Can I expect good results - downsizing to 200cc with a lift? (Photos)

Usually a much smaller implant will cause the breast and skin to droop. So a full T lift will make the breasts perkier.

There will be less upper fullness with a smaller implant but the combination should give you smaller, higher, perkier breasts- if that’s what your goals are.

An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

The donut lift was the wrong lift for you nearly a decade ago even with a relatively large implant, and that's why you were never really happy. Downsizing implants now would create an even worse situation. You need a formal breast lift. Even with the scars you will be very happy with the result (assuming you go to a true breast surgery expert.)

Thank you for your question. I have been in practice for over 30 years and revisionary breast surgery is a large portion of my practice. I have performed surgery on thousands of cases similar to yours wanting to be smaller with more upper pole fullness. I have developed with a technique termed "reductive augmentation" which I published in 2017. It involves perform an internal bra/capsulorrhaphy, reaugmentation with a smaller ultra high-profile implant, removal of inferior pole breast tissue, and revision of your mastopexy/lift. You should be able to have an excellent result. Best wishes to you.

Your breasts are wider than your chest wall and are located low on the chest wall. I would recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your pictures and questions. I would caution you to have a more detailed conversation with your surgeon about your goals. What it appears to me in the pictures is that the majority of your problem is due to heavy natural glandular tissue that needs to be reduced. Often with cases like yours, patients assume they need to downsize the implants, but what they really need to do is downsize the natural breast. So I would say that you might not want to downsize from 425 to 200 cc unless the implant and the placement and size of the implant is really the problem. You also need to proceed with an aggressive mastopexy (anchor-type lift) for optimal results.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Based on your nicely, post photos, a downsizing of 200 cc implants with a full anchor lift should give you a more uplifted breast appearance. Best of virtual consult with to get better understanding. Expect you to arrange from $8000-$12,000. Again, best of virtual consult with.