Revision for implants should I downsize or have them removed with a lift? (Photo)

Question

I am 5’3” 143lbs and currently have breast implants. 465cc high profile on the right and 405cc moderate profile on the left, both silicone. I have been having some right breast pain which is midline and intermittent the last 2 months. Have seen 2 doctors, one recommended downsizing implants and doing a lift if needed, the other recommended removal with a lift. I am currently a 34DDD and would like to be a 34C. Pre surgery I was a 34 C cup on the left and B on the right.

Daniel Barrett, MD · Answer

Dear Dazzling7214,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

It appears that both implants override or approach the mid sternum, leading to your discomfort. Explantation does not have to be part of the remedy, but a capsular repair is necessary if implants are going to be replaced. For these midline issues, my preference is performing a neosubpectoral pocket as opposed to repairing the existing pocket. Implant selection and/or the possibility of a breast lift cannot be commented on without a thorough examination.

Gary M. Horndeski, MD · Answer

The technique I recommend is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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.

Connie Hiers, MD, FACS · Answer

The implants have stretched and thinned you own tissue, so when removed, you will not probably still be a C cup. I would suggest exchanging them for something smaller, maybe 150 and 200 cc's, and a lift.

Richard P. Rand, MD, FACS (retired) · Answer

It is not uncommon to have some discomforts/pain long after implants are placed. You should get a mammogram and ultrasound to be sure your breasts are healthy and that the implants are intact. Usually the pain just goes away over time. The ONLY way you would need a lift after implant removal (can't tell from the photo) is if your nipples are down to or below the crease under the breast.

Revision for implants should I downsize or have them removed with a lift? (Photo)

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Answer: Breasts

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Answer: Pain after implants

Answer: Pain after implants

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Everything you need to know about Breast Implant Revision

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Revision for implants should I downsize or have them removed with a lift? (Photo)

Answers (5)

Answer: Breasts

Answer: Breasts

Answer: Pain after implants

Answer: Pain after implants

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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.