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Implant Replacement - Will I Lose Breast Tissues?

Hello doctors, I am planning on a revision and put in a new implant instead of using the existing one. I had gone through implant removal before without replacement(I was very very thin and flat chested), the removal resulted in some more loss of breast tissues which I did not anticipate. This time, with the revision, the surgeon will take out the existing implant, retailor the pocket and put a new implant in. Would I lose breast tissues when an implant is put back in in the same surgery? Many thanks for your opinion in advance.

Asked 36 months ago by imnyc in New York
Sort 6 expert answers by:
+1

Breast Implant Removal and Tissue loss?

Thank you for the question. Generally, you will not lose any breast tissue with the procedure you are planning. There are many variables involved with your breast appearance/feel besides that of the different implants being used. Unless there is “capsule work” done at the same time no breast tissue will be removed. I hope this helps.
Tom J. Pousti, MD
San Diego Plastic Surgeon
+1

No breast tissue loss from implant replacement

Swapping implants would not result in loss of breast tissue. If the reason for the exchange is capsular contracture, you could lose some volume but this can be compensated for with a slightly larger implant.
Robert L. Kraft, MD
New York Plastic Surgeon
+1

Revision surgery and breast implant exchange

If you are having a breast lift then I would say that you may lose a few grams because of skin removal. But, if you are just having an implant exchange I would not think you will have any significant change in native breast tissue volume.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Changes in breast size with revisional surgery

Revisional surgery can certainly change the size and shape of your breasts. If you're having significant capsular issues, your surgeon will likely incise the capsule if not actually remove some of it. When any soft tissue of your breast is manipulated during revisional surgery, your postoperative size can be changed. In my experience, if revisional surgery is performed, and the same size implant is used, patients often feel as if their breast size has decreased following surgery. This is... more
Adam David Lowenstein, MD
Santa Barbara Plastic Surgeon
+1

If you are not having capsule work, you should not lose tissue

Hello,  If your doctor is not removing scar capsule tissue to allow for the new implant placement, then you should not lose tissue. Some people need this more than others and the tissue loss is often due to this event in these cases. 
John P. Di Saia, MD
Orange Plastic Surgeon
+1

You don't lose breast tissue exchanging implants

The story you describe is complex having been through multiple surgeries. The removal of an implant without replacement will leave you smaller than before the implants were put in, but this is not because you lost tissue in the implant removal operation. It is because of the stetching of the tissue by the implant and the normal aging process. You also won't lose tissue putting a new implant back in.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
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