Managing complications such as capsular contracture or implant rupture
- Removing implants entirely for those who no longer wish to have them
For individuals in Sydney considering breast implant removal or replacement, Pure Aesthetics offers professional care, prioritising safety throughout the process.

Types of Breast Implant Revision Procedures
The specific procedure depends on the issue being addressed. Common techniques include:
1. Breast Implant-Only Removal
- The implant is removed, but the surrounding capsule is left intact or partially removed.
- This is the least complex option and is suitable for patients who do not require a complete capsulectomy.
2. Breast Implant Removal with Capsulectomy
- The implant and a portion of the surrounding capsule are removed.
- This method is often used for patients with capsular contracture or implant rupture.
3. En-Bloc Implant Removal and Capsulectomy
- The implant and the entire capsule are removed in one piece.
- This is the most complex option and is typically recommended for patients with systemic symptoms or severe complications.
In some cases, additional procedures such as a breast lift may be an option to address changes in skin or nipple position.
Recovery After Breast Implant Revision
Recovery varies depending on the complexity of the procedure. Here’s what you can expect:
Immediately After Surgery
- You may feel tired, sore, and experience swelling or discomfort.
- Surgical tape and a supportive bra will be applied to aid healing.
First Week
- Avoid strenuous activities and follow your surgeon’s post-operative care instructions.
- Drains may be used for some procedures and are typically removed within a few days.
First Month
- Swelling and bruising will gradually subside.
- Continue wearing a supportive bra and avoid heavy lifting.
Six Months Onward
- Your implants are expected to settle into their final position, and scars may gradually become less noticeable over time. However, individual outcomes can vary.
Risks and Complications
As with any surgery, breast implant revision carries potential risks, including:
- Infection, bleeding, or haematoma
- Scarring or changes in nipple sensation
- Capsular contracture or implant malposition
- Seroma (fluid accumulation) or wound breakdown
- Asymmetry or ongoing dissatisfaction with the appearance of your breasts
- Discomfort or reduced nipple sensation
Your surgeon will discuss these risks in detail during your consultation and provide guidance on how to minimise them.
Breast Implant Revision Before & After Pictures
Breast Implant Revision Surgical Animation Video
Cost of Breast Implant Revision in Sydney
The cost of breast implant revision surgery varies depending on the complexity of the procedure and whether new implants are inserted. Medicare and private health insurance may provide rebates for medically necessary procedures, such as implant removal due to rupture or capsular contracture. However, if the revision is purely cosmetic, it will not be covered.
A personalised quote, including surgeon, anaesthetist, and hospital fees, will be provided during your consultation.
Why Choose Pure Aesthetics?
- Qualified Surgeons: Our team includes AHPRA-certified plastic surgeons with experience in breast implant revision procedures.
- Individualised Care: We develop treatment plans tailored to each person’s specific circumstances.
- Established Techniques: Our surgeons utilise evidence-based surgical methods to support your treatment plan.
- Consistent Guidance: We provide information and support from consultation through to the recovery phase.
Book Your Consultation Today
If you are considering breast implant revision in Sydney, contact Pure Aesthetics to schedule a consultation. Our team is available to answer your questions and discuss your options.