I am downsizing silicone implants that ruptured I want to go to 280 with a lift - options?

Thank you for your question.
I recommend speaking with your plastic surgeon to help in selecting a new implant size. They should be able to guide you on selecting a volume that fits your new needs.

Downsizing implants is an attractive option for a lot of women.
Implants can safely be exchanged for a smaller size. This requires modification of the 'pocket' or space where the implant sits in addition to the implant exchange. An internal bra can be useful to help suspense the smaller implant within this space. A lift can be done in combination to redraw the skin over the smaller implant and is often necessary. Many women who downsize implants will notice a significant change in nipple position and droopiness to the breast without a lift.

Dear Africa10,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery