Board-Certified Breast Revision Specialist

We Do One Thing —
Fix Bad Breast Implants.

When a breast augmentation goes wrong, you need a surgeon who specializes in making it right. Dr. Leonard Tachmes has spent 32 years doing exactly that.

32 Years Experience
Duke University Trained
Memorial Sloan-Kettering
Miami Beach, Florida
Submit Your Case for Review

A Career Dedicated to
Getting It Right

Dr. Leonard Tachmes is a board-certified plastic surgeon who has dedicated his career to one of the most complex areas of aesthetic surgery: breast implant revision.

With training at Duke University and Memorial Sloan-Kettering Cancer Center in New York, Dr. Tachmes brings a level of precision and expertise that only comes from 32 years of focused practice.

His philosophy is simple: less is more. Every patient receives honest, personal care — not a sales pitch. In his boutique Miami Beach practice, Dr. Tachmes personally reviews every case, performs every surgery, and manages every follow-up.

“Revision surgery isn’t about starting over. It’s about understanding what went wrong, and having the experience to know exactly how to fix it.”
— Dr. Leonard Tachmes, MD
32
Years of Surgical Experience
1
Specialty: Breast Revision
Duke
University Training
MSK
Sloan-Kettering Fellowship
  • Board-Certified Plastic Surgeon
    American Board of Plastic Surgery
  • Duke University Medical Center
    Surgical residency & specialized training
  • Memorial Sloan-Kettering Cancer Center
    Advanced surgical fellowship in New York
  • Boutique Miami Beach Practice
    Personalized care, one surgeon, one patient at a time

Breast Implant Revision Specialties

Every case is unique. Dr. Tachmes has the experience to diagnose the problem and craft a surgical plan tailored to your anatomy and goals.

Capsular Contracture

When scar tissue around the implant hardens and distorts the breast shape, causing pain and visual asymmetry. One of the most common reasons for revision.

Implant Malposition

Implants that have shifted too high, too low, or to the side. Dr. Tachmes repositions implants and reinforces the pocket for lasting results.

Rupture & Deflation

Saline deflation or silicone gel rupture requires careful removal and replacement. Dr. Tachmes ensures complete removal of compromised implant material.

Bottoming Out / Symmastia

When implants drop below the breast fold or merge in the center. These complex cases require precision pocket repair and implant repositioning.

Rippling & Visibility

Visible implant edges or rippling through the skin. Often corrected by switching implant type, adjusting placement, or adding soft tissue coverage.

Size & Shape Revision

Unhappy with your current implant size, shape, or profile? Dr. Tachmes can replace with a better-suited implant matched to your body and goals.

What Patients Say

Real experiences from real patients. Read what those who have trusted Dr. Tachmes with their revision surgery have to say.

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Secure Virtual Consultation

Submit your information and clinical photos. Dr. Tachmes will personally review your case and reach out to schedule a one-on-one video consultation.

Personal Information
Medical Information
Clinical Photos

Please upload clear photos of your current breast appearance. Front, left side, and right side views are most helpful. Photos are kept strictly confidential and used only for medical evaluation.

Click or drag photos here to upload

JPG, PNG up to 10MB each · Maximum 10 photos

Your Case. Reviewed Personally by Dr. Tachmes.

When you submit your consultation request, Dr. Tachmes himself will review your photos and medical information. He will then reach out to you via email to schedule a one-on-one video consultation — directly with you, the patient.

This is what sets Dr. Tachmes apart. At his small boutique practice, with 32 years of experience, you communicate directly with your surgeon throughout the entire process. Not a sales coordinator. Not a patient liaison. Not a nurse. The surgeon who will actually perform your procedure reviews your case personally from day one.

This level of personal attention is rare in today’s high-volume plastic surgery market, and it’s exactly why patients travel from across the country to see Dr. Tachmes.

One surgeon. One patient. Personal care from consultation to recovery.

Miami Beach, Florida

Dr. Tachmes operates exclusively from his private practice in Miami Beach. One location. One surgeon. Complete focus on your outcome.

Office Location Miami Beach, Florida
Consultation Hours By appointment only

Destination Surgery

Patients travel to Dr. Tachmes from across the country for his specialized expertise in breast revision. If you’re in Florida, no travel needed — you’re already here.

For out-of-state patients, our team coordinates everything: virtual consultation, pre-op planning, travel logistics, and post-operative care.

New York Los Angeles Chicago Dallas Atlanta All 50 States

Ready to take the first step?

Submit Your Case Now