Don't think a 75 cc downgrade would change that much

Talmage J. Raine, MD answers: Can breast implant exchange lead to tissue damage or over-stretched skin?

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.


Talmage J. Raine, MD
9 months ago

Decreasing your implant size by 75 cc will make you a little smaller but not do much else. I think your concern about stretched skin and stretch marks is understandable but I am not overly concerned about either problem, especially with only a 75 cc decrease.

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A: Loose skin from downsizing or removing implants

Otto Joseph Placik, MD
9 months ago

This depends on several factors:

  • Your age
  • The prior condition of your breasts
  • Assuming no weight gain/loss in interim
  • Hormonal factors
  • Skin Elasticity
  • Tobacco use
  • Submuscular vs Subglandular placement
  • Textured vs smooth surface

Without being aware of these factors, as well as other issues, It is very difficult to predict what the shape of your breast will be or the condition of the skin envelope when you downsize.

With that being said, downsizing from 500 to 425 with a different profile should generally not cause a significant amount of skin laxity or breast ptosis (sagging).

This is a relatively modest change and may be barely discernible to you. So I would not be overly concerned about any dramatic difference. In the event that you experience a minor amount of ptosis, a breast lift could be performed at a later date but that will most likely be unnecessary, in my opinion.

During the recovery process, I would encourage you to wear a supportive bra 24x7 to support the mammary parencyhma (breast tissue) and encourage contraction of the loose tissues in their new and smaller position.

I hope this helps! 

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