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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.

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14 Doctor Answers | Asked by sandyt123 in Toronto, Ontario

Doctor Answers (14)
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Breast Implant Exchange Usually Makes Same Size Implant Look Smaller

Thank you for your question. During a Breast Implant Exchange the Capsule around the Implant is opened and may be and usually is enlarged. The result is that even the same sized implant will look smaller after this Capsulotomy. You will most likely not need a Breast Lift or Mastopexy based on the photos you have submitted. A 225 cc Mentor Moderate Profile Plus is a medium to small inplant and depending on natural breast size apparent in your photos should likely give you a... more

You probably can avoid a breast lift

The only way to have your breast the size and shape you are looking for it to do exactly what you have preposed. After looking at your photo it seems to me most probably you will be able to avoid a lift. Unfortunately, the only what to know for sure is to do the surgery and she what it is like at 6 months. I believe you will be happy if you take this approach and will do well with out the need for a lift. Good luck.

From Natrelle to Mentor

How long ago had you had your surgery? You appear early post-op in your photos: this may have a big impact on your concerns. The volume differences you describe don't seem to correlate with your questions/concerns. The size diffferences you are seeing with the implant size you have chosen seem disproportionate and the small difference in implant size you are anticipating would not make a cup size change. The differences you might see if you changed from Natrelle to Mentor... more

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Change to a smaller implant size will not require a breast lift.

Droppin down to the size you indicate should not create a problem that will require any breast reshaping. In my experience, both Natrelle and Mentor are similar quality implants. I offer both products to my patients. If I were you, however, if your breasts are soft and there is no other reason to operate, I would strongly reconsider the change in size. It is unwise to put an otherwise good result at risk by subjecting yourself to another operation. more

Change from 410 silicone implants to round gel, will I get the desired result?

Hi Sandyt123. I have several thoughts. One, it appears that you are wearing tape on your scars, which indicates your surgery is fairly recent. In the early post-operative period the final result is not visualized. Second, it would good to know what style 410 you have; it looks like either the implant is too tall for your breast (is it a full height implant?) or that the pocket is not low enough. Third, I agree with previous comments that 280cc would not take you from a less than B cup... more

410's versus Mentor Silicone Breast Implants

I doubt that you will need a lift from the images I see. A 55 cc reduction is pretty small. Check with your surgeon regarding your desired goal size. On the feel of your new implants, it really depends upon the cohesiveness you desire. Mentor implants are all cohesive gel at this point. They should be a bit softer than the 410's you had. Best Regards.

Exchanging Breast Implants

Cohesive gel implants of 280 cc's should not put you into a DD. With a small drop in volume they will definitely be less projecting for you, but the overall volume will not be that much different. So whatever cup size you are now, I would think that it will not change much.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Breast augmentation surgeon more important than implant.

Hi. 1) It is not clear why your shape is not more natural (so much fullness on top) with 280 cc breast implants, which is not a huge size. 2) I don't think just going down a little in size will get you where you want to be. I cannot tell how from the one picture, but the implant pockets need to be modified. What your breasts look like has much more to do with how the surgery is done than with the implant. 3) You certainly do not need a breast lift.

The best result would be with a small mastopexy

The quick answer is that yes the skin will be stretched to the current implant size. When the smaller implants are placed the pocket will need to be reduced. And, if you want the home-run result a small periareolar mastopexy will likely be needed. With that said, and depending on your age and skin tone, the skin will contract some without the mastopexy. It just depends on what you are willing to accept. I think you will like the Mentor implants. They are very natural feeling and my... more

Choosing your breast implant size

Communication with your surgeon is critical in achieving the results you wish. I find that this is best done with the use of pictures as opposed to trying to predetermine specific implant size or profile. The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the... more

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