Downsizing implants in the immediate post op period

Barry H. Dolich, MD answers: What happens after my breast reduction?

What happens if I have my 690cc breast implants (D cup) I got 2 weeks ago removed, and get my old 390cc (C cup) ones? Will my breasts look stretched if I change to a smaller size implant? I need help I hate the size of my new implants.


Barry H. Dolich, MD
7 months ago

Let me guess; you move the furniture around and redecorate your home frequently. But  seriously , in my  experience in 34 yrs. there are mitigating factors at work here which could work at cross purposes. doing it now should,theoretically, reduces  skin stretch, BUT  re-operating now may predispose to more bleeding and swelling and possibly negatively  effect capsule formation.

This is a decision that you and you surgeon need to discuss at length- before you move the furniture again.

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A: Warning: you are entering the danger zone!

Robert M. Freund, MD
7 months ago

Surgery is serious stuff and revolving door surgery is even more problematic. I once had a patient come into my office asking for her implants to be reduced in size and then enlarged when she moved back to Georgia in a year. The prevailing norm in my state is "less  is more", while in GA the norm is "big is better". I told the patient to sit out the year with the larger implants and avoid all the risks associated with frequent breast surgeries.

In your case, why did you want them to be double the size in the first place? Why did your thoughts change so quickly after the surgery? Did you spend enough time considering the change in the first place?

The surgery in and of itself is not difficult and is not the issue. The real issue is what is going on in your head? Take some time to talk to loved ones and anyone else who is looking out for your best interests. Do not rush into anything!

Best of Luck.

A: You should go back to smaller implants as soon as possible.

George J. Beraka, MD
7 months ago

Hi!  You are absolutely right to be unhappy with such huge implants.  You did not receive good advice. Implants this big age badly.

I would recommend revising the implant pockets and putting in smaller implants quickly, because if you leave these very heavy implants in for a long time, the tissues will get thinner and stretched out.

We use disposable implant SIZERS during surgery to find the ideal size.  We place the patient in the sitting position (you are still under anesthesia, of course) and we try different volumes in the sizer until we find the largest size that leaves you looking natural. Then we discard the sizer and only then, open the correct permanent implants.

A sizer costs only $45 and takes all the guess work out.

 

 

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