Is it worth exchanging 300cc for 350cc implants?

Question

My dr made a mistake in my initial surgery and placed 270 implants filled to 300cc rather than the larger size I requested. I am considering exchanging for a larger size filled to 350cc. Cost is not an issue, I’m only concerned as to whether or not the size difference will make an impact. I am 5’7” 115 lbs with a 25” chest wall

Daniel Barrett, MD · Answer

Dear Straightforward4149,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

David Finkle, MD · Answer

Removing and replacing breast implants is a common procedure.  It can be performed for many different reasons:Implant size change, either larger or smallerImplant style change, more or less projection (moderate vs high profile)Implant type change, silicone for saline or vice versaTo relieve capsular contracture (capsulotomy)To remove capsules (capsulectomy)To reposition implants (capsulorraphy)To correct double bubble deformityTo correct symmastiaTo relieve breast painFortunately, these secondary procedures have a rapid recovery and almost no pain.  The initial discomfort of stretching and pulling of the skin and muscle from the first procedure has already happened. Also the same incision (therefore the same scar) can usually be used.Based on my experience on performing thousands of implant exchanges for larger size implants, you need to choose an implant size AT LEAST 50% larger than the original size to see ANY DIFFERENCE.  If your original implant size was 300 cc, then I would not place any implant smaller than 450 cc, (50% of 300  150, 300 + 150  450 cc).This is an outpatient procedure with a quick recovery.  Please consult with a Board Certified Plastic Surgeon who performs breast implant surgery frequently to assure the best possible result.Good Luck!

Is it worth exchanging 300cc for 350cc implants?

Answers (2)

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