I'm looking to do implant exchange from over to under the muscle. Suggestions?
Doctor Answers 5
When changing pockets
from above the muscle to below, you have to be ready to accept the movement of your breasts that you've not had to deal with since your first procedure. If you have contractures you are dealing with, going under the muscle can help but you can also stay above the muscle with shaped, textured implants but this requires a lot of work to create the perfect pocket needed for textured implants.
Drooping of breast with over the muscle implant
I would highly recommend that you consider having only a single surgery to address your concern; this will require replacing the implant in a submuscular pocket as well as a lift at the same time; if you are going to fix your concerns just get it done in one session. Just changing implant style is not going to correct your concern. Please see examples below.
I'm looking to do implant exchange from over to under the muscle.
Changing from saline subglandular to silicone subpectoral implants is often a very good idea to improve the naturalness and feel of your breasts. I prefer to choose the final implant size from a variety of implants using "sizers" placed into the new pocket at the time of the procedure when actual results can be seen. My preference is toward mid or mid+profile implants and not hp implants but some will disagree. You will need to have a larger volume in the subpectoral position to maintain a similar apparent size to your current saline subglandular implants. Best wishes,
Jon A Perlman MD FACS
Certified, American Board of Plastic Surgery
Extreme Makeover Surgeon ABC TV
Best of Los Angeles Award 2015, 2016
Beverly Hills, Ca
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Implant Exchange Saline to Silicone
In general to keep the same look that a patient had with saline implants, it is necessary to go slight bigger with silicone implants to keep the same look.
When a patient desires to stay the same size as their previous implants, I generally assess the dimensions of the saline implant and then choose a silicone implant that has the same or similar dimensions.
Hope that helps.
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