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Downsizing and Replacing 20 Year Old Breast Implants?

asked 2 years ago by mauigirl8 in nyc
Latest answer by Nina S. Naidu, MD
Question viewed 1,187 times
Tags: downsize, replacement

My Breast Implants are approximately 20yrs old and I would like to replace them with smaller ones. Would I need a Breast Lift in the process? If so, what would the all-in cost be in NYC for the replacement/lift. Thanks.

17 answers to Downsizing and Replacing 20 Year Old Breast Implants?

Downsizing breast implants

There are too many elements here to give you real pricing because you might need a lift depending on how lax your tissues are, where the nipples currently are, and how much smaller you go. Also, you didn't mention if your implants are above or below the muscle, have any capsular contracture, are gel or saline. If they are gel, they may well be ruptured and this requires more clean up than removing saline. If they are above the muscle with a capsular contracture, you would benefit from... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast Implant replacement

Hi, it's definitely possible to replace and downsize your implants. You may also need a breast lift to remove any sagging skin that remains after decreasing the size of the implants. Whether or not you will require a lift depends on the waulity of your skin and how much smaller you wish to go. Costs are variable in NYC, but I would expect to pay at least $10K for everything. Good luck. /nsn.

Nina S. Naidu, MD
New York Plastic Surgeon

Breast implants can be replaced with smaller ones, but you may need a lift

Hi Mauigirl8 - You will most likely need a lift in the process, but it's difficult to determine this without actually seeing you. A lift can be as simple as removing some skin from around the areola or as complex as an anchor-type incision with lifting of the areola and entire breast. Costs vary from surgeon to surgeon so check with several before making your final decision. Good luck!

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

www.BaltimorePlasticSurgery.com

If new implants are significantly smaller, breast lift most likely necessary

The surgery that will give you the best result will depend on what size and type implants you currently have and how small you want to be. With a large change in implant volume, you would likely need a mastopexy as well, or you might have sagging of your breast tissue with an undesirable appearance of the breast tissue hanging off the implants. If you choose a minimal change in implant volume, you might be able to avoid a lift with the added scars and cost. If your implants are silicone gel... more

Michael D. Yates, MD
Huntsville Plastic Surgeon

Downsizing Implants

It really depends on many factors and without an exam or atleast some photos, it is impossible to tell you. It depends how big the implants are and how much smaller you want to go, it depends on how droopy you are now. So I would recommend seeing a board certified plastic surgeon to go over you options. It is very difficult to give a quote without an exam on redo surgery.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Downsizing and need for a lift

As previously stated this cannot be answered without an examination or at least photos and an examination. Downsizing from 500cc implants to 200cc are more likely to require a concurrrent lift when compared wtih downsizing from 275 to 200cc.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Implant replacement

It is too difficult to give you a treatment plan without an accurate physical exam/assessment. Here are some of the questions that wil need to be answered: Do you have breast ptosis? Is there scar tissue around the implants? Are implants ruptured? What is the skin quality? When was your last mammogram? What type of implants will you prefer? saline vs silicone? Based on these answers, a board certified plastic surgeon will develop a treatment plan. And this will also help determine the... more

C. Bob Basu, MD
Houston Plastic Surgeon

www.basuplasticsurgery.com

Replacing old implants and downsizing

Firstly, you need to be examined by an american board of plastic surgery certified surgeon to see how droopy you are and any other issues your breasts present. If you are very droopy or want to go a lot smaller you will most likely need some sort of a lift. you may need to have some extra scar tissue removed. portland/seattle prices would vary from about $6000 for an exchange to $9500 for a complete lift and exchange. Make sure you choose an experienced ABPS surgeon, all of whom perform... more

Michael L. Workman, MD
Portland Plastic Surgeon

Downsizing and replacing old Breast Implants

As previous expert posters have stated, we can not judge if a lift is needed without photos. Go see 3 boarded surgeons in NYC. As for fee range in NYC I would guesstimate $10,000 to $15,000. Happy New Year!

Darryl J. Blinski, MD
Miami Plastic Surgeon

Downsizing and breast implants

If you are deciding to have smaller implants placed, you may need a lift. Often this can be done with a circumareola lift or a vertical lift.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast lift if downsizing 20 year old implants

Hi mauigirl8 in NYC, Without seeing your pictures, knowing the size of your current implants, how much you want to downsize, etc., it is hard to say with certainty whether or not you will need a lift. Most likely, however, you will need a lift. Also, keep in mind that the implants available today are different from the implants used 20 years ago. You also have more choices. I often use the Allergan style 410 silicone breast implants for my patients who are having revision of previous... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

Changing breast size with a lift

There are many factors to consider when determining if a breast lift would be required after an implant removal and replacement with smaller implants. It is important to know if your original breast augmentation is above or below the muscle If the original implant was above the muscle then there can be some some difficult in performing a breast lift. This is due to a compromise in the blood supply. If you have sufficient soft tissue over the existing implants and simply have a natural... more

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

Breast implant replacement

Hi Mauigirl! Breast implant replacement is very common and you should consider yourself lucky if you've gone 20 years without having to replace them! Having said that, there are too many variables to be able to give you an accurate answer to your question. You may or may not require a breast lift at the time of replacement. The only way to give you an answer is to have a consultation with a board-certified plastic surgeon. Pictures do help, but a physical exam is really necessary. A... more

Elan B. Singer, MD
Manhattan Plastic Surgeon

Good idea to replace old breast implants.

Hi. 1) Cannot tell whether you might need breast lift along with revision breast augmentation without examining you. If you don't have sagging now, you almost certainly will not. 2) Including a) surgical fee, b) accredited office operating room and recovery room, c) board certified anesthesiologist, and d) cost of new breast implants, the minimuum total expense would be $10,000.

George J. Beraka, MD
Manhattan Plastic Surgeon

Replacing and downsizing Breast Implants

Whether or not you need a breast lift at the time that you downsize your implants is dependent on several factors. If your weight has been steady, you have had no intervening pregnaqncies, your nipple is in a good position, and you want to downsize a small amount, then you could probably get by without a breast lift. If any of these conditions are not met, you are more likely to want a mastopexy. I cannot give you a cost estimate in NYC, but I can tell you that it probably will be a good... more

John Whitt, MD
Louisville Plastic Surgeon

Downsizing and replacing old breast implants can be easily done

However, you need to be seen before giving you a cost quote. It all depends on how much work you need done on your breasts, also what type of implants are needed. Come in for a complimentary consultation and we can give you a quote.

William B. Rosenblatt, MD
New York Plastic Surgeon

Smaller breast implants

Downsizing breast implants will almost always result in sagging breasts. The patient will need to decide if the results warrant a breast lift for them. I feel that downsizing will not look good unless you have a lift. The breast tissue will hang off of the new implants. If you remove the implants completely you will have a more natural result but will still have sagging. As to the price you will need to check your respective surgeons in NYC.