Can implant exchange increase capsular contracture risk?

I have had implants for 7.5 years with no problems that I am aware of! However, they are def larger than is proportional with my frame as my rib cage is very small and they make me a 32DD when I was a small B before. I would ideally like them to be a C- cup and to maybe sit a tiny bit lower and am therefore considering having smaller implants put in.

Would you advise keeping the implants in the same position or moving placement? They are currently placed above the muscle as I am a personal trainer and aerobics instructor and didn’t want any of the muscle jumping etc… associated with under the muscle placement.

However I am mainly concerned with keeping the likelihood of capsular contraction down to a minimum- is using the original pocket for a new smaller implant going to increase the chances of this occurring do you think? Thanks in advance!

Replacing your implant with a smaller one in the same pocket should be fine if using a gel implant.  If you are thin with little breast tissue, you will want to avoid a saline implant in the subglandular position to avoid rippling.  With regards to capsular contracture, you should be fine keeping your implants in the same pocket if you currently have soft breasts.

Realize, however, that anyone with silicone implants can at some point develop a capsular contracture.  There is evidence to show that the submuscular position has a decreased incidence of capsular contractures but this may not be your best option at this point and given that you are a personal trainer.

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.