Best Plastic Surgeon - Dr. Sam Jejurikar

When a previous breast surgery has not aged well, structure is the answer. Dr. Jejurikar rebuilds the foundation, not just the look.

Why Breast Results Change Over Time

Implants do not fail as often as foundations do. Gravity, pregnancy,
weight change, and thinning tissue all work against even a beautiful
first result.

Patients come to Dr. Jejurikar for secondary breast surgery for many reasons: implants that have dropped or drifted (“bottoming out” or lateral malposition), visible movement of the breast with exercise (animation deformity), capsular contracture, size change, or simply a result that no longer matches their body. Each of these is, at heart, a structural problem, and Dr. Jejurikar’s approach is structural.

The Internal Bra

The centerpiece of that approach is the internal bra: a layer of absorbable surgical mesh, placed at the time of surgery, that supports the implant and lower breast the way a bra does from the outside. Dr. Jejurikar uses modern resorbable scaffolds, TIGR® Matrix and DuraSorb®, which reinforce the repair while your body gradually replaces them with its own strong collagen framework.

• Holds the implant in its corrected position while healing matures
• Supports thinned or stretched tissue that can no longer support an implant alone
• Reinforces fold repairs to help prevent recurrence of bottoming out
• Fully absorbable, leaving your own collagen behind rather than a permanent foreign layer

Dr. Jejurikar is candid with patients: mesh is one piece of the puzzle, not a magic wand. It works when the operative plan obeys your anatomy, which is why his revisions begin with careful analysis of pocket, tissue, and implant rather than a one-technique-fits-all fix. He believes so strongly in structural support that he uses an internal bra in the majority of his primary augmentations as well.

Correcting Animation Deformity

For implants placed under the muscle that visibly jump or distort with activity, Dr. Jejurikar frequently converts the pocket to a subfascial plane, above the muscle but beneath its strong fascial layer. This eliminates animation, corrects position, and gives a stable, natural result, typically reinforced with an internal bra.

Implant Exchange Done Right

Whether you are exchanging for size, shape, or a modern implant like Motiva, Dr. Jejurikar uses hybrid support techniques that combine your own tissue with mesh reinforcement, and confirms final implant selection in the operating room with a full size range available.

Secondary Surgery FAQ

How do I know if I need an internal bra?
tissue, a fold repair, or a larger implant than your tissue
comfortably supports, an internal bra is usually part of
Dr. Jejurikar’s recommendation. He will show you exactly why,
on your own exam, at consultation.

Is the mesh permanent?
No. TIGR Matrix and DuraSorb are absorbable. They do their
structural work during the critical healing period and are
gradually replaced by your own collagen.

Is revision surgery harder to recover from than the original?
Often it is easier than patients fear. Dr. Jejurikar’s enhanced
recovery protocol, built around non-opioid pain control, applies
to revision surgery as well. See our
non-opioid recovery page.

Can my capsular contracture come back?
Recurrence risk never reaches zero, but meticulous pocket work,
modern smooth-surface implants, and structural support each lower
it. Dr. Jejurikar will give you an honest, individualized
assessment rather than a blanket promise.

Schedule Your Consultation

Every plan Dr. Jejurikar builds starts with an unhurried, one-on-one consultation. Meet with us in Dallas or by virtual visit. Call (214) 827-2814