Is it Possible to Downsize from 325cc to 250cc Without Adjusting the Pocket? Doctor Answers, Tips
Breast Implant Revision: Q&A
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Is it Possible to Downsize from 325cc to 250cc Without Adjusting the Pocket?

I just had a BA 4 weeks ago and I know I am only a few weeks PO but I have already made the decisin of going smaller. I got 325cc Moderate Profile 13.9dia/3.0proj (which I think it is too wide for me)and I am considering to replace it w/250cc Moderate Profile Plus 11.3dia/3.4proj. How soon can I have the surgery? I want to avoid stretching the skin. With 250cc would my nipples look weird pointing up because of the pocket? Another option is 275cc 11.7dia/3.proj. I am 5.4', 117pounds 30.7" ribcage

10 Doctor Answers | Asked by Liseth155 in Miami, FL
+1

I would wait a little longer.

Hello, Honestly, I would wait a little longer since you still have some swelling following your surgery. If you truly want to have your implants replaced for smaller implants any of the options that you mentioned would work. You loose nothing by waiting a little longer though. All the best, Dr Repta
+1

Wait several months before deciding on breast implant size change

It appears that there is some asymmetry of your rib cage so sizing is particularly challenging. In any case, 4 weeks is not the end point of your healing process both physically and mentally. I would recommend waiting at least 6 months.
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Revision of breast implants

Usuaully patients wait 3-4 months minimum to exchange implants. Remember that right now you have a lot of swelling and this should only get better with time.

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Timing Of Breast Implant Size Change

The decision to change breast implant size should wait a minimum of three months after surgery to allow the breast mounds to settle and relax. At that point, you can make that implant downsizing change by doing a simple implant exchange without any pocket adjustment. The change from 325 to 250cc implants is an approximate 20% change in implant size. Whether that is worth it is best determined by more time and both a physical and mental adjustment to your new breast... more
+1

Your implant look much bigger than 325cc

You need to wait at least 3 months before any revision. Your implants seem bigger than 325 cc and this can be due to excessive swelling,hematoma,too high implants or overfilled implants if you have saline implants.
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Downsizing implants

Yes, you need to give the tissues time to recover but it doesn't avoid "stretching the skin". Think of it as putting a foot that is too big into a shoe and forcing it to accommodate. Breast tissue does this fairly well for forward projection but not well for horizontal overstretch and normal capsule mechanics. It appears that the implants put in were too wide for your breast width regardless of the volume and it is difficult to get the capsule to shrink in width. The proper way... more
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Breast implants

Since you are only 4 weeks out from surgery I would recommend you wait until you are at least 3-4 months out from surgery. Then if you are still unhappy with your outcome consider replacing the implants. In this type of situation I would not normally do any thing to the pocket. The best thing for you to do right now is to be patient. Gary Hall,MD
+1

Wait

Give your body some time to heal and for the implants to drop. Don't make any rash decisions. If you want to downsize, do so after 6 months. Usually we do not have to touch the pocket.
+1

Downsizing implants

This is a completely personal decision but I would wait three months for the swelling to go down. You are still quite swollen in the upper poles of the breasts and it is possible that, when the swelling resolves, you may not be as dissatisfied with the size of the breasts. The difference between the two implants you mention is minimal. It's my understanding that, in Florida, most women go bigger than up here in NY but, in the end, you have do make a decision that... more
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Breast Implant Revision Sizing

Thank you for your question. Generally, I would not advise revisionary surgery for at least 3 months after surgery. This period of time is the minimal required to physically and psychologically "accept" the change you have undergone. Based on your pictures, I see no reason why your skin will not "bounce back" after re-augmentation with smaller implants. Communicating with your surgeon will be critical in achieving your goals. In my practice, I... more
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