Downsizing Implants by 45cc?

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!

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