Can breast implant exchange lead to tissue damage or over-stretched skin?

This depends on several factors: Your age The prior condition of your breasts Assuming no weight gain/loss in interim Hormonal factors Skin Elasticity Tobacco use Submuscular vs Subglandular placement Textured vs smooth surface Without being aware of these factors, as well as other issues, It is very... more

Mariana, Reducing breast implant size from 500 cc to 425 cc should not cause a problem. The breast envelope should re adjust naturally to the smaller implant. With the size difference you mention I think any stretch mark or skin thinning would  be very unlikely. The skin should tighten naturally around... more

Actually the sooner you do the exchange the better as the tissue will retract back. However, 75 cc reduction is not a big change and I am not sure if you would see a big difference. In general, when I discuss this with patient, I always explain to them that if you are going bigger or smaller, in general you... more

Reducing your implants by 75 cm will do little to create a sag. And you are correct that moving from 500 to 425 in the Natrelle line will not change the projection, only the width.

Mariana, You should be fine with a small reduction in the size of your implant. Especially if you have too much projection or fullness now, the smaller size may help you look more natural. If you reduce the size too much, then you will develop breast ptosis or drooping. If this is the case, then you may... more

Hello, An implant exchange for smaller implants may result in the appearance of loose skin but this is from the stretching from the larger implants, not the additional surgery. Usually, the smaller implants just take a lower position on the chest or there is lesser upper pole fullness. These cases vary... more

Going down from 500 to 425cc is probably not too extreme that tit would cause sagging but each patient's tissue characteristics are different. If you already have high profile implants, you probably can't get the same projection with a narrower base diameter since reducing the volume usually means reducing the... more

Mariana, I'm assuming that by "breast reduction", you are referring to the downsizing of your implants. The placement of the 500cc implants has indeed resulted in some stretching of your tissues to accommodate the volume increase. Downsizing to 425cc may or may not result in some sagging or ptosis of... more

The type of surgery you will need will depend on the elasticity of your skin and breast tissue and the implant pocket size. When exchanging to a much smaller implant, I find that the implant pocket does not shrink adequately to accommodate the new implant. I will adjust the pocket size with permanent sutures... more

To mariana, I hardly ever use 500cc implants. They are too big for most women and they look worse as you get older. Try 400 cc. You will still be nice and full. The implant pocket can be made smaller during the revision. I would not worry about stretched skin, because the skin usually contracts snugly.