Want to Downsize Implants - 375cc Mod Plus Implants

I had breast augmentation 6 months ago and felt my breasts were too big then and the feeling still lingers. I had 375cc Moderate Plus silicone implants put in on a 5'9, 120lb frame. I feel my current boobs sag too much, have that "matronly" look and make me look fat. I would like to downsize and want my breasts implants to be higher with more upper pole fullness and more "fake" and "tight looking." How can I achieve this? (Before and after photos included)

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breasts female 5 ft 8 in to 6 ft 0 in 350-399cc silicone implant 110-129 lbs moderate plus profile

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12 Doctor Answers | Asked by BTC in New York City

Doctor Answers (12)
Community Comments (1)

Breast implant revision/sizing

The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree... more

Bottoming out

From the photos, it looks like you are buttoming out (the distance from the nipple to your crease is too long). This deformity will require excision of the redundant tissue when replacing your implants as well as tightening down of your capsule in this region. If your capsule is not strong enough, you may need an allograft to support your inferior breast pole. This will give you more upper pole fullness.

Downsizing breast implants

Given you age and excellent skin quality, i think you could easily downsize ot a 250 and achieve a nice result.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Down Sizing Implants and Expectations?

You have several different issues. 1) Your right implant has bottomed out. Your fold on the right is lower than on the left. this makes your right nipple appear even higher than your left (you had some nipple asymmetry preop). Also, with a bottomed out implant, you have less upper pole fullness. 2) Your implants appear too wide for your frame. In your preop picture, your breast width appears narrower than the implant width which gives you more of the lateral boob look that... more

Breast augmentation

If you are unhappy with the overall size, and since you area already at six months post-op, it is perfectly reasonable to seek consutlation regarding your concerns. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast augmentation

The left bret is in good position, the right has bottomed out. The problem is that your frame may not allow whT you really want. If you look at your pre-op photo, you will see that your breasts are low to begin with. To achieve upper pole fullness larger implants are needed, even then it will not necessarily give exactly what you seek b/c of the position of your breasts relative to your chest.

Revision breast augmentation: Change implant size or change the shape of the breast.

Revision breast augmentation is commonly done for implant size change. Looking at your pre-op and post-op photos it looks like your implant has accentuated an already long nipple to breast fold distance, which can happen secondary to the weight of the breast implant or an already long distance. It appears that your breast fold is fairly low and could be raised with internal sutures, combined with a smaller implant and possibly an internal mastopexy with an acellular dermal matrix sling.... more

You cannot have both a smaller breast with increased upper pole fullness!

When you say you have a matronly look to your breasts I believe you are referring mainly to your right breast that has bottomed out resulting in a lower fold on the right versus left. Bottoming out creates a pseudo droopy look and is also the reason your right nipple complex is higher then your left. Your left breast appears fine to me. To achieve the look you desire it is first necessary for your surgeon to correct the bottoming out of the right side. This means that the fold under the... more

Revision breast augmentation, breast augmentation, breast implants, Dr. Whitfield, plastic surgery

It appears that the right breast fold is lower. The postion of your implants is a little lower as well. Is the device above or below the muscle? Changing the size and the pocket location are techniques that can be used to help improve your result. Most importantly it is necessary that your surgeon understand what you want.

"You can't always get what you want..."

You have bottomed out and your implants are too low. Are they submuscular or subglandular? The problem is that you can't go smaller AND get more upper pole fullness. A HP implant with add to the upper pole but to go smaller will necessitate a narrower implant which will give you a big gap in the middle, like tennis balls with a mile in the middle. You do need a submuscular revision, or repair of the pocket if you are submuscular, but to get the upper pole you... more

Bottoming Out of Implants

It appears that your implants have bottomed out. Capsulorraphy is one possibility, but is difficult. If you truly are interested in the "fake look" and your implants were placed submuscularly, you might consider having them placed above the muscle.

Breast implants can be placed higher on the chest wall.

Hi. 1) Your right breast is a little low, but your left breast looks fine. Going smaller will make you look less matronly. 2) Understand what you want, but achieving a lot of upper pole fullness with smaller implants would be difficult. 3) Folds under breasts can be raised (right more), and high profile implants may help.