Breast reduction with a different silicone implant type?

I currently have Mentor Siltex Round MP, 350cc filled to 375cc. The diameter and projection of current implants are 13.3" and 3.9". I now also have a deflation. The original surgery was on August 2002 and the implants were placed intra-muscle. I am 5'8" and I have 30" rib cage and broad shoulders. I am considering changing to Siltex Round Gel MP. I am interested in downsizing to 325cc, with the diameter and projection of 12.9" and 3.6". Could I go with the 325cc 12.9 diameter without changing my cleavage spacing or is that a risk?

4 answers to “Breast reduction with a different...”

A: Reducing implant diameter by 4 millimeters will not affect cleavage

George J. Beraka, MD

Hi! Four millimeters (13.3 minus 12.9) is less than a quarter of an inch.  Go ahead and get the smaller implants.  All your surgeon has to do is very slightly close off the outer (by your arms) edge of the implant pockets. I would recomend using smooth walled rather than Siltex implants.  The... more

A: Cleavage will change

Robert M. Freund, MD

The numbers don't lie. Reducing the width of the implant will widen the cleavage and the larger pocket may exacerbate your concerns. You should talk to your doctor about medializing (pushing the implants toward the midline) the implants if that is truly your concern. A warning with this maneuver is that moving... more

A: It will be a small loss of diameter

Francisco Canales, MD

Hello Each implant is 0.4 cm smaller in diameter, so the cumulative loss will be 0.8 cm. That is a small change, but there will be some more separation as the 325 cc implant sits in the pocket of the former 375 cc implant.  Cleavage is only one measure of breast aesthetics. If you are more comfortable at... more

A: You will lose some cleavage

Richard P. Rand, MD

If you decrease the diameter of the implants, you will lose cleavage.  To maintain the cleavage, you need the same or slightly more diameter as you already have.   You might want to stick with the 350 MP gel or even the 375 MP gel which has the same diameter as the 350 when you put them side by side... more

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