Can I downsize my 450cc hp over muscle mentor silicone implants? (Photo)

Question

I had 450cc high profile mentor silicone implants over the muscle 11 months ago. I was (barely) a 32A pre op, now measuring a 30E or a 32DD. I am not worried about bra sizing etc, but more how my implants look. I love the shape of them in my clothes etc, but they are just too BIG! Now I am thinking of downsizing to 300 or 250cc. By looking at my photos, can anyone tell me if I will need to have a lift aswell as implant exchange and tightening the pocket?

Nelson Castillo, MD · Answer

Thank you for your questions and photographs.  You can certainly downsize your implants to 250-300cc and it is unlikely that you will need a lift at the time.  Pocket modifications may be needed in order to properly position an implant and avoid malposition issues, but it is unlikely that much work will need to be done based on your pictures.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  It appears that you have achieved a nice result from a breast augmentation.  If you are looking to decrease the size of your breasts by the volume you desire, there is a good chance that you will need to have a pocket revision to accommodate the smaller implants.  Please be sure to make your surgeon fully aware of your goals from a revision.All the best,Dr. ResultsMiami, FL

Nathan W. Patterson, MD, FACS · Answer

It is not possible to tell whether you would need a mastopexy without being able to assess your tissue laxity in person.  Going from 450 cc to 250 cc is a significant decrease in volume.  You might do well by having a discussion with your surgeon and giving them some free reign in the ultimate size decision.  Sometimes we use sizers which are temporary implants to determine the optimal implant volume without opening extra implants.  The sizers cost much less and therefore save you considerable money.  If avoiding a mastopexy is a major concern, then you may have to accept a slightly larger implant volume.

Samer W. Cabbabe, MD · Answer

Based on your photographs, I do not believe you need a lift in order to downsize.  A full exam of the pockets is needed in person to determine if any pocket revision will be needed so that the implants are not too far apart when downsized.

Tom J. Pousti, MD · Answer

Thank you for the question.  Yes, downsizing of breast implants in your case is certainly an option. Keep in mind as you are thinking about your goals that sometimes adjustment of the breast implant pockets (capsule adjustments) may be necessary to achieve the outcome you are looking for.  No breast lifting would be necessary.

Generally speaking, the best online advice I can give to ladies who are considering revisionary (downsizing) breast augmentation surgery is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "down a cup size” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.

3. Once you feel you have communicated your goals clearly, allow your chosen plastic surgeon to work with you in determining the best plan to achieve your goals.
I hope this, and the attached link (dedicated to revisionary breast augmentation surgery concerns), helps. Best wishes.

Kamran Khoobehi, MD · Answer

You can down size your implants to smaller implants without need for lift. I would suggest that you go down to 350 and not much smaller than that to prevent another surgery to go bigger again.

Can I downsize my 450cc hp over muscle mentor silicone implants? (Photo)

Answers (6)

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