As you get older, excessively large breasts can make you look matronly.

George J. Beraka, MD answers: Saline Breast implant reduction

I have Mentor saline implants filled to 375 CC, the procedure done in 2004. I have been quite happy with my breasts and the implants, but lately, as I approach menopause, I'm wishing for somewhat smaller breasts! Can I have, say, 100 or 150 cc of the saline removed from the implants, or will I need to have complete removal and replacement with smaller implants?


George J. Beraka, MD
11 months ago

To Dawn57,

I understand your concern. Your implants would have to be replaced, but this should be relatively straight forward.

If you make your breasts very much smaller, you may want to consider a lift at the same time.

 

More answers to Saline Breast implant reduction

A: You will need to switch out your breast implants

David Shafer, MD
11 months ago

Dawn,

Unfortunately, to reduce the size of your implants, they will need to be replaced. The implants are not made to modify the fill volume after implantation. Additionally, each implant as a specific fill volume with a narrow range. Reducing your volume will take your implant out of that range.

One other consideration when reducing your implant size is the effect on the overlying breast tissue/skin. The larger implant is supporting the overlying breast tissue. If you reduce the volume of the implant, then the overlying tissue may develop ptosis (or drooping of the breast). Your doctor should be able to give you a reasonable expectation of possible results.

Good luck with your surgery!

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Helpful?

A: Need new implants

Steven Wallach, MD
11 months ago

You cannot have removal of fluid from the implants without having problems.  Each implant has a minimum amount of fluid that is required to maintain the shape. Underfilling implants can cause stress to the implant capsule and cause them to prematurely rupture. If you want smaller implants you can go to a smaller sized implant but remember, you  may need a small lift as the breasts are deflated.

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