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

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?

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15 Doctor Answers | Asked by Fort Lauderdale1053 in Fort Lauderdale, FL

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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

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

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

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

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

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

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

4 reviews

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

12 reviews

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

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