Breast implants after capsulectomy

John Michael Thomassen answers: Advice for breast implant size after capsulectomy?

I am 5'5", 108 lbs, 13.5 34A. I have silicone Dow Corning breast implants for the past 20 years. I am having capsulectomies on both. I have seen many doctors and almost all of them said 500 cc hp. I want 421 cc or 457 cc or 450 hp. Mine are under the muscle. I don't have a lot of tissue as I am thin, but all these doctors say 500 cc hp. Why? Will I be concaved after the old ones are taken out with loose skin?


John Michael Thomassen
3 months ago

It is difficult to size a patient accurately under these circumstances. Sizing depends on your desired look afterwards (natural vs. obvious), your chest width, and your breast ptosis, among other factors. You can have smaller implants as long as you are willing to have a mastopexy to gather the excess skin to shape the breasts. Your surgeon will likely use a sizer and have several implant options at hand to give you the look you desire. Good luck!

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