Can a doctor use same pocket when using larger implants?

The same pocket could be used.  However, with this large a size change, the pocket is often made larger, a procedure we call a capsulotomy.  This involves cutting the capsule tissue circumferentially so that the pocket enlarges. 

Yes you can use the same pocket for the new implants, but the size of the pocket may need to be enlarged according to the size of the new implant that's being exchanged for.

Hi.  Usually, when increasing implant sizes, some minor adjustments to the pockets are done, either to make space for the slightly wider implant, or to release any early capsule tissue that has formed.  If your pocket is already big enough for the implant, it may well be that no additional adjustments are planned - but of course, that may change intra-operatively, once your surgeon examines the pocket during the procedure.All the best,

More information is needed.  Are you under the muscle?  Are your current implants soft?  Are your pockets OK now?  Do you have too much lateral displace or too wide cleavage?  Can you post photos?If you have a current submuscular pocket that is acceptable in shape and look, then your surgeon will likely just fine tune your current pocket to allow for a larger implant.Bottoming out coming from overaggrssive release of the muscle and/or a patient with very soft/weak connective tissue.

Absolutely. The same pocket can be used. Modifications may need to be made to the pocket depending on the size of the pocket in relationship to the size of the implant. When going bigger, the pocket may need to be opened up a bit. That would be decided by your surgeon either ahead of time or in the operating room. 

Thank you for the question. Whether or not breast implant “pockets” need to be adjusted during revisionary breast augmentation surgery will depend on several factors including the size of the breast  implant pockets in comparison to the size of the breast implant that is being utilized during the revisionary breast surgery. Also, if your current breast implant is not an good position, adjustment of the breast implant pockets may be helpful. You are correct in that over dissection may be one of the causes of breast implants malposition/displacement, such as bottoming out. You may find the attached link, dedicated to revisionary breast surgery concerns, helpful to you as you learn more. Best wishes.

If the pocket is not too large and the implant sits appropriately, then it is possible that you do not need to modify the pocket.

If your current pocket is larger than it needs to be (larger than needed for a 330 cc implant) a larger implant may fit without much modification.  Often when going from a smaller to larger size the width of the implant is kept fairly close to the same and the projection is increased.  Modification of the pocket in these circumstances is often fairly minimal primarily allowing the capsule to expand and accommodate the projection.All the best,Dr. Remus Repta

Generally, the same pocket would be used so long as it can accommodate the larger implant.  If it  requires adjustment, then this would be a decision to be made by the surgeon intraoperatively. 

Greast question.  It is difficult to answer without examining you to see how large your pockets are.  If there is ample space available, then your Plastic Surgeon would be correct.  If there is only a moderate amount of 'wiggle room', then increasing from a 330cc to a 550cc (almost 45% increase) will make your breasts quite firm (akin to what patients experience with a capsular contracture).  Good luck with your revision surgery.Dr Taranow, NYC Plastic Surgery