I think that you will need to have some sort of tightening procedure if you wish to put smaller implants in;
otherwise,, there is a good chance that you will have wrinkling and rippling without tightening the pocket.
Also, you will lose projection as well and also, you will look flatter and less full without a tightening/ mastopexy.
In order to do this, you will probably have "lollipop" types of incisions.
women refuse lifts because of the ugly vertical scars associated with the
traditional technique. For that reason,
a new technique has been developed called The Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. Aligning the areola and breast tissue over
the bony prominence of the chest wall maximizes anterior projection without use
of implants. Unfortunately, you have not
told us the size of your implants or bra.
Using this technique, you can remove your implants and achieve the size
you had before or replace your implants with smaller ones. This technique maintains nipple sensation, the
ability to breast feed and incisions are hidden at the areola-skin junction
just like routine augmentations.
Gary Horndeski, M.D.
Seek 3 opinions in person from boarded PSs in your city/state to determine who you feel best with...//
I think that you need to go for an examination in person. It is difficult to say from the photos whether or not a lift can be avoided.
This will depend upon a number of factors. I would offer you two options - one to downsize and adjust the pocket if necessary. The other would be to allow me to make the determination of the need for a breast lift on the table once the implants were downsized and the pockets were adjusted.
Find a plastic surgeon who performs hundreds of breast augmentations
and breast augmentation revisions each year. Then look at the plastic
surgeon's website before and after photo galleries to get a sense of who
can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA
Thank you for the photos but one would really need to do a complete examination before determining whether you would benefit from a lift and what type. Many times creating a new pocket for smaller implants is all that may be neede.
As we said in your previous post, the downsizing of the implant is straightforward, but the real artistry will come in handling whether you want/need a lift. That is where the biggest differences between surgeons will be seen so check multiple photos of the different doctor's lift and see whose are best.