Smaller implants - what is the best way to get a higher placement?

Question

I had smooth silicone implants-325 cc 18 months ago. Too large and low for me given small frame-5' and 90 lbs. Am considering replacing with 225-250 cc, and raising implants 2-3 cm. I heard that with higher placement - given that pocket is bigger than new implant - it's hard to get even, rounded line at bottom of breasts, and one breast may end up higher than other. Is this true, and if so, are there recommended surgical techniques to ensure symmetry & internal support with higher smaller implants?

Shlomo Widder, MD · Answer

Dear Rae,   Thanks for submitting your picture and sorry for your problems. From observing your picture, you appear to have full C or small D cup size breasts with the following problems:1. Bottoming out. Both creases are too low (left more than right) . Raising them up 1- 2 cm is ok, but 3 cm might require mini lift (donut, Benelli), which is fine, but requires additional surgery.  The crease lifting  procedure is called  inferior capsulorrhaphy (internal bra).2. Wide cleavage with ripples. Are your implants over the muscles ? If that is the case , I would recommend to place the implants under the muscles for better coverage. Sub areola entry incision will allow for nicer creation of cleavage, since it will be done under direct vision and feel.3. Left upper pole is less full . That will be corrected with the capsulorrhaphy.4. I like your size, but if it is too big for your, do not go to 225 cc , because it will be too small  - small C full B cup size. Better solution, in my opinion, is 275 cc.  As you can see from your own experience, not all results are the same, because experience skills and aesthetic eye are critical for good outcome, especially in redo breasts augmentation. So, do your due diligence carefully and choose your surgeon wisely.    Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that thay are numerous, consistent and attractive with nice cleavage, precise crease, perky, symmetrical and natural looking.                                      Best of luck,                                                            Dr Widder

Dallas Buchanan, MD · Answer

Thank you for your picture and questions. You have a nice result and I am sorry you are not happy. If you desire to downsize your implants, you will likely need additional procedures to tighten the skin envelope around the new smaller implant. You may also need some procedures on the inside tailoring the capsule to fit the new smaller implant. Make sure you are seeing an experienced board certified plastic surgeon in your area to discuss your options.Best of luck!

Tom J. Pousti, MD · Answer

Thank you for the good question. Capsulorraphy and reaugmentation with smaller breast implants will be necessary to accomplish your goals.   Achieving good symmetry will be one of your plastic surgeon's goals: careful measurements and careful execution of the procedure will be key. In my practice, I prefer the use of a two layer permanent suture repair when it comes to this type of implant pocket adjustment (capsulorraphy). Best wishes for an outcome that you will be very pleased with.

Smaller implants - what is the best way to get a higher placement?

Answers (3)

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

Smaller implants - what is the best way to get a higher placement?

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.