Can silicone be added to an existing implant to adjust the size of one breast that is smaller than the other without surgery?

Hello KisordjWe answered your wonderful question in the video above. Please consult with an accredited, board certified surgeon. It is all about designing the perfect plan for you and your body!Good luck, please let us know how it goes.- Dr. Constantino Mendieta

More silicone cannot be added to your current implants.  If  you want a larger size, you a surgery to remove and replace them with a bigger implant.

Thank you for the question.  If the asymmetry is very mild, some fat grafting could potentially even out the volume.  Fat is taken from an area of excess like your waist or abdomen and then carefully threaded around the implant being careful not to puncture the existing implant.  But, often times fat grafting can be more costly (because it takes more time) than simply exchanging an implant for a slightly larger size.  Plus, fat grafts do not always 'take' to the expected volume and can require revision.  It is not possible to add silicone to an existing implant but very easy (fast and with little downtime) to exchange an implant for a different size.

Thanks for your question. Unfortunately the implant volume cannot be adjusted. This would take an additional surgery. Best of Luck!

Hello, the vast majority of implants inserted are not adjustable.  Technically there is and adjustable type of implant that is a combination of silicone on the outside and saline on the inside, called a Becker implant.  However, it is not commonly used for cosmetic breast augmentation.

Thank you for your excellent question.  Whereas saline implants are inflated at the time of surgery to reach a desired size, silicone implants arrive prefilled with a particular amount of gel.  Once placed within the body, there is no way to adjust the size of the implant without exchanging it for another implant during another surgery.  If your size asymmetry is significant, speak to your surgeon about your concerns. They want you to be happy and will work with you on a treatment plan to reach your goals.  

Dear kisordj,



Saline implants can be adjusted in size by
adding or withdrawing saline because they have a valve. Silicone implants, however,
are factory sealed, and there is no way to change the volume other than to
replace the implant with a different size.



I hope this has been helpful.



Robert D. Wilcox, MD

Thank you for sharing your breast implant question.  Additional silicone cannot be added to silicone gel implants.  They are packaged pre filled and then placed in the breast pocket during breast augmentation surgery.  Should you wish for additional volume on one side, fat grafting could be an option, however it is costly and may also require additional revisions to achieve the desired volume. I hope this has been
helpful and I wish you all the best.
Brian S.
Coan, MD, FACS
Raleigh-Durham
Plastic Surgeon

Unfortunately no. Silicone implants are pre filled to a certain size. If you're unhappy with the size of your existing implants revisionary surgery is what I would recommend. Traci Temmen MD

The silicone implants are pre-filled to a specified amount.  You cannot add silicone to them.  If you want to change the size, that would mean replacing the implant with a larger one.  Best wishes.