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Will I Need a Lift If I Reduce my 450cc Implants to 350cc? (photo)

asked 6 months ago by Fort Lauderdale1053 in Fort Lauderdale, FL
Latest answer by Vincent P. Marin, MD
Question viewed 475 times
Tags: 350-399cc, final result, lift, reduce

Greetings. It has been 3 months since my breast augmentation. My implants are touching each other ( no gap between them). I'm 5'4, and 130 lbs. Also, when I move my pectoral muscles even in the slightest my whole breast jumps. I will change my implants to smaller ones ( 350cc). -Will I need a lift if I go down to 350cc ? -Will switching to smaller implants prevent me from getting symmastia again? -What about muscle distortion? I'm attaching a picture, how would you correct my problem?

15 answers to Will I Need a Lift If I Reduce my 450cc Implants to 350cc? (photo)

Problems created by oversized implants

There are several problems here and I would agree with Dr. DeMars regarding addressing them. Your problem was created by thinking in terms of volume (cc's) alone and not dealing with dimensions. Your current implants are too big (specifically too wide) to fit properly behind your breast and they displaced to the upside and to the medial side. Unfortunately this cannot be solved by just putting in a smaller implant. The width and height of the implant has to be reduced (not necessarily... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast Lift with Implant Downsizing

From your photographs, it appears that you have several issues relating to your breasts. There is the issue of synmastia where the breasts are touching in the midline - this may be related to your anatomy or if there was over-dissection of the pocket when the implants were placed. Also, your nipples are in a lower than ideal position at the present time, and it is likely that you will be more in need of a lift after downsizing of the implants. In addition, it is possible that you will... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

Synmastia correction by site change

The best way to correct synmastia usually is to change the pocket. By creating a fresh pocket, the plastic surgeon can control the space. It is usually easier to do this rather than try to "fix" the existing pocket. In my revisional work I also sometimes use Strattice to reinforce the pocket. It his hard to tell just from the photos, but it appears the right implant could be crossing the midline-which would be synmastia. Judging from your... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

Difficult to say without exam

Hi there- Without an examination, it would be difficult or irresponsible to say what I think would be in your best interests, and it would be unwise for you to place value in the advice given by a surgeon who hasn't examined you. Return to your surgeon- who HAS examined you and knows your situation. If for whatever reason, you have doubts about what they are recommending, visit another surgeon Certified by The American Board of Plastic surgery for an opinion. Remember... more

Armando Soto, MD
Orlando Plastic Surgeon

Synmastia?

Based on the photo it is difficult to tell if you have synmastia or if the implants are just close. I would be surprised if the two capsules actually are together. You may not need a mastopexy after changing to implants 100cc smaller than your current ones. Also the muscle probable has not been fully released inferiorly. The muscle should be... more

Walter D. Gracia, MD
Arlington Plastic Surgeon

Lift is usually required if replacing current implants with smaller ones

It appears that you may be in need of a lift already or it may be that the angle of the photo is misleading. At any rate, your PS should be able to determine after replacing your implants if you would benefit from a lift. A circumareolar lift would be best in your case (this can be done on the same day). In order to improve your cleavage a medial capsular repair is warrented. But, in order for the repair to be successful at least 6 months is needed for capsule to develop and become... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

Change of implant

A different way to look at your situation to analyze your anatomy and determine what implant would be appropriate to reduce the size and give you the shape and form you desire without requiring a lift. Since your nipple appear to be on the underside of the implant below it;s equator, I suspect that a smaller implant with a narrower diameter would place the nipple in a more appropriate position. While you do not appear to have true synmastia, you certainly are at risk for developing... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Smaller implants

Without an exam it is difficult to say but you may need a small lift of the areola to compensate for the reduced size. ...or not.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast augment revision, smaller implants and lift

Your problem is a little more complicated than just smaller implants. Your muscle has not been adequately released at the bottom of the breast and definitely needs to be made into a dual plane implant pocket. That will stop the implants from too musch movement with muscle activity. Then you need to have some internal suturing to close off the space close to the breastbone on each side to get a little separation. This part is difficult. Make sure you see someone who has experience in that.... more

Ronald V. DeMars, MD
Portland Plastic Surgeon

Correction of Symmastia and Large Breast Implants

There are a few things to consider in a case where large breast implants cause symmastia 1. Using smaller implants seems like a good idea for someone with your body proportions and problem. The touching together of your breasts (symmastia) can be corrected by: Suturing the breast capsule (which after 3 months after surgery may not be fully developed so more time may be required), or Using a piece of biological tissue or mesh, or Creating a new implant... more

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Will I Need a Lift If I Reduce my 450cc Implants to 350cc? (photo)

Thanks for posting photo. It appears as you have pseudoptosis and symmastia slight. Re operation is a good idea. If you decrease the implant size to 350 than have an internal correction of the symmastia. Also I recommend a L-shaped mastopexy. Where was or who did your surgery in Ft Lauderdale?

Darryl J. Blinski, MD
Miami Plastic Surgeon

Smaller implant with pexy

If you opt for smaller implants, I would expect that you would need a small lift to achieve the result you desire. To correct the shape of the breasts, which are rubbing against one another, you would need revision of the breast capsules and this could be performed using the existing implants in most cases.

Robert L. Kraft, MD
New York Plastic Surgeon

You need implant pocket revision and smaller implants without lift

The issues regarding the implant position and pectoralis muscle movement can be corrected with capsulorphy. Your right implant has the look of the above the muscle implant. You need to have full evaluation by a board certified plastic surgeon. You do not need lift.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Revisional surgery needs a very personalized approach

Thank you for the question and for the photograph. I agree with Dr. Pousti completely about the internal suturing that will be needed in order to stop the implants from touching each other. This can be a very difficult problem to treat and I suggest that you meet with board certified plastic surgeons in your area that have experience with this problem. It can be very difficult to treat symmastia. As far as downsizing to 350cc and potentially needed a lift, I have... more

Evan Sorokin, MD
Cherry Hill Plastic Surgeon

Revisionary Breast Surgery?

Thank you for the question and pictures. Based on your pictures, downsizing your implants will not necessarily require breast lifting. However, in order to avoid continued postoperative implant malposition ( what you are referring to as symmastia) an internal suture technique (medial capsulorraphy) should be performed as well. If this repair is not done you will continue to have your implants “touching each other” especially when wearing... more