1 year post 345cc HP breast implants, not happy with the result. Will downsizing to 300cc HP be worth it?

Dear vee3,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your implants are wider than your chest wall. The biggest problem is the wide spacing between your nipples. You will need a mini lift. Using a circumareola incision, your breasts are reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, smaller implants can be placed.

Best Wishes,

Gary Horndeski, M.D.

Going smaller may fit your frame more and your lateral pocket could be tightened to help center your naturally wide nipples more. However, they still won't be even since you are not naturally even. I also would go down in profile.