Breast Implant Revision - Want to Go Smaller Than 550cc But Unsure of Size (photos)

First, you are on the right track with choosing moderate profile implants. The size should be related to the base diameter of your breasts. Secondly, deflating the saline implants was a good idea but even the deflated implant occupy some volume. Also, sizers in a bra are stacked on top of the breasts, which makes the sizers look larger than they will be as implants. If a 410 moderate profile implant fits your measured base diameter then you should be fine.

Your breasts are extremely low on the chest wall and you will need a lift. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Sizers are the way to go in determining your volumetric requirements to achieve your goal proportions. I think that a lift is necessary. It looks like Dr. Kim is your chosen surgeon, so you should listen to him.

I agree you need a lift. 410 or 440 cc. Either is fine. It's less than a ten percent difference. If you get saline don't get them overfilled so much. It makes them too firm

Dear Evelasq9,
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

At your height, you might prefer something between 350-400 cc's which will fit your frame much better. The 550to 700 cc range is just too large and heavy for your frame and tissue.

It's difficult to chose implant size for patients without a frame of reference. I have patients bring in topless photos of breasts that they desire, then I chose the implants that best match them.
Looking at you, I would consider a 400-425cc Moderate + X (mentor implant) and consider a breast lift to tighten the skin and raise the nipple height.
Dr. Taranow