Can a smaller implant be placed into a previously larger pocket??
Thanks for your great question. Some patients choose to change the larger implant size chosen in their youth to a more natural look opting now for a smaller implant. When this happens, there is a good chance that the pocket will need to be made smaller. This can be done with a capsulorrhaphy, (internal sutures) and a breast lift, to remove excess skin that may have stretched to accommodate the original larger implant. This adjustment of the breast implant capsules allows the smaller implant to fit into the opening without the worry of the implant moving. I hope this has proven to be helpful. Good luck in your search.
#BreatImplantRevision - Will a smaller breast implant move about in a pocket
Yes, this is a legitimate concern. Matching the base diameter of an implant can help, but that may mean a much lower profile implant. Other choices include sewing off portions of the pocket (termed a "capsulorraphy"), using textured implants (which "slide" around less), adding ADM (such as Alloderm) to control the dimensions of the pocket, or some combination of the above. You should of course discuss this in person with your own plastic surgeon. I hope that this helps and good luck, Dr. Alan Engler, Member of #RealSelf500
Will a smaller breast implant move about in a pocket that was previously made wide for a wider implant?
Yes, often when downsizing breast implants, adjustment of the breast implant capsules (capsulorraphy) must be made to allow for appropriate fit of the smaller plants in the surrounding capsules. Otherwise, patients may experience breast implant displacement problems; in other words, breast implants will potentially move in unwanted directions. You may find the attached link helpful to you as you learn more. Best wishes.