650 - 450cc, breast made smaller/implant exchange disaster! Thoughts? (Photos)

Hello, thank you for your question. I’m sorry to hear that you’re feeling this way about your breast implants after your exchange surgery. It’s important to address your concerns regarding breast appearance, confidence, and overall satisfaction. Please see the attached video that answers your question in detail. Your feelings of dissatisfaction are valid, and it’s essential to take steps toward a solution that makes you feel comfortable and confident in your body. Consulting with a qualified plastic surgeon about your options for revision surgery is crucial to achieving your desired results. Remember, it’s important to choose a surgeon who understands your aesthetic goals and can provide a personalized approach to your situation.

When I exchange implants and decrease in size this much, I always talk with the patient about a lift as well. The skin envelope needs to be made smaller, or it will be redundant and the implant won't fill it out as well as the previous one did. Of course this would require scars and some patients are unwilling to proceed with the lift for that reason.

Hello and thank you for your question and pictures. First, I think that the results, at least from the pictures you sent are quite good. Your concern with lack of upper pole fullness and projection is due to the significant decrease in size of the implant. Yet the results are still great. As for having something sewn to your ribs during your surgery in Turkey, this definitely has to be a question for your surgeon. You should make an appointment to see your surgeon for response to this question and for your good post operative care.

You do not look masculine at all. I suspect, you are not happy with this size because of having the larger implants. You may have expected your breasts to look the same, just smaller, but that is not the case. I still see tape so you are probably still early in your healing. Give yourself time to heal and let your tissue settle. You may find that you actually like this size.

I'm sorry you are unhappy with your implant exchange. It's best for you to visit with a board certified plastic surgeon near you for a consultation. An exam is needed to determine what is recommended to get you closer to the results you are wanting. Downsizing the implants can result in less upper pole fullness. High profile implants are more narrow lower profile implants of equivalent volume.

Using large implants, increases the chance of undesirable side effects, including increased revision rates. Once the tissues, including the implant pocket have stretched out to accommodate large implants. It’s hard to go back. When you go down in size and increase the profile, the diameter of the pocket needs to go down accordingly.
Higher profile implants will have an even smaller implant diameter.
With the smaller diameter implant, patients will inherently lose volume in the upper half of the breast.
The decision to downsize your implants and change the profile was most likely going to lead to some compromise in breast shape.
It sounds like you’re surgeon appropriately, closed the pocket, most likely using internal sutures to accommodate the smaller implants. Your results look fairly predictable of what happens when you decrease implant size.
I generally encourage people not to travel long distances for elective surgical procedures, whenever possible.
Follow up with your provider to discuss your concerns with him or her.
Best,
Mats Hagstrom, MD