American Society of Plastic Surgeons
For Medical Professionals
 
mestiza
4 years ago
Answered

size and profile change

With revision breast surgery, can you go down on size like 290 to 250 cc? Can you change profile from low to moderate or moderate plus? Can you change shape of implants from tear drop to round? What happens to the old pocket? Thank you

Procedure: Breast Implant Revision
Location: los angeles, CA

Replies 6

J. Gerald Minniti
ASPS Surgeon

Experienced surgeons can reduce the size and profile of a breast implant, as well as change the shape. Depending on each patient's anatomy, and situation with regards to the specifics of the planned implant changeout, either the implant capsule will be closed down with sutures and/or mesh (capsulorrhapy), or opened up by cutting or releasing capsule (capsulotomy or capsulectomy).

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Aaron Stone
ASPS Surgeon

You can do all of the above and the pocket will accommodate to the new implant. If the capsule is thick the front of it can be removed or parts of it can be sutured together to ensure that this happens. The main question is does anything have to be done to the skin. If the new implant is significantly smaller than the the old implant the skin envelope would need to be tightened by removing some excess skin. That is unlikely going from 290cc to 250cc. The only other reason to do anything to the skin envelope would be to adjust nipple position.

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Nelson Castillo

Thank you for sharing your excellent question. It is possible to change the volume, profile, and shape of implants during a revision. In most cases the original pocket is used, but may be altered slightly for the smaller diameter of the new implant. Hope this helps.

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Jon Harrell
ASPS Surgeon

Yes - you can drop or add size within reason when performing a revision surgery. Profile can be adjusted as well. Small changes may not require any modification of the pocket but occasionally the pocket may need to be reduced in size. If your revision is due to encapsulation then a release or removal of scar may be necessary. Best of Luck Dr Harrell

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Paul Parker
ASPS Surgeon
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You can reduce the size of the implant as well as change its profile and shape. When doing so we modify the implant pocket to accommodate the new implant.

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Katerina Gallus
ASPS Surgeon
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Hello and thank you for your question. Yes - you can absolutely downsize your implants with revision surgery as well as change the profile or shape. The capsule that forms around your previous implant may need to be modified or removed depending on your current anatomy and the plan for the second set of implants. Discuss your goals with a board-certified plastic surgeon and you should be able to have a better idea of what can be accomplished with an in-person evaluation. Good luck!

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