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Breast Implant exchange safety

Daniel Reichner, MD answers: Is breast implant reduction too risky?

I had 500 grams silicone high profile implants place about 3 months ago. They feel a little too big and firm. I would like to downgrade them to maybe 425, maybe same projection but lesser diameter, since my ribcage is rather small. I am not necessarily looking for a conservative look; I just don't want to look too big. Is the procedure of downsizing an implant complicated or risky? I would probably do it in a couple of months.


Daniel Reichner, MD
9 months ago
By Daniel Reichner, MD - Orange County Plastic Surgeon

Down sizing to a small implant may be complicated if your implant pocket is too large and you have poor skin elasticity. When exchanging to a much smaller implant, I find that the implant pocket does not shrink adequately to accommodate the new implant.  I will adjust the pocket size with permanent sutures so that the implant is properly positioned.  If the breast skin has poor elasticity, a breast lift (mastopexy) may also be required.  I would recommend that you have a Board Certified Plastic Surgeon perform this type of breast implant exchange.

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More answers to “Is breast implant reduction too risky?”

A: You should allow some time before changing your implants

Sanjay Grover, MD
9 months ago
By Sanjay Grover, MD - Orange County Plastic Surgeon

You should give it some time before rushing in for another surgery.  Of course, you can have another procedure and change your implant to a smaller size, but your body is still accomodating to having your implants placed.  You may feel that you actually like your size in a few months.   Although an implant exchange can be relatively 'easy', any surgery entails some risks and costs, of course.  The other thing to consider is that the difference between a 500cc and 475cc high profile implant is not that significant.

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