There are two important factors a board certified plastic surgeon will take into account when determining whether or not a patient is an appropriate candidate for revision breast augmentation surgery. The first consideration is a clear definition of the potential patient’s concerns, and clearly set expectations. As an example, a woman may be unhappy with the position of one breast fold with respect to another, with asymmetry of her breasts after enlargement, with firmness, etc. Vague desires that are open to interpretation can lead to remarkable dissatisfaction, regardless of how well the surgeon thinks the operation was performed.. The second consideration is the client’s psychological and otherwise motivation for desiring repair of a previous breast enlargement. The patient who is emotionally stable, secure, has thought the process through, is aware of possible drawbacks, and has set realistic goals is likely to be very satisfied with the outcome of revisionary or secondary breast enlargement surgery. The insecure client who believes that repair of their breast augmentation is the next new key to changing their life, who is pushed to repair by a need to satisfy a partner, or who decides to undergo repairative breast enlargement surgery on the spur of the moment will be highly likely to be displeased by any post-surgical outcome, no matter how outstanding. The third consideration is the patient’s overall health condition. It goes without saying that high-risk patients with multiple medical issues should not undergo elective cosmetic surgery.