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.

Breast implant exchange - Replacing cohesive gel anatomical with moderate round silicone
4 answers to “Breast implant exchange - Replacing...”

A: Exchanging gummy bear for cohesive gel implants....

Lavinia Chong, MD

Thanks for your photo and story.  In the US we are eagerly anticipating the release of the gummy bear gels, however your case illustrates the importance of matching the correct device with the patient's objectives.  I've implanted 3 patients with these devices and have only a 66% satisfaction rate;... more

A: The best result would be with a small mastopexy

Christopher L. Hess, MD

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... more

A: Go ahead with your plan

Richard P. Rand, MD

Your surgeon should ideally have let you know what you would potentially look like with your current implants. With 225 moderate profile Mentor gels you will look much smaller and much more natural with no upper pole bulging that you currently have. While there is no way to know for sure, it doesn't look... more

A: You probably can avoid a breast lift

Carl W. "Rick" Lentz III, MD

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... more

Ask your question:

IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.