Implant revision - switch to Ideal? (Photo)

Question

I had breast augmentation November 2021. I currently have mentor high profile 400cc silicone implants. I’m 5’ 6” and 126 pounds. The implants have moved out of the pocket both down and out, not horrible but enough that I need a revision. I am really leaning towards switching to the ideal implant. I don’t like the silent rupture and need for MRI. My question is how different will the ideal look and feel? I don’t want to be faced with another revision in the short term.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Yes getting an MRI is never a bad idea and actually recommended for silicone implants about every 3 years, getting insurance to cover it is another issue. You look great and are thin so you don't have a lot of extra skin and breast tissue to cover the implant, this will mainly affect how natural and real the implants feel. The brand doesn't matter as much but what makes a difference is the amount of breast tissue you have. In our clinic we only carry Mentor and Natrelle. Speak to your plastic surgeon about your options and desired outcome. Feel free to check out our before and after photos.

Daniel Barrett, MD · Answer

Dear cheetah0609,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

There is nothing safer or better in performance than a highly cohesive silicone gel implant. Silent rupture is not dangerous. Implants should be evaluated by MRI, or now, by high resolution ultrasound (HRUS) at 5 to 6 years, which is very, very conservative, given the rupture rates of modern implants like Sientra (5% rupture at 10 years). Breast surgeons who do a lot of implants should have this relatively inexpensive ultrasound in their office so you don't have to go elsewhere for implant surveillance.

Connie Hiers, MD, FACS · Answer

The Ideal implant is a saline implant that may have ripples and is much firmer than gel implants. By the way it is made, it is also heavier at the same volume as the gel. You might consider Mentor saline implants instead with possible fat grafting for better coverage. Your one lateral pocket can also be tightened.

Implant revision - switch to Ideal? (Photo)

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Implant revision - switch to Ideal? (Photo)

Answers (4)

Answer: Implants

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.