Opinions on Downsizing My Implants. Having Trouble With Bottoming Out, And Other Issues

asked 7 months ago by LuluMyLu in New York City
Latest answer by Scott L. Replogle, MD
Question viewed 292 times
Tags: excess skin, bottom out, double bubble, options

I'm currently 350&375 cc Saline w/a Benelli. 34D/DD. 5'6, 126lbs. Complications I'm having are Bottoming out,Double bubble, Excess skin ,Too large ,Stretched nipples/loss of total sensation... I consulted a reputable surgeon in regards to Revision with a lollipop lift &internal bra. I feel top heavy & want to downsize to a C cup, but he highly suggested against me going more then 50-75cc smaller. He said "it would look odd/there will be more skin to deal with."Should I refrain from downsizing?

9 answers to Opinions on Downsizing My Implants. Having Trouble With Bottoming Out, And Other Issues

Stretched out skin and breast revisions

Dear LuluMylu, First, thank you for your question. I agree that without being able to perform an examination and a formal consultation, it is hard to give you an exact answer to address your concerns. I would like to separate your question into smaller parts. First, there is the issue of size or rather too much of it. I believe you can and should downsize given the problems you are having and I do not believe that a drop of 50-75cc will make enough of a... more

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon

Revision of Breast Implants with Lift for Improvement

Hi there- Please understand that without a formal examination, you should take anything you read here with a grain of salt, but my opinion based on what I hear and see is that your would actually be best off reducing the volume of your implants and undergoing a well-done breast lift with revision of your pockets. Good luck!

Armando Soto, MD
Orlando Plastic Surgeon

Downsizing implants

In considering revisions it is critical to establish what caused what, what the problem is, what will be done, and what effect/result that would have. In my opinion based on the photographs, the main problem is a double-bubble on the left. There is no "bottoming" out that I can see. The problems with the nipple-areolas was caused by the periareolar lift which does little to actually lift the breast, and the "excess skin" was there before the procedure and not caused... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast revision with subfascial placement

In Miami we commonly see this sort of problem as it is very common for surgeons to place large implants. It is my preference to revise such problems with a swith to a low profile implant in a carefully designed subfascial plane. In this way I can place the breast in a more attractive higher position and adjust the nipple with either a lollipop scar or one of my proprietary 'no-scar' techniques which hide scars at the nipple-aereolar junction. once the tissues are... more

Rian Maercks, MD
Miami Plastic Surgeon

www.rianmaercksmd.com

Implant & Lift complications, consider....

You are correct in your assessment from what I can tell. Benelli pexy tends not to do a significant lift, and the areolas tend to spread. Sensation loss may happen even without a lift. I am not sure but if your implants are over put them under. I think that they are under however, and I find that the double bubble can usually but not always be fixed with a full pexy, and scoring from the undersurface. I am not sure if you have bottoming out, or you just have... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

Opinions on downsizing

50-75cc won't make much difference in my opinion. Your breasts must have been a full B to begin with. If you are willing to add the scars to get a better breast than go for a full lift and downsize to about 200cc or so, especially if those pictures are what you are after. Sounds like you'll be happier with a signifiacntly smaller, tighter, sexier breast.

Ronald Schuster, MD
Baltimore Plastic Surgeon

Downsizing breast implants

Dear Lulu. Several weeks ago I performed a similar operation on a woman with 750cc submuscular implants. Needless to say she looked strange and her children were embarassed to be seen at the pool etc. with her. I was able to downsize her to a 475 and close off the lateral and lower pocket. Her skin tone was good and we did not do a mastopexy. I did repair the crease to raise it. I also used Strattice to support the lower pole. On cases similar... more

Steven Schuster, MD
Boca Raton Plastic Surgeon

www.schusterplasticsurgery.com

Answer to RealSelf.com question about breast problems: sagging & double bubble

I would generally agree with the plans of your plastic surgeon, however based on the photographs that you have included, I would decrease the size of the new implants more substantially. Based on your current size a decrease of 75-100 cc would seem to be appropriate. The use of intraoperative implant sizers should be helpful in deciding on a final size. I agree with the plans for a lift (and perhaps internal support) with implant size reduction. Best of luck. more

Eric T. Emerson, MD
Charlotte Plastic Surgeon

Breast augmentation revision?

Thank you for the question in pictures. I think your plastic surgeon has a good plan for you. Unfortunately, given the different variables involved with your surgery including the adjustment of the breast implant pockets with capsulorraphy ( “internal bra") and the adjustment of the skin envelope ( “lollipop lift”) it is not possible to know what size implant will be necessary. It may be in your best interest to allow that decision to be made... more