Can I avoid a lift when downsizing from 500cc to 350cc? (Photo)

Good afternoon!From your photos I think you are a very reasonable candidate to be able to downsize to 350cc without a lift!

Dear downsizing_implants,
it is hard to tell for sure, but you probably won't need breast lift if you get smaller implants. 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

For some reason, patients seem to think that losing volume in their breasts will cause their breast tissue to head south.  It doesn't.  Your nipple won't be any lower after downsizing than it was before downsizing.  You will just be a bit smaller.  Think about it like liposuction in the thigh.  If you remove a large volume of fat in the thigh, the skin does not sag down.  It does take a bit of time for the elastic fibers to tighten down, however.  Based on your pictures, I think you will do just fine without a lift following downsizing.

Based on your photographs, I think that you should do just fine downsizing back to 350cc breast implants.  Keep in mind as you are thinking about your goals that   adjustment of the breast implant pockets capsule adjustments (otherwise known as capsulorraphy) may Him be necessary to achieve the outcome you are looking for.  Breast lifting will not be necessary in your case.  
 
Generally speaking, the best online advice I can give to ladies who are considering revisionary (downsizing) breast augmentation surgery is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. 
3. Once you feel you have communicated your goals clearly, allow your chosen plastic surgeon to work with you in determining the best plan to achieve your goals.
I hope this helps. Best wishes.  

Since you are going down about a cup, you may do well with just changing the implants. You could consider a minimally invasive procedure like ThermiTight to help tighten any loose skin with very minimal scarring. I would suggest meeting with a board certified plastic surgeon and discussing your options.

It doesn't look like you will need a lift if you went down to 350cc, although you will probably need the pocket internally tightened to fit the smaller dimensions of the implant. 

Thanks for the question and the photos.  I feel you should have no issues with downsizing your implants without having a lift.  Your skin, breast pocket shape and nipple heights are all good.Best of luck with your procedure.Dr T

Talk to your breast surgeon but you have excellent breast shape and should do fine with going back to your original size without a lift.  I would anticipate you would look like your pictures with the 350's in.