I had 500 grams silicone high profile implants place about 3 months ago. They feel a little too big and firm. I would like to downgrade them to maybe 425, maybe same projection but lesser diameter, since my ribcage is rather small. I am not necessarily looking for a conservative look; I just don't want to look too big.
I'm also concerned, can breast reduction damage tissues or result in a large area of stretched out skin? I would probably do it in a couple of months.
Actually the sooner you do the exchange the better as the tissue will retract back. However, 75 cc reduction is not a big change and I am not sure if you would see a big difference. In general, when I discuss this with patient, I always explain to them that if you are going bigger or smaller, in general you should go at least 100cc to see a noticeable difference. Hope that helps.
Hello,
An implant exchange for smaller implants may result in the appearance of loose skin but this is from the stretching from the larger implants, not the additional surgery. Usually, the smaller implants just take a lower position on the chest or there is lesser upper pole fullness. These cases vary.
The type of surgery you will need will depend on the elasticity of your skin and breast tissue and the implant pocket size. When exchanging to a much smaller implant, I find that the implant pocket does not shrink adequately to accommodate the new implant. I will adjust the pocket size with permanent sutures so that the implant is properly positioned. If the breast skin has poor elasticity, a breast lift (mastopexy) may also be required.
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