Downsizing Implants from 650HP Mentor Silicone to 450 Natrelle Style 10/15 or Mentor 500 Mod Plus Silicone? (photo)

I am downgrading from 650HP silicone Mentor implant with another lift.My PS has suggested 500 mod plus Mentor silicone . My BWD is in the 14cm range.I have suggested the idea of 450cc Natrelle Style 10 or 15 implants which have similar diameter to the Mentor 500 Mod plus but have 3.9cm projection.The Mentor Mod 500cc have 4.3cm projection.My 650Hps. have 5.7cm projection and 14.4 diameter.I would rather be smaller.Which implant would you suggest?Is 150cc going to look noticeably smaller? Hope so

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7 Doctor Answers | Asked by amand123 in toronto

Doctor Answers (7)
Community Comments (0)

Downsizing

Downsizing can be a bit tricky. If you go too small if you did not need a lift before, you may need one after the downsizing. An exam would be critical.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Reducing implant size in conjunction with mastopexy

You photo shows that the right implant is too high, presumably due to capsular contracture. It also looks like the implants are under the muscle. Size is a personal choice: if you want to be smaller then smaller implants are indicated. Exact size is hard to choose pre-operatively. My technique is to discuss with the patient ultimate goals using a portfolio of pre and post op pictures to get a realistic idea of her expectations. In the OR I use a series of... more

Implant sizing and breast anatomy.

Before answering your questions, a few items to point out from your photo. It appears that the right implant is too high up on you chest wall, either due to inadequate pocket dissection or a capsular contracture. If your breast width is truly 14cm, all of the implants you mentioned are oversized for your breasts. The problem with oversized implants are that tissue thinning, rippling, and malposition are a high risk. What you need to do is focus less on the specific dimensions of an implant... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Implant downsizing

The look is the key, and as a rule it takes a reduction of 150cc to make a noticable difference. The implant size is a guess until the fit and fill are determined at the time of surgery, though our bet would be for the style 15, and 450cc to get you closer to the lady in red. We would also consider the 'second lift' well after the new implant has settled in. Best of luck, peterejohnsonmd.com

What is the reason to down size?

I would like to hear from you the reason for the implant exchange. The desired look that you posted has very large implants and very unnatural look. You will not get the same look with implant exchange alone. Please discuss your expectations with your plastic surgeon.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Downsizing Breast Implants?

Thank you for the question and pictures. I would respectfully suggest that you allow your chosen plastic surgeon to guide you with the selection of breast implants; he is in the best position to do so given that he knows her history, has examined you, and is able to communicate with you regarding your goals ( in much more detail than can online consultants). I would also suggest that you do not try to micromanage the selection of breast implants; you may... more

Define your aesthetic objectives and then match the implant and technique

Amand123: Your current pic of 650HP silicone gel implants shows an attractive outcome but demonstrates some asymmetry both in nipple position as well as implant displacement (the right implant appears to be riding higher and the left nipple complex more laterally displaced). That being said, it is likely that these will settle a little lower with time, especially if they are under the chest muscle. By contrast, the photo of your desired outcome appears to show... more