I have 320 cc UHP round smooth implants (9.8 cm diam) 10 months post op, that are too wide, and too large/full/projecting in my clothes, especially on left side. These would be great implants if I were 20 and wanted to look busty but... I want to go smaller and narrower. I'm thinking 270 cc right and 240 cc left (9.3 and 9.0 cm diam in UHP) which will leave a gap in the middle but at least won't look so wide from the front. I'm ok with no cleavage. Thanks so much for your help!
Answer: Revision breast augmentation using smaller implants Thank you for your question and for attaching photos. To really notice a size difference you are going to have to use an implant that is at least 100cc smaller in my opinion. Even that is going to be a small difference. Something in the 200cc range in a full/mod plus profile should take you down to where you are looking to ultimately be, but there are some risks with it just like any procedure. You may have excess skin from going smaller and the current capsule is larger than the new implant. Each time a revision is performed the capsular contracture rate increases. I always say "the enemy of good is better", meaning you have a good result now. You and your surgeon will have to determine what is best for you and your body. Best of luck.
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Answer: Revision breast augmentation using smaller implants Thank you for your question and for attaching photos. To really notice a size difference you are going to have to use an implant that is at least 100cc smaller in my opinion. Even that is going to be a small difference. Something in the 200cc range in a full/mod plus profile should take you down to where you are looking to ultimately be, but there are some risks with it just like any procedure. You may have excess skin from going smaller and the current capsule is larger than the new implant. Each time a revision is performed the capsular contracture rate increases. I always say "the enemy of good is better", meaning you have a good result now. You and your surgeon will have to determine what is best for you and your body. Best of luck.
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October 3, 2018
Answer: How small can I go? Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Helpful 1 person found this helpful
October 3, 2018
Answer: How small can I go? Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Helpful 1 person found this helpful
October 2, 2018
Answer: Size Yes, I would downsize down to around 250 and change the profile to moderate plus or high profile (from Ultra High), to give you a more natural look. The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with. Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon
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October 2, 2018
Answer: Size Yes, I would downsize down to around 250 and change the profile to moderate plus or high profile (from Ultra High), to give you a more natural look. The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with. Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon
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October 2, 2018
Answer: Revision Augmentation Hello,You can go as small as you want. What I presume is unacceptable is the degree of projection of your breasts, attributed to the UHP of the implant. Choosing moderate or low profile implants with a similar diameter will work well. This is not a simple operation, and should be done by a revision breast specialist who is accustomed to downsizing implant pockets for the newer, smaller implants. Best of luck!
Helpful
October 2, 2018
Answer: Revision Augmentation Hello,You can go as small as you want. What I presume is unacceptable is the degree of projection of your breasts, attributed to the UHP of the implant. Choosing moderate or low profile implants with a similar diameter will work well. This is not a simple operation, and should be done by a revision breast specialist who is accustomed to downsizing implant pockets for the newer, smaller implants. Best of luck!
Helpful
October 2, 2018
Answer: Implant size and type Dear littleperson1,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
Helpful
October 2, 2018
Answer: Implant size and type Dear littleperson1,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
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