Give it some time

Leonard Lu, MD answers: Options for reducing breast implant size?

I had a breast lift and breast augmentation w/ 375cc implants. I was originally a saggy B but now (7 days post-op) I am mortified at how big they look. I feel like a porn star. My husband is freaking becuase of the money we've already spent but I just couldn't go through life like this. What options do I have? Can the current implants be "deflated" in some way?


Leonard Lu, MD
9 months ago

I agree with what everyone has stated. Patients often go through different phases after breast augmentation where they first feel they went too big, but then over time get used to the size (especially after the swelling comes down). It is often not uncommon for a patient who felt they went too big at first, to end up feeling they went too small. Therefore, I would give it several months time before doing anything at all.

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A: Are my breast implants too big?

Otto Joseph Placik, MD
10 months ago

I clearly understand your predicament and have had this scenario occur frequently. Typically in the end patients are generally satisfied with the size; rarely, do patients seek to downsize their implants and in my personal practice I would say it occurs infrequently at a rate of probably 5 out of over a thousand patients.

Give it time. Studies have shown that at this point in time you are likely exhibiting a 10% component of swelling. For example if your natural breast is 175 and you breast implant is 375, your augmented breast should be 175 +375 = 550. However, special cameras will likely your breast at 600 or more. This may take 6-9 months to resolve but reassure yourself and your husband that this is the case.

In the event, you feel, they are still too large then surgery may be contemplated but do not rush into this. More often then not when the swelling has subsided patients feel that the size is satisfactory and frequently smaller than they would prefer.

Altough some have expressed comments that your implants were large. I recently informally contacted the breast implant manufacturer and a representative told me that approximately 85% of implants chosen fall between 325-375. Given this I would say that you are in the range of "normal". Clearly, there are other factors such as the profile and your pre-existing breast tissue.

Take a deep breath and give it some time. The additional swelling that occurs in the early postop period (3 weeks) can create the impression of bigger breasts. Some patients describe the implants as "sitting under their chin". As the implants settle, they will drop slightly and this will give the appearance of a smaller breast. IF you have ever built a house, you will know that the house settles...how much?....It varies and is unpredicatble.

I hope this helps.

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