Implant exchange (saline to silicone). Which silicone? How big can I go and still look good? (photo)
Doctor Answers (8)
Implant Exchange with Mini Ultimate Breast Lift(TM)
Gary Horndeski, M.D.
Choices when switching and upsizing...
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Best size for silicone breast implants
This is definitely a case for an experienced board-certified plastic surgeon who has done a lot of revisional surgery. Be sure to research this prior to consultation.
Bigger may not be better
I would encourage you to get several opinions before proceeding with your plans feeling that bigger will be better. Larger volume implants may threaten to further attenuate your breast soft tissue envelope which would obviate reaching your stated goal of looking as realistic as possible. Having a consultation with an experienced plastic surgeon who could assess your situation is best. Proceed with caution.
Pocket repair and implant exchange
Thank you for the question and the photos. You will need pocket repair as well as implant exchange to accomplish you goals. You have several options including:
1) implant and capsule removal, healing, and second stage re-augmentation
2) pocket repair (capsullorhaphy) and implant exchange
With regards to implants. If you select option 1 then for your second stage I would consider shaped silicone implants (gummy bear implants). If you decide on option two you may be served best by round silicone implants. Pocket repair of this size may require a small revision to fine tune the pocket shape. Take a look at the before and after photo link of one of my patients.
All the best,
Dr. Remus Repta
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.