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Can I replace my cohesive gel implants with smooth gel implants for a more natural feel and look?
I had breast augmentation done a couple of years ago going from a size 34 A to 34 C with cohesive textured gel implants. Now I feel they are a bit big and too firm. I would like to switch to smooth gel implants and go to a size 34 B. Will I get the natural feel with smooth implants and will the procedure be the same? Also, I had dual plane done before . What would you advise?
Yes, breast implants can be exchanged and different types of implants are often requested with the exchange. Yes, you can go to a smaller size. The issue of softness does require an examination. You may have developed capsular contracture which presents some serious issues by itself. Consider a consult with one of the members of the ASAPS in your area to address your concerns.
Gary R. Culbertson, MD, FACS
Downsizing implants is becoming a popular procedure, and is often a relatively simple procedure. Textured implants generally feel firmer than smooth implants, and the firmest type is form-stable implants such as Allergan style 410 and Mentor CPG. Unless you have additional problems such as animation deformity or double bubble, it is probably best to have the new implants in the same dual plane space.
R.A. Baxter, MD