BOARD-CERTIFIED PLASTIC SURGERY · HONOLULU, HAWAII
BREAST IMPLANT REVISION. NO NEW SCARS ON YOUR BREASTS.
Dr. Shim Ching is one of the few surgeons in the US to perform breast implant revision using an advanced endoscopic technique through the armpit, correcting complications from a prior surgery without leaving a visible scar on the breast itself.
APPROXIMATELY 20% OF DR. CHING’S BREAST SURGERY PRACTICE IS REVISION WORK FOR PATIENTS TREATED ELSEWHERE. THIS IS WHAT HE DOES.
BREAST IMPLANT REVISION. NO NEW SCARS ON YOUR BREASTS.
BOARD-CERTIFIED PLASTIC SURGERY · HONOLULU, HAWAII
PATIENT EXPERIENCES
WHAT PATIENTS SAY
WHY PATIENTS COME TO DR. CHING
WHEN THE FIRST SURGERY DIDN'T GO THE WAY IT SHOULD HAVE
Capsular contracture. Asymmetry. Implants that shifted, bottomed out, or rippled under the skin. A size or shape that never matched what you agreed to in the consultation room.
If any of this sounds familiar, you already know that a poor outcome from breast surgery doesn't just affect how you look. It affects how you feel every time you get dressed, every time you catch your reflection, and every time you wonder whether it's worth trying again.
These are real surgical complications and correcting them requires a surgeon who does this work regularly, not one who has agreed to give it a try.
◾ CAPSULAR CONTRACTURE
Firm or painful scar tissue forming around the implant, making breasts harden or look distorted
◾ IMPLANT MALPOSITION
Implants sitting too low, too far to the sides, or too close together
◾ BOTTOMING OUT
Downward migration of the implant causing the nipple to appear too high
◾ RIPPLING OR PALPABILITY
Visible or feelable edges of the implant, especially in the cleavage area
◾ ASYMMETRY
Uneven size, shape, or position between the two sides Implant rupture or deflation
◾ ELECTIVE EXCHANGE
Changing size, type, or both
THE DIFFERENTIATOR: SCARLESS TECHNIQUE
WHAT “SCARLESS” ACTUALLY MEANS AND WHY MOST SURGEONS DON’T OFFER IT
Many revision surgeons access the breast through the same incision used in the original surgery, often along the fold at the base of the breast or at the edge of the areola. Every revision adds to the scar burden on the breast itself.
Dr. Ching uses a different approach when patients are appropriate candidates. Using an advanced endoscopic technique, he makes a small incision concealed in the natural crease of the armpit. There is no incision on the breast, no new scar where it can be seen or felt.
WHAT MAKES THIS DIFFERENT FROM OTHER SURGEONS WHO USE AN ARMPIT APPROACH
The critical distinction is the endoscope, a small camera that lets Dr. Ching see directly into the surgical area throughout the procedure. Without it, armpit-incision surgery is performed with blunt instruments without direct visualization, which increases the risk of uneven dissection, bleeding, and asymmetry.
Dr. Ching has described surgeons who skip the endoscope as operating “essentially blind.” He is one of the few surgeons who have refined this endoscopic technique for revision cases — not just initial augmentation.
Note: The scarless endoscopic technique is appropriate for qualified candidates. Dr. Ching will evaluate your specific anatomy and surgical history during your consultation and recommend the approach suited to your case.
WITH ENDOSCOPY:
◽ Every step of the surgery is visualized in real time
◽ Dissection is precise
◽ Bleeding is controlled completely
ADVANCED MATERIALS: STRATTICE AND ALLODERM
FOR COMPLICATED REVISION CASES, ADVANCED MATERIALS MAKE A REAL DIFFERENCE
For complex revision cases, advanced materials can make all the difference. Standard techniques often fail in recurrent capsular contracture, implant malposition, or bottoming out because weakened tissues can’t hold implants securely.
Dr. Ching was the first surgeon in Hawaii to use biological scaffolds like Strattice and AlloDerm in breast surgery. Derived from human and porcine tissue, these materials:
◾ REINFORCE THE BREAST POCKET
Maintains correct implant position long-term
Additional tissue layer helps conceal the implant profile
◾ REDUCE RIPPLING AND VISIBILITY
Reduces the likelihood of complications returning
◾ SUPPORT THE REPAIR
Studies show they reduce recurrent capsular contracture, the most stubborn complication after revision. Dr. Ching has documented success where prior surgeries failed. These are proven, widely used tools, and Dr. Ching is among Hawaii’s most experienced surgeons applying them for revision patients.
ABOUT THE SURGEON
DR. SHIM CHING
Dr. Shim Ching is a board-certified plastic surgeon based in Honolulu, Hawaii. He holds dual fellowship status from both the American College of Surgeons and the Royal College of Surgeons of Canada in plastic surgery, and is certified by the American Board of Plastic Surgery.
He serves as an Associate Professor at the University of Hawaii John A. Burns School of Medicine, and has been recognized as one of the Best Doctors in America every year since 2011.
