Board Certified
Plastic Surgeon
Since 1989

Replace saline implants with silicone implants

Q: I’m switching from Mentor saline implant under muscle to Allergan Natrelle Inspira under muscle. My existing saline implant is 375, overfilled to 425. I’m looking for the same (or maybe slightly bigger) size, with natrelle Inspira gel implant under the muscle. What size do I need? Is it true that when switching from saline to silicone, you need to go a little larger?

It would have been very helpful to see your front and side view pictures. I am curious to know why you want to change your saline implants to silicone implants, since, in my opinion, saline implants are superior to silicone implants.

I have been in practice for over 30 years, and performed breasts augmentation surgery on thousands of patients, using almost exclusively smooth, round, moderate profile saline implants made by Mentor. Many of these patients were mothers and daughters, and it is inconceivable that a mother would refer her daughter to me if she was unhappy with the saline implants.

One of the many disadvantages of silicone implants is that you will get long incision in the submammary crease, which is not scar friendly. Saline implants require only a small scar along the inferior sub areola line, which is very scar friendly.

If you insist on silicone implants, you do not have to change the size of the implants if you are happy with your current breasts cup size. Implants’ size is the same for silicone and saline implants.

Always, consult with experienced, board-certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of “redo” breast augmentation in the photo gallery; make sure that they are numerous, consistent, and attractive, with nice cleavage, perkiness, symmetry, and look natural.

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