My surgeon initially put a 110cc size difference in implants without warning me. She “fixed” it but still put a size difference of 35cc’s, and she doesn’t think it needs revised anymore but I can still see and feel a difference. She tells me no one would want to operate on a size difference this small. She initially put 405cc in R, 295 in L, now the R is 330 but I’m wanting my R to be 295cc.
March 5, 2025
Answer: Implant exchange Hello, and sorry you are experiencing continued feelings of asymmetry. It is common for surgeons to want to avoid an operation for minor differences due to the risk of creating complications. However, I have done exchanges for size differences of 25mL in the past depending on how much it bothers a patient as long as they are willing to take the chance that the symmetry may still not be perfect and accept that a larger complication (like capsular contracture or infection) may result from opening the pocket again. Sometimes even if there is a perfect size match, the shape or nipple position becomes more asymmetric, so occasionally that is why I put in two sizes. If your surgeon does not feel comfortable doing this, it's likely you will be able to find a surgeon who will accommodate your wishes.
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March 5, 2025
Answer: Implant exchange Hello, and sorry you are experiencing continued feelings of asymmetry. It is common for surgeons to want to avoid an operation for minor differences due to the risk of creating complications. However, I have done exchanges for size differences of 25mL in the past depending on how much it bothers a patient as long as they are willing to take the chance that the symmetry may still not be perfect and accept that a larger complication (like capsular contracture or infection) may result from opening the pocket again. Sometimes even if there is a perfect size match, the shape or nipple position becomes more asymmetric, so occasionally that is why I put in two sizes. If your surgeon does not feel comfortable doing this, it's likely you will be able to find a surgeon who will accommodate your wishes.
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March 3, 2025
Answer: Correct wrong implant size Yes, a surgeon can take out the 330 cc and put in 295 cc. It may make a minor difference. Best Wishes, Gary Horndeski, M.D.
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March 3, 2025
Answer: Correct wrong implant size Yes, a surgeon can take out the 330 cc and put in 295 cc. It may make a minor difference. Best Wishes, Gary Horndeski, M.D.
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