There is nothing wrong with going down on implant size

John Philip Di Saia, MD answers: Getting smaller implants - 700cc to 500cc feasible?

Hi. Four years ago I made the stupid choice of getting 700cc (Round smooth silicone, high profile, 14.4 x 6.2cm)breast implants. I am a tall girl, 5' 81/2" and 135 lbs. I wear a 36 band bra. My current cup size is WAY to large! My breasts look extremely fake and i am very self-conscious. Before the 700cc implants I had 400 cc anatomical implants to correct tubular A cups that were also asymetrical. I felt the 400ccs were too small. The 400cc (12.5 cm x 13 cm x 4.9cm) implants were submuscular and looked very natural, they were just small on my broad frame and seemed to be 10 miles apart. I got the 700cc implants to get a cleavage. I hate the high profile, they look really fake and I wanted a natural look. I am getting a revision soon and the doctor recommended Mentor Moderate plus profile, size 450 or 500cc smooth round silicone implants. The dimension of the 450cc implants is 13.6 x 4.2, the 500cc is 14.1 x 4.3cm. I would like a small D, right now I wear a 36D but I know it's the wrong size because the bra cups fit on the breasts like a baseball cap. I just want breasts that look "real". He said he would have to do a lift (hopefully just around the areola). Do you think going from 700cc to 450 or 500cc is feasible? Can this still produce pretty breasts that look "real"? What is your experience with downsizing?


John P. Di Saia, MD
4 months ago

Hello,

Down sizing breast implants sometimes requires a breast lift, but is very do-able. If you are as unhappy as you write it may be a very good idea. Have a good discussion with your surgeon on your options before you have surgery and you should be OK. Talk out what you are looking to change and "fine tune" both your surgeon's plan and your expectations, so you can both be happy with the outcome.

A: May need a lift

Hisham Seify, MD, PhD
9 months ago

The problem of going smaller is the excess stretched skin that you had over few years. In general if your skin is elastic, most of this skin will recoil hopefuly with no problems. You might require a lift and the extent of the lift  could only be accessed by your board certified plastic surgeon.Good luck

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A: Of course you can downsize your implants.

Sanjay Grover, MD
9 months ago

It is always possible to downsize your implants, but it may not always be the right thing.  In your case, you mention that you previously had 400cc anatomical breast implants but was not satisfied with the size.  450 or 500 cc moderate plus implants will not be much bigger than the 400s you had before. 

Ask your surgeon to place several temporary sizers during surgery to help you achieve a nice balance and result you are seeking.

 

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