Bottoming out Revision and Downsizing?

Hello! I'm 6 mths post op. 5.6, 120 lbs, 29 ribcage, 27 waist,35 hips, slim legs. I was a full, slightly saggy 34B, wanting a fuller, perkier look. My dr suggested saline unders, mod,350 ccs filled to 405. i'm now 34D/DD. Nice result but a little too big & bulky for me. My left bottomed out & falls to my side. I want a less bulky look & more natural feeling breasts. My Dr suggested silicone 300 cc or 250 cc, is this better?

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12 Doctor Answers | Asked by Missgoldie in Montreal, QC

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Breast implant revision, smaller size?

You look like you have a good result, but if your breasts are larger than desired, you can have them replaced with smaller implants. A 100cc reduction in implant size should give you a noticeably smaller breast, but you should discuss with your surgeon what your goals are, and maybe even show him some photos of breasts whose size you like, and he can help you decide how much smaller to go...whether to 300cc or even 250cc. Also, saline implants tend to feel a bit firmer and often... more

Breast Augmentation Revision?

Thank you for the question and pictures. Overall, you have a very nice result. To achieve your goals you may to downsize your breast implants as you describe and closing off the breast implant pocket ( where the breast implant falls laterally). The exact breast size/model/profile is be best determined intraoperatively by your plastic surgeon after you communicate clearly with him. For this purpose I prefer the use of goal pictures. Best wishes.

Revision breast implant surgery

Your surgeon can switch to gel implants that are a little smaller and revise the pocket on the left side to close it a little. That should give you the result you want. Good luck

Revision Breast Lift plus Silicone Implants can improve your results!

You have both an excellent result, and legitimate requests for smaller volume and more natural "feel." Your present 405cc saline implants will need to be reduced to around 300cc to notice a definite size change, and that will only be slightly less than half a cup size (since it takes about 250cc to equal one cup size). Anything less than 60cc (two ounces or 4 tablespoons) will NOT be visible. Too much and you will have excessive movement and overly wide cleavage, which is a... more

Switching from Saline to Silicone Breast Implants

I agree with others that you have a preexisting asymmetry with a shape and size discrepancy between your left and right breasts. This would require different size implants to be placed in order the help achieve a better symmetry. In most cases, silicone implants give the most natural result. I would suggest exchanging the implants to a slightly smaller size and to use silicone implants. In most cases, the implant exchange surgery is must less involved than your... more

Revision breast augmentation is usually successful.

Hi. 1) Just going by your picture, you do not have bottoming out of the left breast. The asymmetry seems to be caused by your shape before surgery and by the right breast implant pocket being too high. 2) I think you probably need a slightly smaller (about 25 cc's) breast implant in the left breast than the one in the right breast. Now, the left breast looks bigger. 3) Silicone gel breast implants usually feel more natural than saline filled... more

Your breasts were uneven after lift and will be after augmentation

Based on your before pictures,you had very uneven breast shape and size after lift. Implants can only add volume to the breast and will not even out your breast shape. If would recommend mastopexy revision after implant exchange.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Bottoming out Revision and Downsizing?

Thanks for the photo series. Six months postop is long enough for you to determine your satisfaction or dis satisfaction. I find your result very acceptable but if you desire revision than at least switch to HP implants for more projection less width. Down sizing to 300 cc makes sense and close the left lateral and inferior pocket. Best of luck.

Revision breast surgery

Do not get hung up on the volume. Part of your problem, I think, has to do with dimension. If you used a lower profile (sometimes called moderate profile) then cc for cc they are the wider style. Width also relates to height if you are using round implants. Your original breast are shorter than they are wide. Therefore, an implant that fits your width, might give you too much height, producing the bulky look. Also, the wider you go the more the implant will "fall" off the... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Revising breast implant size

Switching to silicone implants should provide a more natural feel, and selecting a smaller implant (with possibly a lower profile) will decrease your breast size and make the contour a little more natural. You have a nice result, and your left implant "falling to the side" is likely the result of some natural asymmetry, which is also visible on your pre-operative photo. Switching your implant will not prevent your left implant from falling to the side when you recline;... more

Is an implant down size right for you

It is hard to know if a down size is better, and as you are considering a second breast implant revision your first thought should be how you wish to look. Many would look at your photo and feel that you look just fine with your current implants. The silicone implant you suggest would be smaller, but better is in the eye of the beholder, which can only be you. Work carefully on what you want to avoid revision number four. Best of luck, peterejohnsonmd

Breast Augmentation Revision and Downsizing

Thank you for the photos, they are quite helpful and I think you have excellent results. But if your goals are to be less bulky (smaller) and more natural feeling, a smaller silicone implant is definitely the answer. Your plastic surgeon should be able to help you achieve these goals. Given his suggestion, it sounds like he is on the right track. You may also want to ask him if he recommends a different profile of implant: (I use Mentor implants, so that would be high vs. mod+ or mod profile... more