Downsizing Implants by 45cc?

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Many thanks for your question. It can often be difficult to adjusting to the "new you" following any type of plastic surgery. With breast augmentation, the increase in breast size can often be overwhelming in the early post-operative phase, even with a relatively modest implant size. At only 4-weeks post-op your breasts will continue to soften and settle for some time to come. I would therefore not rush into any decision, and wait at the least 6-months after surgery before deciding what to do. It would be helpful to see a photograph of you, but from what you describe, the 45cc reduction may not make a huge difference (about a third of a cup size). I wish you the best of luck

 

You seem very knowledgeable and give a lot of important information to help the doctor.

In general, a 45 cc decrease is not a lot. However, since your implants are smaller to begin with the percentage is more. It sounds like a good change to achieve your desires.

Go slowly however. With time, you may find you are happy. Breasts tend to shrink with time after implants- about 10%. This occurs slowly. If you wait a little and are still not happy, then proceed with the implant exchange.

Best of wishes!

You actually sound like you would be best served with a high profile implant.  The decrease in volume is a great plan to avoid the "heavy feeling", but the volume alone is not likely to make you completely happy.  I do believe you should wait another month for the internal healing around the implant to occur.  If you still feel the same way, choose to down size and go with a high profile implant. Good Luck on your choice!!

While 45cc is a 20% reduction in your breast implant size and may well make a difference in your thin body frame, it is premature to consider that change this early after surgery. You should wait a minimum of three months after surgery before considering an implant size revision. A few extra months of healing and adjustment will either convince you that what you feel now is even more correct or that you will feel better about your current size.

Without a proper exam, it is so hard to suggest different implant volumes for a given individual. 45 cc's is usually not a significant volume but in smaller implants it is a higher % of the total volume. 

Generally, it would be hard to notice  a 45 cc change in implant size...you already have a size that is on the very low end of implant size range...I agree that the best option would be to give yourself more time to get used to your new figure...perhaps  six months, and then reassess things.

45 cc is a minimal size change and I would not recommend this. You are still in early healing and need to allow the breasts to settle down for another 5-6 months before concluding that an implant exchange is warranted. Many patients take time to adapt to their new look.

Most surgeons would make you wait at least 3 months before considering a size change. The reasons:


Many women reconsider during that time period, sparing themselves a second operation.

As the implant settles into position, its appearance may be more in line with your expectations.

45 cc may not be a noticeable difference.


Have patience, reevaluate with your surgeon in two months. Best wishes

 

Thank you for the question.

Given that youa re only one month out of your breast augmentation surgery, I would suggest that you exercise continued patience and allow for ongoing healing/adaptation to occur. I would suggest that you wait at least 3 to 6 months after the breast augmentation procedure to evaluate the results of surgery and whether or not revisionary surgery will be beneficial.

There are both physiological and “psychological” reasons to wait on having  revisionary surgery. From the physiological standpoint, it takes many months ( and even up to one year) to see the final results of surgery. Factors such as swelling,  tissue contraction,  skin redraping,  implant shifting etc. come into play.

From the psychological standpoint, patients undergo an “adaptation period"  during which time they get used to the changes that the surgical procedure has brought about.  Severe emotional swings can also occur after any type of surgical procedure.
Obviously, it is best for patients not to be making important decisions ( for example about the results of surgery and/or the need for additional surgery) while they are experiencing these emotional “ups and downs”.

Although it is not possible to give you precise device without direct examination reviewing pictures, generally speaking 45 mL  change in volume is unlikely to result in a significant change in breast size.

 I hope this helps.