Using the Same Pockets in Revision to Upsize Breast Implants?

I am considering a revision to increase the size of my submuscular implants. My PS said a revision would be relatively simple a he would reuse the same pockets. My current implants have a diameter of 10.6. There is currently a generous but natural looking gap between my breasts. Would my new implants have to have the same diameter to fit into the existing pockets? Would the pockets need to be enlarged for an increase of less than a centimeter? Would such an increase affect post op swelling?

Doctor Answers 4

Achieving Goals with Revisionary Breast Surgery?

Sounds like your plastic surgeon is giving you good advice. Depending on how  big you wish to go with the revisionary breast surgery and the current position of the breast implant pockets on your chest wall, some “manipulation” of the breast implant  capsules may be necessary.

 One of the keys to success with this type of revisionary surgery will be careful communication of your goals with your plastic surgeon. In my practice, I find the use of goal pictures very helpful during this process.  Show your plastic surgeon, has precisely as possible, what you are trying to achieve.

 Best wishes.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

When a larger implants are substituted for smaller and placed in the same pocket that pocketable need to be made larger.

Occasionally patients opt to go with larger implants. Usually the old capsule is partially removed which creates plenty of space for the new implants.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

Larger implants

Upsizing implants is common, If the diameter of the implant increase is only 1cm more then the current capsule is probable going to be large enough. 

Walter D. Gracia, MD
Fort Worth Plastic Surgeon
4.7 out of 5 stars 3 reviews

Implant revision

Generally to go wider, you need to score the inside of the capsule or else they will potentially look tight.  It all really depends on what implant is selected and the findings regarding the pocket at the time of surgery.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.