What to expect when swapping out textured anatomical implants?
Doctor Answers 6
Capsular contracture breast implants textured implants implant exchange
There is no significant increase of capsular contracture. There is no significant increase of nipple sensitivity. There is, however, an increase for a rotational deformity when one breast implant is exchanged for a smaller breast implant. This is due to the original implant pocket size. If you are changing breast implants to a smaller size, the pocket must be reduced also. This is achieved by placing sutures along the lateral (side next to your arm) aspect of the breast implant pocket. If there is any excess breast skin, a mastopexy should also be preformed. This two manuevers minize anatomic breast implant rotation.
If you have any questions, please contact me.
If you are going to downsize your implant size 30% I would recommend you switch to a round implant. After downsizing, the risk of implant rotation is significant as your pocket may be too loose to hold the shaped implant in proper position and may require internal pocket suturing. Obviously, a physical examination is critical in determining your risk for this problem.
The good thing about simply downsizing your implants is it can be done under minimal sedation with a virtually painless recovery. I hope this information helps!
Thomas Taylor, MD, FACS
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Please consult with a board certified plastic surgeon to give you the best outcome.
If you are having a reduction in the size of your implant then you may require a breast lift.
I am assuming you are referring to a textured silicone gel filled implant.
Textured silicone shell Implants are not difficult to remove, there usually is some adherence of the capsule but not tissue ingrowth.
If they are polyurethane coated then his outer shell does have considerable tissue ingrowth and this generally is not excised and forms part of the new capsule.
It is important for your surgeon to consider modifying the capsule to the size of the new implant. This is achieved with internal stitches.If this is not done there is an added risk of implant rotation or displacement.
Your surgeon will also consider whether it is necessary to change the pocket of your implant ( either in front or behind the muscle) and whether the capsule should be excised. This why you seek a consultation with a board certified plastic surgeon.
CC should not be a problem just because you have an implant exchange. It is more likely following complications such as infection or bleeding.
If the same incision is used then it is unlikely nipple sensitivity will be affected.
Good luck with your decision
Swapping Anatomical Implants to Smaller
Textured implants do stick to their capsule, but are easily freed with the sweep of a finger, leaving the intact, albeit irregularly surfaced capsule intact.
In preparation for the new implant that is a 1.5 cm shorter and narrower, it is important to modify the limits of the capsule along it's lateral and inferior border so that it properly supports the new implant in the same was as the old one: snug.
This modification is accomplished by sewing the unwanted regions of the capsule closed using permanent suture material. Some surgeons cauterize those areas first to encourage contraction and coaptation of the surfaces. Additionally, two rows of sutures can be used to support the closure. This technique is known as 'capsulorrhaphy'.
Done by a surgeon who is experienced with these techniques, you shouldn't have any problems.
Best of luck!