Q: Dr. Eppley, I am interested in a breast implant exchange. I want to change from Mentor moderate plus silicone breast implants to moderate classic profile silicone implants with the same submuscular placement.(dual plane) I want only Mentor smooth round moderate classic profiles in size 385cc or 405cc. I want the most natural natural results with no upper pole fullness. I currently have Mentor 325cc and It is still not natural enough for me. I don’t want to look like I have breast implants.
A: From a breast implant exchange standpoint, changing the profile from moderate plus to a moderate profile will help a little bit bit I suspect not as much as you would like. The best way to maximally decrease upper pole fullness would be an anatomic or shaped breast implant since the shell is designed to distribute 2/3s of the implant’s volume in the lower pole. But smooth silicone implants offers a slightly lower expense to this aesthetic concern so this is an economic choice. But certainly the breast implant exchange as you have proposed can be done.
The interesting question, regardless of the breast implant profile, is how going up in size may work against the very goal you are trying to achieve…a natural look. i suspect that lowering the implant profile while simultaneously increasing implant size have you ending up right where you started… too much upper pole fullness.
Dr. Barry Eppley