Implant exchange - Would a narrower implant reduce lateral stress on the repaired capsule compared to the wider Xtra options?

Question

Hello, My surgeon has ordered both 535 cc Xtra (12.8 cm width) and 595 cc Xtra (13.1 cm width) implants for me. These are High Profile Xtra implants. However, I am wondering whether a Motiva option such as the Round Corsé 550 cc (12.25 cm width) or 590 cc (12.5 cm width) would be safer in my case, considering my history. My current implants are 11.7 cm wide, and I have experienced lateral displacement over time. I will also be having a lateral capsulorrhaphy to correct this. My main concern is long-term stability and avoiding any recurrence of lateral shifting, as well as achieving a more centered and defined cleavage. Would a narrower implant reduce lateral stress on the repaired capsule compared to the wider Xtra options? Thank you in advance for your advice.

Daniel Barrett, MD · Answer

Dear Bellissima20,

breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. 
When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.
Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.
Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.
You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Implant exchange - Would a narrower implant reduce lateral stress on the repaired capsule compared to the wider Xtra options?

Answers (1)

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