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Scott E. Kasden, MD answers: Can implant exchange increase capsular contracture risk?

I have had implants for 7.5 years with no problems that I am aware of! However, they are def larger than is proportional with my frame as my rib cage is very small and they make me a 32DD when I was a small B before. I would ideally like them to be a C- cup and to maybe sit a tiny bit lower and am therefore considering having smaller implants put in.

Would you advise keeping the implants in the same position or moving placement? They are currently placed above the muscle as I am a personal trainer and aerobics instructor and didn't want any of the muscle jumping etc... associated with under the muscle placement.

However I am mainly concerned with keeping the likelihood of capsular contraction down to a minimum- is using the original pocket for a new smaller implant going to increase the chances of this occuring do you think? Thanks in advance!


Scott E. Kasden, MD
9 months ago

You should be fine with just changing to a smaller implant, within reason. Of course, there is no guarantee that you won't get a contracture as a result of the surgery. On the other hand, if you change to submuscular position, this may cause the need for a breast lift due to the stretching of the tissue above the muscle.

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