I am getting saline implants because I am not old enough to get silicone. I really really want silicone because of the look and feel but am stuck with saline. I am going to go about this through the TUBA method but I was wondering, when I replace them with silicone through the periareolar method, will the pockets still be there? Or will I have to go through the whole process of waiting for them to drop and fluff again?
What Happens to the Pocket when You Switch out Saline Implants with Silicone?
Doctor Answers (7)
Who sez you're too young to get silicone implants. If you really want silicone, it makes no sense to get saline with the intention of having them switched later. Try getting a second opinion.
Switching saline to silicone utilizes the same pocket if patient desires.
First of all, I think it's nonsense to deny you silicone gel implants because of age. There is absolutely no scientific evidence or any logic whatsoever to support this. If you choose the saline implants, someday you may want to switch to silicone. This is not a big deal but is an operation and has its costs. I would hold out for silicone gel implants with your surgeon. The age issue is a recommendation, not the law.
Pocket Management in switching from saline to silicone implants
To a great extent, the management of your implant pockets will depend on how your first surgery is done, how happy you are with the outcome, and what (if anything) needs to be done to make your breasts as beautiful as possible at the time of the change to silicone.
If you have a lovely outcome and are very happy with the shape and size of your breasts, it shoudl be very simple to just switch implants.
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Revisionary Surgery and Breast Implant Pockets?
Thank you for the question.
Assuming the operation is done well the first time, revisionary breast surgery (removal and replacement of breast implants), is generally an easier operation ( from the patient's recovery standpoint). Generally, the breast implants will be in good position soon after surgery ( with no need for them to “drop and fluff”.
Be very careful with your selection of plastic surgeon.
Usually if the implants are about the same size, and the pocket is ok, the exchange is realtively easy and the recovery is not as difficult.
Secondaries are easier (on the patient) :)
Generally the maturation of implants breast is easier/faster the second time around assuming everything goes well the first time. There is usually less time waiting for dropping on operations following the first as well.
John Di Saia MD