Need Help Picking a Size to Downsize my Implants? (photo)

It's best to discuss and collaborate with your surgeon regarding your new size. I would recommend at least a 100cc downsize and change to the new Sientra shaped textured round base silicone implants. I think these implants are especially suited for patients who are borderline needing a lift as part of the downsizing implant exchange. Please discuss this potential option with your surgeon. Breast of luck. 

If I understand you correctly, you currently have 400cc and want to downsize to the 170-200 range without a lift. I think that if you go too small, then you will have skin laxity and droop that will be a problem for you. The solution is to go slightly larger in the range of 200-275 or go small but also have a lift.  I am not sure that low profile is the right choice for you but without examining you, I cannot be sure.  You plastic surgeon should be involved in the size selection. Clearly he wants you to make the final decision, but he needs to guide you. I think he doesn't want to pick the size because you were unhappy with his size selection in the first surgery and now he has to re-do it and waive his fees, despite the fact that his is spending time and assuming the liability for your second surgery.