I had a breast augmentation a year ago (1st December 2010) I am now 19 and I've never been happy with the size, I always wanted natural medium sized breasts 30d/c but have a very small frame, I was recommended 280cc high profile implants which I find to big 30E/F I was wondering if it would be a possibility to downsize to maybe 200cc implants and if this would have any risks of sagging since it has been a year, or if the pocket created would fill with scar tissue or what? options? risks?
Downsizing Breast Implants, Concerned about Potential Sagging, What are my Options?
Doctor Answers 4
Downsizing Implants - Potential for Sagging
Since you are young and your implants have not been in for a long time, your skin has greater potential to retract if you want to downsize your implants. Also, you may not need a "high profile" implant if you have saline implants as they can be overprojecting depending on manufacturer. If you do have saline implants, you can consider having them pre-deflated. This will give you skin a chance to retract for 3-6 months before having your implants replaced.
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Downsizing breast implants
Breast implants are pillows. Properly sized and positioned breast implants do not distort the breast and they do not lift the breast. Removing them will not make them sag and they should return to the size and shape they would have been if the implants were not there. At one year I would expect them to look like your preoperative pictures if you removed the implants entirely.
Downsizing implants is similar to the choices for putting them in. The width of the implant should match the width of the breast and you don't want to put in implants that are too wide or too narrow for the breast base width. If the implants are already in you cannot scale the width of the implant down reliably as it will be too narrow for the breast and too small for the pocket which will not reliably shrink down. In putting implants in the forward projection of implants can be varied from low to medium to high profile and the tissues will accommodate this. The same happens in reverse, so if you have a high profile implant now you can scale it back to a medium profile (not called that in gels) or even a low profile (not called that in gels) without any problem as long as you keep the width of the implant about the same. This corresponds to dropping about a half cup size to medium and one cup size to low profile from a high profile implant. Sagging or true change in tissue tone should not occur.
Difficult to know
The possibility of going without a lift is present but it will be difficult for you to really know without a face to face consultation and examination.
John Di Saia MD
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.