Breast Implant Revision: Q&A

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Breast Implant Placement Revision and Size

If I had breast augmentation with 375cc and 350cc implants over the muscle and they are removed and placed under the muscle without changing the size, will my breasts still be a 36 D cup, or will the size be smaller due to them being placed under the muscle?

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14 Doctor Answers | Asked by doingitagain in CA

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Switching from above to below the muscle breast implants

First of all, if you are replacing your implants into a new position, new implants should be used. If you place the same size under the muscle you will look a little smaller than if they were above the muscle, Depending on your skin elasticity and nipple position, you might also need to consider a lift. Discuss all this with your doctor.

The same volume-no change

It will be about the sam the shape may change some but the overall volume will be about the same. Good luck see video

Breast implant revision

Much of the final “look” achieved after breast augmentation revision surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle... more

Revision implants

If you change your implant ppocket positon form overs to under the muscle and use the same implants, it should be the same cup size.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast size is the same after implant revision

You might appear fuller in the upper pole, but generally, the breast size is the same after revision. Maybe you should consider slightly larger breast implants.

Breast size following breast augmentation revision

You are going to hear a lot of different opinions on this topic. For my patients, I tell them that this changing the implant pocket from a subglandular position to a submuscular position makes the breast mound SEEM a little smaller. This is a perceptive change because of the way the natural tissue drapes following the implant change. I usually increase the size of the implant by about 50cc when revising breast augmentations like this in Santa Barbara, and have universally found my patients... more

Breast size shouldn't change when switching implants from over to under the muscle

Hi Doingitagain - The general size of your breasts should stay the same, as the volume of muscle will only add a little to the overall size of your breasts. Expect some swelling after the surgery, so you will be big right after. When the swelling has resolved (6-8 weeks) you should realize the actual size of your breasts.

Breast Implants placed under muscle will generally not change cup size

Generally speaking, converting your implants from on top of the muscle to a position below the muscle will not change your cup size. When the implants are placed under the muscle, it usually means a partial sub-muscular position. The lower one half to one third of the implant remains in a sub-glandular position and therefore does not change the cup size.

Change in Breast Size by Moving Implant from Over- to Under the Muscle

Generally speaking, an implant placed under the breast (subglandualr) gland yet over the pectoralis muscle pushes the breast forward with less opposition resulting in MORE projection than if it had been placed under the breast gland AND under the muscle. (YET - there are important benefits of placing a saline breast implant in the under the muscle position). When an subglandular implant is relocated to a deeper under the muscle position, it is done for several possible reasons (such as... more

Breast implant revision is usually not this simple

Hello, How old are your breast implants? You might want them replaced anyway. In addition, you might benefit by the addition of a breast lift or a change in your implant sizing. Without seeing you this question is hard to answer.

Revision of Breast Augmentation

Implants placed under the muscle have to be slightly larger than implants over the muscle to obtain the same size. The unasked question, however, is why are you changing the implants? The answer to this question will also occasionally determine the implant used because of the ancillary procedures that may need to be done.

Position change of breast implants

Size is affected by a whole host of things. The first question is why you are changing the position. If it is because of capsules, the size will be different. That is because the capsule sqeezes the implant into a different shape and that may be smaller than the sctual implant. If it is because of ripples the size may be a bit smaller. The muscle will eventually relax so that the difference will not be very great and probably will not change the cup size.

Breast implant placement with revision

If you change from over to under, the size may be somewhat smaller than preop, given the implants are the same size. The bigger concern is the condition of the skin and breast after implant removal. If those structures are stretched, they may not return to a favorable configuration with the new location of the implants. The surgeon must take into account the elasticity of the breast skin as part of the assessment. You may need larger implants to take up the slack of the stretched skin... more

Breast Implant seems smaller under the muscle

When you change the implant pocket from above the muscle to below the muscle there are some important changes. Even with the same size implant you will feel smaller and tend to have looser breast skin. This may cause the breast to droop. So, when you change the pocket you need to decide what size you want to be and if you want to stay the same bra size you will need to increase the implant by 25 to 50 cc's to keep the same bra fullness. This will generally keep the skin from getting looser... more