The procedure is much more complex and delicate than breast augmentation, and it's important not to rely on an unskilled surgeon, but on an honest and direct aesthetic and reconstructive plastic surgeon with a deep understanding of breast structure and knowledge of advanced surgical techniques. The surgeon must operate on scar tissue that's more difficult to cut, and the skin may be tight, inelastic, or thin. The procedure is performed through an incision generally in the same spot where the first procedure was performed, addressing any remaining defects, removing and replacing the implants with new ones that are more suited to the new shape of the residual breast gland, or sometimes changing the insertion plane (under the pectoral fascia, even under the muscle), or performing breast lipofilling to correct imperfections caused by the first breast augmentation. The post-operative recovery period is 4-5 days.

recovery time, compared to 2-3 for breast augmentation. A further challenge is the psychological aspect of the patient, who is more distrustful, emotional, and demanding than those undergoing breast augmentation surgery for the first time.