380cc Moderate Downsize to 285cc High Profile, Can I Use the Same Pocket? (photo)

I want to downsize after 3 or 4 months post ops. I have tight skin and 24years old, good elasticity my ps said. 28" rib with Sientra implants.I am wondering if I want to downsize from 380cc moderate (12.8 wide,4.1 projection) to 285cc (11 W, 4 projection). Can i remain the same pockets without any internal suture fixing? it's 1.8cm different of the width. Is there a possibility that the pocket will adjust itself to accommodate the new implants? My BA was only 6weeks. Please see my photos

Doctor Answers 7

6 Weeks Post Op & Wants to Downsize Implant Size

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It is certainly feasible to #downsize to smaller implants and also alter the positioning; if possible. However, decreasing is size may also require a Breast #Lift to to #tighten loose skin, better optimize the end result. Any #revision has risks of unhappy outcome or other complications. Also, the right implant for the revision is contingent on shape of body and your desired outcome.

However, it's still early in your healing process and depending on the reason for #revision, it's typically  best to wait approximately 6 to 12 months to undergo the next breast procedure. Your #healing will continue for 2-3 months following your #Augmentation procedure. There may be some swelling, bruising, malposition, color differences. Sensation will be abnormal and scars will also be changing.

It can be up to one year see your final result. Your doctor may require you to move or massage the implants within the breast pockets during the #postoperative period. #Textured implants do not require breast massage. You will be informed about this at your post-operative visit. Also, the two breasts commonly heal quite differently so #asymmetry is not unusual. One breast may swell more, feel more uncomfortable, or have a different initial shape. After complete #healing, they will be more similar and natural. You must have patience, but if this causes concern, ask questions of the doctor or the nursing staff.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

380cc Moderate Downsize to 285cc High Profile, Can I Use the Same Pocket?

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             This may be a reasonable approach, but an exam as well as a discussion of goals for breast shape must be observed.   The pocket should be tightened or reshaped with sutures if the breast shape is improved after the new implants are placed. 



Kenneth Hughes, MD Los Angeles, CA

Breast Implant Revision

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The problem in going to a narrower diameter implant in the same pocket is when you stand upright the implants will occupy the lower outer part of the pocket which will effectively widen the distance between the implants and reduce your cleavage. To prevent this you would either need to put the smaller implant in a new pocket to position tem correctly of close the existing pocket with internal sutures - technically more difficult and unpredictable. Be sure to see a board certified plastic surgeon in your area with an expertise in aesthetic breast surgery for more information. Good luck!

M. Dean Vistnes, MD
Bay Area Plastic Surgeon
4.9 out of 5 stars 51 reviews

Downsizing and same pocket

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It certainly is possible to use the same pocket but you may need internal sutures to adjsut teh pocket size for the new implant.  Hard to say without evaluating you and treating you in surgery.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

380cc Moderate Downsize to 285cc High Profile, Can I Use the Same Pocket? (photo)

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MUCH to early to revise size. You need to wait at least 6 months. And yes the lateral pockets will need to be repair via capsularraphy. 

Too early post surgery to do revision or down size the implants

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You are too early after surgery to do exchange and lets see your pictures 3 months post-op to discuss the options at that time .

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 153 reviews

Downsizing implants

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Yes, you should be able to downsize 100 cc's or so without any problems. The capsule will gradually shrink to fit the new implant.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.