Best Approach for Downsizing Breast Implants? (photo)

I agree with the other posts and your remarks that a staged approach is best. I think you have a 50% chance of needing a lift so keep that in mind. Overall, think you will be happier in the long run with a smaller more proportional size for your frame. Good Luck!

Dear guest12,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It is definitely possible 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. #BreastAugmentation without a #BreastLift is usually a mistake looked back on by many patients. Most breasts will look larger and more droopy.They will sag more and sooner because of the excess weight altering the longevity of the results. The shape will usually not be satisfactory and sometimes results with “Snoopy” breast or double bubble. .A #mastopexy or breast lift operation is designed to improve the shape and position of the breasts without reducing their size. It is the most suitable for #breasts which sag or droop (ptosis) as a result of development, aging, pregnancy, breast-feeding and weight loss . Some patients will experience better results to restore superior fullness if an #implant is used at the time of mastopexy; better known as #AugmentationMastopexy.With both implant types there are choices when it comes to size, shape, and profile. The criteria best to suit you will be discussed in full detail at your breast augmentation consultation. Also, the right implant for the revision is contingent on shape of body and your desired outcome.Altogether, the surgery will create an elevated, more youthful breast contour. Also, the nipple and areolae of the desired size and correct heightmay also be addressed. I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.The best method and #technique for your #procedures will be discussed in greater length during your one-on-one consultation with a board-certified plastic surgeon.

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.