Breast implant revision for a smaller size and correcting asymmetry (photo)

Dear Good389874,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I think you have a fantastic results and exactly what I would expect from the size of the implants and your size. I think you are experiencing anxiety about the changes in your body and I would advise to try to minimize the amount of time you spend thinking of this and after another 3-6 months revist the issue with your doctor. If you still have concerns, one option you may consider is to gain a few pounds ( it would help make the breast a little less "fake" looking and then consider expantation and just liposuction with fat grafting.

If you feel you are too large, then go smaller. You are thin, so a fat transfer is not an option. However, cadaver fat is being tested, and once FDA approved, it might be an option to help hide the pectus. Your wish photo does not have the pectus.