After Removing my 450 Cc of 4 Yrs Implant to 300cc Will I Need a Lift? (photo)

Question

I got 450cc implants at the age of 19. now being 22 my large implants were causing me major back pain. I decided to go smaller and get silicone. the doctor first told me he will change the implant and do a lift by removing the nipple and taking the extra skin off..the day of the surgery he told me he will see if i need the lift..which he did not do..the results, my boobs are lower than before and i do not like them. he said they are fine. but i feel like he did not do a good job..what do u think?

Jed H. Horowitz, MD, FACS · Answer

It is certainly feasible to #downsize to smaller implants and also alter the positioning; if possible. However, decreasing is size may also require a Breast #Lift to to #tighten loose skin, better optimize the end result. Any #revision has risks of unhappy outcome or other complications. Also, the right implant for the revision is contingent on shape of body and your desired outcome.

Andrea Marando, MD · Answer

Thank you for your question and the photo to clarify your concern. Normally, when changing implants and reducing their volume, the shape of the breast is affected as well. The degree depends on the position of the nipples and the fullness of the lower pole of the breasts. I agree with the other colleagues that an uplift/mastopexy, would have improved the shape. However it depends on what discussed with your surgeon at the time of the consultation and what agreed would have been the best course of action in your individual case.

	My advice would be to arrange a follow up appointment and discuss with him your concerns and evaluate the different alternatives.

	Best of luck

	Andrea Marando

Ali Sajjadian, MD, FACS · Answer

Hello.

	Thank you for sharing your photos along with your concern.

	Usually, a lift should be considered ONLY if it is necessary since scarring will result off of it and at the end of the day, patients seeking aesthetic improvement will want to stay as scar-free as possible.

	With that perspective, your surgeon's decision must have had a reason supporting it and keeping an open line of communication with him/her is essential.

	Also, it is important that you consider the fact that you stand early in the recovery timeline to be able to come up with a well founded judgement about the results of your surgery; I recommend that you be a little more patient and give mother nature the chance to do its job.

	If it helps, let us imagine a lift being performed during your revision resulting in unsatisfactory results. At this point, a surgeon cannot reverse a lift easily since skin is excised during the process. I hope you understand that I am not trying to prove your surgeon right or wrong but to encourage you to give your body time to recover instead of stressing over something that may be falling into the right place once the recovery process is completed.

	I hope this helps and thank you for your inquiry.

	The best of luck to you.

	Dr. Sajjadian

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.

	 Given that you are early out of your breast implant downsizing procedure, it is too early to evaluate the end results of surgery. You may find that, over the course of the next several months, that the breasts skin/tissues will re- drape over the smaller breast implants;  you may find that you will be pleased with the results of surgery at that point.

	 In the longer term, if you still feel that the breast implants are too low, you may benefit from internal suture repair of the breast implant pockets (capsulorraphy).  This procedure will serve to help keep the breast implants higher on your chest wall,  while negating the need for breast lifting ( which may be too much surgery considering the scars associated with this procedure).

	In the meantime, I would suggest that you continue to follow-up with your plastic surgeon and remain patient as the healing process continues.

	Best wishes.

Steven Wallach, MD · Answer

The breasts look pretty good , but if you wanted them a bit higher, then a lift would be necessary. Best to be evaluated in person.

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After Removing my 450 Cc of 4 Yrs Implant to 300cc Will I Need a Lift? (photo)

Answers (10)

Answer: Concerns after Breast Implant Downsizing Procedure...

Answer: Concerns after Breast Implant Downsizing Procedure...

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Answer: Lift after implant exchange

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.