Breast Implant Revision: Q&A

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Should I Downsize or Have my Implants Taken out Completely? (photo)

I had a lift w/ implants 10ms ago w/ 240cc. If you look at my full profile you will see Ive been unhappy with the size from the start. Ive given it time and I am ready to really start thinking about doing a revision surgery. I started w/ a B cup I thought I would loose so much volume with the lift that i needed the 240cc to get me to a big B/small C. But now I am a full D! Theyre too big, cant adjust, less active, dont feel good in clothes, the list goes on. is there a better implant size for me

17 Doctor Answers | Asked by Laura R. in new york
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Should I Downsize or Have my Implants Taken out Completely?

I looked at some of the other postings of yours, and it looks like all the reviewing surgeons, including me, think that this is a nice result. It looks like on your pre-op photos you were about an A cup, and 240 cc implants should give about a 1 to 1.5 cup increase in size. There are no fixed defintions of cup size, and I have numerous patients who have B, C, and C cup bras at home that all fit. If you feel the implants are too large, then they are too large for you,... more
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240 cc Implants Too Large?

The average implant placed in the US is 350 cc. So 240 cc is a small implant to begin with. An implant much smaller than the one you have will produce little difference in volume and removing the implants may be the right thing for you.
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Unhappy with breast lift and implant

I do not consider your breasts to be too big, but they are not mine. They are yours. You have to live with them. One note of caution; don't fixate on the A,B,C,D, etc. Those measurements are all relative. If you are unhappy looking in the mirror, or exercising, or in your clothes, then go with a smaller implant, or no implant at all. Good luck. Talmage Raine MD FACS

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Breast lift

I actually think you have a pretty nice result, but if you want to be made smaller, it is always possible. If you are undecided as to whether to go without implants at all or just downsize, I have a suggestion, but it only works with saline implants. The implants can be deflated with a needle, so you will know what size you would be with the implants removed. If you feel you are too small after the deflation, you know you need a small implant. This only works with saline... more
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Breast implant removal and a lift may be in order

This is my guess about your case: You were pretty okay with your breast size but had some sagging. You did not want the scars of a full breast lift and opted for an implant to take up some of the sag and a periareolar lift to reposition the nipple. This got you to perky without additional scars but now you feel too busty for your frame and the things you like to do. I, along with several of my patients, have learned this the hard way: Fear not the vertical... more
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Removal of a small implant after mastopexy with augmentation might require adjustment of the breast lift.

The breast pictured shows an attractive breast after a conservative augmentation and donut mastopexy. Removal of the volume will probably require a revision of the mastopexy.
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Breast Revision

Hello, I've read your post and the posts of the other doctors. I've have these thoughts: 1. When someone like yourself gets such an unexpected increase in cup size from a relatively small implant, there is more going on than just size that is upsetting to the patient. 2. The ideal breast for you is smaller than yours, possibly smaller than yours without implants. The ideal breast is also flatter than yours, with less fullness and hanging tissue on the sides. The ideal... more
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Should I Downsize or Have my Implants Taken out Completely?

I recommend complete removal and replace via fat grafting obtain from liposuction. See recent article from Dr Del Vecchio. You are a great candidate for this type of operation.
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Breast lifts, breast implants, revisions

I agree with the some of the other responses that you have a perfectly normal and good looking result from an augmentation/mastopexy with a properly sized and positioned implant. Also, that it is a personal choice issue within what is feasible reasonable. It seems that the problem is in a misconception of what implants and lifts do and don't do. It is just not possible to have exactly the size/shape we might like to have. Implants do not lift the breast and removing them does not... more
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Changing breast size with implant removal

If you are unhappy with the size of your breasts then you can certainly consider removing the implants completely. With a 240 cc implant you should expect your breasts to do down a little more than one cup size. Going to a smaller implant would only be a moderate change in your size. If it is size you are trying to change then an implant removal is the best choice. Discuss your concerns with your plastic surgeon.
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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.

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