Tennis Ball Look! Can I Decrease Implant Size and Look More Natural?

I have Perthese implants 350cc moderate profile (13 cm wide, 4,2 cm projection - I had the surgery done in Sweden. I feel that they are two wide and have too much volume. My breast with is 12,7 cm, I am 177 cm tall, 63 kilos. How much should I descrease implant size and with in order to get a more natural look?

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10 Doctor Answers | Asked by 1244 in usa

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Natural results to correct tennis ball look (see photos)

I know this is a crude example but it helps to make the point. If you hide a golf ball (implant) under a silk sheet (tissue), the appearance will be very ball-like. However, if you hide the baseball under a thick comforter, the thickness of the comforter will greatly influence the result. A very thick comforter may make the ball barely visible. The comforter will determine the overall appearance of the result. If you change the golf ball to a volley ball, it may appear more round. In... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

How to get rid off "tennis ball" look...

Dear Lisbeth, The look you describe and i see in the picture is cause by too much volume in the upper part of the breast. Most likely they used a high profile prosthesis to "fit" the volume in your smaller chest! I agree with you that a smaller implant size would have looked more natural. That might go in to the "american" perception of what is a proper size.... But, OK i am European... Personally i would choose an anatomical silicon gel implant, remove th more

Breast implants above vs. below the muscle

The Perthes implant is a textured cohesive gel implant manufactured by a French company that is now owned by Mentor/Johnson and Johnson. It is not FDA approved and cannot be placed or replaced in the US. I was unable to find one of their implants that meet the dimensions you describe. The closet I could find are 340cc with 12.4cm base width and 4.9cm projection and 380cc with 13.3cm base width and 5cm projection. Because implants do not blend in well with surrounding tissues at their... more

Volume reduction may be of benefit

Dear Lisbeth, I must admit I don't know much about Perthese implants (in fact I've never heard of them). From your photo I think the problem is more one of implant descent. The inframammary crease to nipple distance looks too long, more on the right than the left. If you were to go smaller it would be necessary to repair or raise the crease to correct this problem. I think repairing the crease to raise it and using the same size implant would also give you... more

Breast augmentation revision

I think you may benefit from revisionary surgery. This may involve removal and replacement of implants. However, I think breast implant pocket adjustment may also be indicated. For example, the implants seem to have settled too far down. Also the right breast implant seems to be medially displaced. The positioning of your implants make the nipple–areola seem off centered in vertical and horizontal dimensions. The implant positioning may be improved with internal suture techniques... more

The reduction of the size is not the only thing that you will need

The pictures that you have attached are helpful. Your implants are too low and are bottoming out. The size of your implants are not too big ,but you are the one should make that decision. In general any implant size reduction or enlargement less than 50 c.c does not justify the surgery.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

What implants would look natural for me?

This is actually a rather difficult question to answer without actually examining you. However, I can say that what appears to have happened is that you have a rather long nipple-fold distance and the volume of the implant has settled too low on the breast mound. When it does that, the volume is not evenly distributed over the chest and the effect looks very unnatural. My first recommendation would be a slight downsizing without narrowing the base width too much. ... more

Creating a More Natural Look

While I am not familiar with the Perthes implants in particular, it appears that your implants have "bottomed out". As a result, it appears that the distance between your breast folds (the technical term is inframammary crease) and your nipples is too long and furthermore, your nipples appear to be positioned toward the outside of each of your breasts. The latter phenomenon may be contributing to your observation that the implants are "too wide". In addition it looks... more

Natural breast look

It is hard to say what owuld look natural on you without an exam. In general, the more soft tissue coverage that you have and the smaller the implant usually the moe natural they look.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

How much smaller do you want them?

A reduction in volume after breast augmentations is such a subjective amount, that what you want is more important than what we might suggest. Looking at your photo, your implants don't look too far out of line in proportion to your height and body type. Being slender is healthy but there is less tissue to hide the implant. I have had a few situations where the patient thought the implants were too large (very few!), and it is harder than it might seem to reduce the volume. If... more