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Exchanging implants from saline to silicone. Do I need to go slightly larger?

nursjen
I currently have sub muscular 390cc HP PIP saline implants. They were placed 16 years ago and I love everything about them except for the firmness so I decided to switch to silicone. I have selected a surgeon that prefers sientra implants and suggests I go slightly larger as he will need to open up the bottom of the pocket somewhat. I really like the size I am now as it allows me to run without any issues. Is it really necessary to go larger when exchanging from saline to silicone?

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