The best result would be with a small mastopexy

Christopher L. Hess, MD answers: Breast implant exchange - Replacing cohesive gel anatomical with moderate round silicone

I currently have the Natrelle style 410 cohesive gel, form stable implants. They are 280 grams, have a diameter of 12cm, and a projection of 4.4cms. They are too big for me as I wanted a B cup and am now a DD!

I should have looked more at the projection than the gram/cc amount when choosing an implant. I now realize that I'd like a much smaller projection and am looking to replace these Natrelle 410's with the Mentor Smooth Round Moderate Silicones - 225ccs. They have a diameter of 12.2 and a projection of 2.6cms.

So I am looking to replace form stable cohesive gel implants (level III) with Mentor Moderate Round implants (level I). 

Will this small decrease of 55ccs/grams enable me to avoid a breast lift? Or would the larger projection of the 410's have already stretched me out too much? Also, will the cohesive level difference in the two be an issue?

Thanks in advance.


Christopher L. Hess, MD
10 months ago
By Christopher L. Hess, MD - Fairfax Plastic Surgeon

The quick answer is that yes the skin will be stretched to the current implant size.  When the smaller implants are placed the pocket will need to be reduced.  And, if you want the home-run result a small periareolar mastopexy will likely be needed.  With that said, and depending on your age and skin tone, the skin will contract some without the mastopexy.  It just depends on what you are willing to accept.  I think you will like the Mentor implants.  They are very natural feeling and my only choice for silicone implants.

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