Worried about reducing breast implant size

Hi 8 Years Saline,

After reading doctor responses to Risks and side effects of downsizing breast implants and Can implant exchange increase capsular contracture risk? here's what I've found:

Reducing your implant size only 45cc likely would not produce a noticeable difference and would not require your pocket to be resized.  However, if your pocket does not naturally adjust to the smaller implant, your surgeon would be able to reduce the pocket size during the revision surgery. A couple of doctors specifically noted that they would use permanent/internal sutures to do this if necessary.

Typically, if you didn't experience capsular contracture the first time around and you plan to keep your implants in the same pocket under the muscle, it is unlikely that revision surgery would increase your capsular contracture risk. But as with any breast augmentation surgery, there is never a guarantee capsular contracture won't occur.

Since you've had your implants for several years, tissue atrophy, expansion and loss of skin elasticity may have occurred.  If this is the case, your surgeon may suggest a breast lift in addition to implant revision surgery to decrease or prevent sagging.

Additionally, most doctors who answered How is recovery from revision different from initial breast augmentation? agreed that recovery after breast augmentation revision is usually shorter and less painful than the initial breast augmentation surgery, but a lot depends on what exactly is done during your revision surgery.

After conducting a complete physical exam, your surgeon should be able to tell you exactly what needs to be done in your specific case and what you can expect during recovery. 

I hope this helps!

April