Downsizing implants, without a lift? I have, 500cc, mentor, high profile under the muscle, had them for three years (Photo)

Hi! I want to downsize my implants from 500cc to 375. I'm 24 years old, no kids! I think my implants are way to big for me since I'm very petite! I love the shape on my breast now, Is just that they are too big for me. Is it possible to downsize without a lift? I have, 500cc, mentor, high profile under the muscle, had them for three years.

Doctor Answers 4

I think you will need a lift if you downsize

Your implants are quite large for your shape. You already have once known as bottoming out, where the distance from the nipple to the inframammary fold has stretched out. If you go with a smaller implant, in order to achieve the best shaped breast, you will need a lift either at the same time or as a secondary procedure. I do a lot of revision breast augmentations/lifts

Houston Plastic Surgeon
4.3 out of 5 stars 20 reviews

Downsizing implants may require a lift but not always

Downsizing your implants will help prevent problems down the road, since they are already stretching out the lower half of the breast and bottoming out. There are various ways to reduce the pocket for the new implants. A lift is considered for two reasons: One is the raise the nipple-areola (which does not appear to be necessary in your case) and the other is to reduce the skin envelope to match the new size of the breasts with smaller implants. That will depend on the elasticity of your skin and the size of the implants so there is no way to answer definitively online.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

Downsizing breast implants, without a breast lift?

Thank you for the question and pictures. Yes, it is possible to downsize breast implants, without undergoing breast lifting, in your case. This procedure will  likely involve capsulorrhaphy surgery, which refers to decreasing the size of the breast implant capsules ( which are simply the layer of scar tissue around the breast implants). Given your youth ( better skin elasticity),  careful selection of breast implant size/profile, and careful execution of the procedure, it is likely that you will achieve a very nice outcome.

I would suggest that you select your plastic surgeon carefully. Ask to see lots of examples of his/her work helping patients achieve the types of outcomes you are looking for with revisionary breast surgery. Then, make sure that you communicate your goals carefully as well. In my practice I find the use of goal pictures very helpful during this communication process. Achieving realistic expectation will also be important when it comes to patient satisfaction with the outcome of revisionary surgery in general. I hope this, and the attached link, demonstrating similar procedures, helps. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,487 reviews

Yes down size without lift but the pocket must be controlled

I completely agree that you would benefit from downsizing of your implants. You have bottoming out and the Infra mammary folds (IMF) are asymmetric. The surgeon must be very meticulous in elevating and securing the IMF and the lateral border of the pocket.  It looks like you need to elevate the IMF by 3-4cm. The stitching involved in  the new IMF must be immaculate so it will not have puckering or distortion and will have longevity.  The use of Acellular Dermal Matrix is not a guarantee and is not needed in my experience. It's about the placement of stitches, the number of stitches, and the time spent doing it. 

Oh, by the way, you don't need a lift 

Good luck and take care.

Chia Chi Kao, MD
Los Angeles Plastic Surgeon
3.0 out of 5 stars 3 reviews

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.