Best choice is new implants, perhaps with a lift as well

Downsizing your breast size is best achieved with new implants, not removing the fluid from the existing ones. In order to give you the best cosmetic appearance, you may also require a breast lift as well to tighten the pocket of the implant. Another option is a lift alone without any implants, but these options are best discussed with your surgeon so that he can discuss with you the pros and cons of each choice. Simply removing saline from your existing implants, however, is not a good choice for all of the reasons already stated.

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It is certainly possible to decrease your implant size but not by deflating your current implants by 100-150ccs. Each implant has a preset minimum volume they need to have in order not to be too wrinkly and have an increased risk of deflation. You would need an entirely new implant filled to its own proper volume. Or you could switch to gel.

The implant still needs to have a base width that fits well for your frame and this limits how small you can go without looking like "tennis balls with a mile in the middle." The other issue is whether your skin envelope will need to be tightened after downsizing the implants and this can't be determined without examining you.

And as Dr. Moelleken said, revising the pocket can be a complex procedure which is much harder to get exactly right than you might imagine.

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