Exchanging gummy bear for cohesive gel implants....

Lavinia Chong, 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.


Lavinia Chong, MD
1 month ago

Thanks for your photo and story.  In the US we are eagerly anticipating the release of the gummy bear gels, however your case illustrates the importance of matching the correct device with the patient's objectives.  I've implanted 3 patients with these devices and have only a 66% satisfaction rate; both are unilateral breast cancer reconstruction patients. Just like you, my cosmetic patient feels that her breasts project too much and are stiff. 

With reference to your choice of Mentor Moderate profile 225cc gels, I think you have chosen well.  The lateral photo shows that a good nipple position, so I doubt that you will need a mastopexy.  You should be favorably impressed by how much movement your breasts will have as a consequence of the switch out. Good luck.

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