Breast Implant Revision: Q&A

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Got Implants That Were Too Large for My Body, I Want Perky, Small Boobs, Advice? (photo)

5'4" 98lbs, petite! Surgeon deflated 480cc implants last week, that he put in initially 2 months ago; they were HUGE for my body. I'm scheduled to have surgery tomorrow, replacing my implant for 255cc saline low-profiles. I'm 24. I want perky small boobs that match my body size. I don't want them flat and matronly which I'm afraid low profile will give me. Canceling surgery in the morning and just want to pay the money for a new surgeon. My body is extremely important! Advice please! :)

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15 Doctor Answers | Asked by Utahtragedy in Utah

Doctor Answers (15)
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Downsizing to adjustable saline implants will solve all your size worries

The best solution for you IMO is to go down to an ajustabble saline that can be modified to get exactly what you want. All you do is sit in an exam chair and have saline injected in through a small valve under your skin until you get the result you think looks best. Saline can also be removed if it ever gets too big. Then after 4-6 months when there is no more swelling, the valves are removed under local anesthesia. No more size worries.

Breast Augmentation Revision

Thank you for the question and pictures. It may behoove you to seek consultation with well experienced board-certified plastic surgeons. Communication will be the key to achieving the results you desire. It will be very important to communicate your overall goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as... more

Natural appearing perky breasts that custom fit your body : cold-subfascial placement

I have an entirely different breast augmentation philosophy. When I perform a breast augmentation I never use high profile implants and alweays get a perky tear drop shape. This is because I do not believe the implant should dictate the shape of the breast. In my hands the shape of the breast is dictated by my surgical dissection. This is because I use a unique technique called 'cold-subfascial augmentation.' In this technique I leave the mucle alone (which... more

Implants.

You need to have a very open discussion with at least one more surgeon about what it is you are really looking for. This should include the pros and cons of an implant for additional volume or shape. Saline, gel, volume, profile, etc. You did not say if you are under the muscle or not. A 255 low profile saline implant can act like a high profile if you fill it enough, likely in the 300-350 range. This would not be that much smaller than you were. How much natural breast volume you have and... more

I want perky small boobs that match my body size. I don't want them flat and matronly

Without an opportunity of examining you before surgery and now it is impossible to give you specific advice. It is however painfully obvious that you and your Plastic Surgeon did not communicate. How else can you explain how large 480cc breast implants ended up in your chest. Moreover, why would deflating the implants and replacing them with implants less than half their volume would give you the look you desire? Finally, what does your surgeon plan on doing with the large pocket created for... more

Petite body: Consider silicone

My first impression from your photo was that your a poor candidate for saline which will most likely lead to rippling. Silicone implants (subpectoral) would be more appropriate or you may want to find a surgeon using the Allergan 410 Cohesive gel (gummy bear) implant that are still awaiting FDA approval. Silicone sizing isn't that difficult if you forget about volume or cc's. I now focus more on the implant diameter that accurately fits your breast/chest combined with... more

Second Opinion Breast Revision

Communication is very important. When seeing any plastic surgeon about breast implants you have to let them know what your goals and desired appearance is. Bringing photos from magazines or the internet with you of what you consider to be a good breast for you can give the surgeon a good idea of what your thinking. The surgeon has to communicate with you what is possible and safe for your body size and breast tissue parameters. After examining and measuring you a... more

Breast implant choice

The best way for you to determine what is best for you is go for another opinion and find a surgeon that you feel comfortable with.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Downsizing, Not always as simple as a smaller implant

I agree, given your photo, a 480 cc implant is too large for your body unless you specifically stated you wanted to be big. Deflating your implants makes sense but you should give it more time to allow your skin to retract. A low profile implant may not be the best choice for your body/chest. Different profile types gets complicated with saline implants. Each manufacturer has multiple profiles in multiple volumes so picking that right implant for your body takes some time and thought.... more

Revision surgery to down size

It is difficult to provide you with a lot of advice without the chance to examine you. I agree that low profile implants will not provide a perky result but each case must be individuslized. I would recommend visiting with other board-certified plastic surgeons if you chose not to return to your original doctor. Go with your questions in hand and go with who you feel comfortable with that will help you get the results you're hoping for. Best of luck. Dr Edwards more

Downsizing breast implants

Many questions remain unanswered by your brief presentation, but what I am sure about is that downsizing your implants to a more appropriate size from the very large 480cc. implants will be a good thing for you. I have not used low profile implants in my practice because this generally will not give you what you want- namely smaller perky breast shapes. Consider getting other opinions until you feel comfortable with advise you are hearing. Good luck more

Breast implant size and final breast appearance

It is extremely important to correctly plan a breast augmentation revision properly. My approach is based on: Define the patient's specific desires, not just the target "cup size" . Accurately address the specific patient's anatomy and estimate appropriate corrections to be made based on previous surgical alterations Plan the exact final shape to be achieved, calculate the contribution of the breast shape to it, and choose the precise implant type,... more

Low profile implants

Low profile implants likely won't give you the projection you need to be "perky". Put your surgery on hold and get another opinion or two from experienced breast surgeons. Also you should be open to silicone gel due to your thin frame to minimize the chance of feeling/seeing ripples. Good luck!

Marcel Daniels, MD

12 reviews

Long Beach Plastic Surgeon

Getting it Right...

Hello, In order to make proper recommendations an examination would be needed. Low profile implants rarely give a very natural look. Best Regards, John Di Saia MD see video

255 mL implants will probably make you a cup size larger than you were originally

Based on your height and weight. I would imagine the 480 mL implants probably made you a full D cup. Your young in your skin will tighten up to a certain degree but switching to a 255 mL low profile implant would probably only increase your cup size from your original size by 1 cup. I don't understand why your surgeon would want to use a low profile implant. It might be worth seeking a second opinion and discussed the situation with a board-certified plastic surgeon