Want to downsize implants from 330cc to 150cc - is this possible? (photos)

Question

I had 330cc, cohesive III implants inserted in Feb2020. Unfortunately they’re too big and fake looking than what I originally had in mind. I wanted them removing but I think I would still be uncomfortable with the natural size. I am wanting removal/replacement at 150cc, low profile, teardrop. So that they’re small volume at the bottom and no contour lines at the top. Please can someone advise if this would be possible? Im also looking into the route of fat transfer instead of implant swap?

Daniel Barrett, MD · Answer

Dear skyejones332,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Dropping down to 200-150 cc range will decrease you by a cup in size and be much less full in the upper half. I am not a fan of the textured implants for augmentations due to increased risks and shorter lifespan, and nor of low profile implants because of the lack of shape.  Volume obtained with fat is less predictable and long term.

Want to downsize implants from 330cc to 150cc - is this possible? (photos)

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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.

Want to downsize implants from 330cc to 150cc - is this possible? (photos)

Answers (2)

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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.