Wanting a Smaller Implant Exchange: Will I Need to Get a Lift As Well? (photo)

2.5 years ago I had a sub-glandular augmentation (big mistake). 354cc (Right) and 378cc (Left) to correct a noticable size difference in my breasts. I am 28 yrs. old, 5’10 and 160 lbs. Before my procedure I was a full B/small C. Even though everyone says I carry the size well, I have had increased back pain these last 2 years (ouch!). I am so concerned about the scars of the lift, but I have this feeling that I will have to get some type of a lift. Feeling Heavy in Texas....

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7 Doctor Answers | Asked by HeavyTexan911 in Texas

Doctor Answers (7)
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Maximum projection with small implant using Mini Ultimate Breast Lift

There is a new technique called Implant Exchange with Mini Ultimate Breast Lift. Using only a circumareola incision it is possible to replace your implants with smaller ones and place them retro-pectoral. I recommend silicone gel since they look and feel more natural. At the same time, your breast tissue can be reshaped to increase upper pole fullness, elevate the breast higher on the chest wall and more medial to increase cleavage. Aligning the areola, breast tissue... more

A Lift will be needed.

The answers us yes. When you downsize you will excess tissue that will need to be tailored over your implant (i.e. Lift). Dr. ES

Possible Need for Lift

From what I see in your photos I would recommend: 1. Implant exchange (saline to silicone) 2. Consider submuscular implant position 3. Periareolar mastopexy (this would reduce your areolar size)...I do not feel you would need a full lift and therefore could avoid a vertical scar on the lower breast See a Board Certified Plastic Surgeon who is versed in breast surgery.

Scott R. Brundage, M.D.

5 reviews

Grand Rapids Plastic Surgeon

Breast implant size

If you down size, you may need to have a lift. Best to be seen in person to be properly evaluated for the correct procedure for you.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Smaller Implant Exchange: Will I Need to Get a Lift As Well

Given your issues it seems perfectly reasonable to proceed with replacement with smaller implants. I think your outcome will be best with smaller implants moved to the sub-pectoralis position and accompanied by a lift which would probably require an incision around the areolas (which would be made smaller and rounder) and a vertical incision down to the fold. Thanks for your question and for the posted photos. All the best.

Can I downsize my breast implants

The choice of an implant at your first breast surgery is an important one but it is difficult to look into the future as you eluded to. Plastic surgeons will have different opinions but I am a big believer in the partially sub-muscular placement for better upper inner breast coverage and I think it provides better breast support as well. Given there is no replacement for an in-person exam, by your photos I would recommend the choice of a smaller implant placed in a partially under the muscle... more

Smaller Implant Exchange - Breast Revision

First and foremost you should choose the size you desire. Then do whatever is required to make the breast youthful, even and attractive. A breast lift for you can be a home run in the hands of an experienced breast surgeon. A mastopexy will reduce the size of your large areola, make them more even, and make the breast mound perkier and more even. Most likely you are a candidate for a vertical or "lollipop" lift. The periareolar scar will blend beautifully with... more