It's not uncommon for patients to believe they must see the same surgeon who performed their breast augmentation should they decide to exchange or remove their implants. The truth is, the two surgeries require specific skill sets. While you can return to your original surgeon for breast implant revision, it's extremely important to assess their level of training and experience in the performance of revision procedures. You want to know that your surgeon has the necessary techniques to address the issue or issues that you're facing, such as capsular contracture, symmastia, or other concerns. You also want to feel confident that your surgeon is well-trained in the various types of breast revision that are available today. In the end, it's your safety and a satisfactory outcome that are more important than the familiarity you have with a previous surgeon.