Best Approach for Downsizing Breast Implants? (photo)

Downsizing with pocket tightening and possible breast lift will be required to make your breasts smaller and less hanging as well. This may require more than one procedure. 

The best approach for you would be Mini Ultimate Breast Lift and removal of implants.  At surgery your breast tissue is reshaped and displaced medially and elevated to create the cleavage and the upper pole fullness you desire.  This could be done in 1 procedure or 2 if you would rather stage the procedures.  The advantage of doing 2 procedures would be that with the implants removed, your skin will shrink and regain it's tone.  In the 2nd surgery, less skin would need to be resected to create the desired shape and the Mini Ultimate Breast Lift performed.

Best Wishes,

Gary Horndeski, M.D.

Hi there-

If your priority in pursuing revision of your outcome is to avoid a breast lift, I think that the stages approach you describe MAY help, by allowing your skin time to contract after removal of the large implants currently in place.

On the other hand, it is important for you to understand that i tis possible that even with this approach, a lift will be necessary to achieve your goals of a youthful and firm breast, as 700cc implants are very large and your skin has been stretched by them to a significant degree.