FELLOWSHIP TRAINING
Microsurgery
The Buncke Clinic, San Francisco
Breast Surgery & Asian Aesthetics
Plastic Surgery Center of the Pacific
Cosmetic Surgery
Clinica Ivo Pitanguy, Rio de Janeiro
RECOGNITION
◽ Best Doctors in America, 2011–present
◽ Castle Connolly Top Doctors, 2015–present
◽ Honolulu Magazine Top Doctors, 2015–present
◽ Allergan Top 100 US Practices, 2019–present
◽ KITV Best of Hawaii, 2025
◽ Modern Luxury Hawaii Top Doctors, 2025
A Note on Board Certification: Any licensed medical doctor can legally perform plastic surgery and call themselves a plastic surgeon, regardless of their actual training. Board certification by the American Board of Plastic Surgery requires completing a formal residency, passing a written examination, and passing an oral certifying exam. Dr. Ching holds this certification. When choosing a surgeon for revision work — which is inherently more complex than a first-time procedure — this distinction matters.
"I also have no scars, which was what was really important to me. I would 100% do it over again."
★★★★★ GOOGLE REVIEW — ASIA PACIFIC AESTHETICS
“From beginning to end the process was wonderful… I couldn’t be happier. It looks natural and amazing.”
★★★★★ GOOGLE REVIEW — ASIA PACIFIC AESTHETICS
“He truly has a kind heart to be able to fix people’s botched surgery… You go to the mainland, they charge an arm and a leg.”
★★★★★ GOOGLE REVIEW — ASIA PACIFIC AESTHETICS
“Dr. Ching’s care and expertise have truly given me hope throughout my recovery journey. His knowledge, precision, and compassion continue to bring light to a process that hasn’t been easy.”
★★★★★ GOOGLE REVIEW — ASIA PACIFIC AESTHETICS
4.9 ★
GOOGLE 674 Reviews
WANT TO SEE ACTUAL REVISION RESULTS?
Dr. Ching's gallery includes a dedicated category for endoscopic breast implant revision cases, real patients with documented outcomes from the same type of surgery described on this page.
Individual results vary. Each patient is unique.
WHAT TO EXPECT
HOW IT WORKS
⬜ STEP 1: YOUR CONSULTATION
Your first appointment is an evaluation, not a sales meeting. Dr. Ching will review your history, examine your current implants and tissue, and discuss what is causing the problem. You will leave with an honest assessment of what is possible and a written quote that reflects your specific case.
⬜ STEP 2: YOUR SURGICAL PLAN
Revision surgery is not a single procedure. Depending on your situation, your plan may include implant exchange, capsulectomy, pocket correction with internal sutures, Strattice or AlloDerm placement, fat grafting, or a combination. Dr. Ching will explain the recommended approach and the reasoning behind it before you make any decision.
⬜ STEP 3: SURGERY AT AN ACCREDITED FACILITY
All procedures are performed at Asia Pacific Aesthetics' accredited surgical facility. The quoted fee covers surgical expertise, anesthesia, facility use, and nursing care. No surprises at checkout.
⬜ STEP 4: RECOVERY AND FOLLOW-UP
Pre and post-operative instructions are provided. The practice team is available throughout your recovery. Out-of-town patients are supported through the process, including coordination with nearby hotels for those recovering in Honolulu.
PRICING AND FINANCING
TRANSPARENT PRICING. FLEXIBLE FINANCING.
Breast implant revision with Dr. Shim Ching begins at $15,000. These fees include surgical expertise, anesthesia, use of our accredited facility, and nursing care.
The final cost varies based on the complexity of your revision and which procedures are required. A written quote is provided at the end of your consultation before you make any decisions.
◾ PATIENTFI
Flexible monthly plans, rate check with no credit score impact
◾ CHERRY
0% APR and other rates available, fast approval, 24/7 account access
Asia Pacific Aesthetics offers payment plans through:
◾ CARECREDIT
Healthcare-specific credit with multiple repayment options
Our in-house financing specialist, Keri, has been part of Dr. Ching’s team for over 10 years. She works directly with patients to explain options and find a plan that fits.
TRAVELLING PATIENTS
TRAVELLING FROM OUTSIDE HAWAII? YOU WON'T BE THE FIRST.
Patients travel to Dr. Ching from across the Hawaiian Islands, the US mainland, and internationally, many specifically for revision work they could not find performed at this level closer to home.
The practice has built the infrastructure to make this straightforward. Multilingual patient coordinators can help you plan your visit. Hotel partners near the practice are used to working with recovery patients. And recovering in Honolulu is not the worst place to spend a week.
The Ala Moana location offers complimentary valet parking. The shopping center next door is there if you need it.
1330 Ala Moana Blvd., 4th Floor
Honolulu, HI 96814
📍 LOCATION
🅿️ PARKING
Complimentary valet parking
4.5 ★
REALSELF 101 Reviews
4.5 ★
YELP 308 Reviews
🌐 LANGUAGES
Multilingual patient coordinators
🏨 ACCOMMODATIONS
Partner hotels experienced with recovery patients
CONTACT US
READY TO TALK TO SOMEONE
WHO DOES THIS EVERYDAY?
Revision surgery requires a different level of experience than a first-time augmentation. The first step is a consultation. There is no obligation. You will leave with a clear picture of what is causing your current problem, what can be done about it, and what it will cost.
REAL PATIENT