Want To Have 20 YO Implants Exchanged for Bigger. Should I Go Over or Under Muscle? Saline or Silicone?

asked 7 months ago by Cheyenne4384
Latest answer by Armando Soto, MD
Question viewed 275 times
Tags: saline implants, silicone implant, under muscle, 20 years post-op, 600-649cc, bigger, over muscle

I Have Under the Muscle 330 Cc Implant Sugery 21 Years Ago. I Am Considering getting larger implants possibily 600cc. Should I keep the new implants under the muscle or on top of the mscle. Would saline or silcone be better option for me.

8 answers to Want To Have 20 YO Implants Exchanged for Bigger. Should I Go Over or Under Muscle? Saline or Silicone?

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Hi there- Without a consultation to better understand your goals and situation, and an examination to better understand your body and current starting point, I would not feel comfortable or responsible advising you about so technical a detail. In general, I would say that you are better off with implants under your muscle over the long term. I would recommend you have a careful discussion and exam with a surgeon you like and feel you can trust. If you choose your surgeon... more

Armando Soto, MD
Orlando Plastic Surgeon

Replacement Of Old Breast Implants

With 20 year-old implants, I can only assume that they are silicone. You may or may not have some degree of capsular contracture of which this scar tissue will need to be removed. This will make your tissues potentially thinner. For these reasons, I would stay with or use silicone implants to decrease potential rippling. A submuscular location is a good choice for secondary implant replacement. While some increase in implant size is not unreasonable, you should be careful about... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Exchange of implants

Doubling the size of your implants may increase the risk of problems with stretching among the first things. As for pocket location, it relaly depends upon your anatomy and what type of soft tissue coverage you have now.

Steven Wallach, MD
Manhattan Plastic Surgeon

Caution in going to larger implants

There are several things to consider in replacing implants, and no one can give you definitive advice without seeing you personally. With that in mind, here are a few general guidelines: Larger implants will be heavier and more prone to stretching the skin and tissues around the implant, which could lead to sagging and rippling. If there is a scar contracture around the implants, that would need to be removed and this further thins the tissues. Staying under the muscle helps with coverage on... more

Richard Baxter, MD
Seattle Plastic Surgeon

Replacing old breast implants

I would imagine after having 20yr old implants, your breasts would be low and saggy. Please do not make the mistake of replacing your implants for much larger ones in the hope of a lift. This method simply does not work. In addition, the weight of a much larger implant will stretch out tissues even further-making things much more difficult to correct. It would be very helpful if you could re-submit your inquiry with pics. This would help provide you with the best possible advice. Best... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

Replacing 20 year old implants

If your implants are 20 years old they are very likely silicone gel, and you might need the capsule to be removed as chances are your implants have leaked and are quite firm. We would suggest you stay with a silicone gel as better to stay with what you know, and have less ripple risk as your tissues may have thinned. The submuscular pocket is a good choice. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

New implants

Unfortunately there is not enough information here to answer your question. I have no idea what type of implants you have and any issues with the implants or the condition of the overlying tissues

Jay M. Pensler, MD
Chicago Plastic Surgeon

Breast Augmentation Revision?

Thank you for the question. It is difficult to give you good advice without direct physical examination or viewing photographs. Generally, I think it is in your best interests (and that of most patients seeking breast augmentation surgery) to have implants replaced in the “dual plane” sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the... more