Hi. Four years ago I made the stupid choice of getting 700cc (Round smooth silicone, high profile, 14.4 x 6.2cm)breast implants. I am a tall girl, 5' 81/2" and 135 lbs. I wear a 36 band bra. My current cup size is WAY to large! My breasts look extremely fake and i am very self-conscious. Before the 700cc implants I had 400 cc anatomical implants to correct tubular A cups that were also asymetrical. I felt the 400ccs were too small. The 400cc (12.5 cm x 13 cm x 4.9cm) implants were submuscular and looked very natural, they were just small on my broad frame and seemed to be 10 miles apart. I got the 700cc implants to get a cleavage. I hate the high profile, they look really fake and I wanted a natural look. I am getting a revision soon and the doctor recommended Mentor Moderate plus profile, size 450 or 500cc smooth round silicone implants. The dimension of the 450cc implants is 13.6 x 4.2, the 500cc is 14.1 x 4.3cm. I would like a small D, right now I wear a 36D but I know it's the wrong size because the bra cups fit on the breasts like a baseball cap. I just want breasts that look "real". He said he would have to do a lift (hopefully just around the areola). Do you think going from 700cc to 450 or 500cc is feasible? Can this still produce pretty breasts that look "real"? What is your experience with downsizing?
November 7, 2016
Answer: Downsizing implants Hello,I think this is a good choice. Going to a more moderate implant size can give a much more natural appearance. I have performed this before with good results. You will have to have a lift to remove some excess skin, but incisions on the breast tend to fade fairly well over time and it will likely be worth the more comfortable fit and better shape.Best wishes,Dr. BlaggAustin, TX
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November 7, 2016
Answer: Downsizing implants Hello,I think this is a good choice. Going to a more moderate implant size can give a much more natural appearance. I have performed this before with good results. You will have to have a lift to remove some excess skin, but incisions on the breast tend to fade fairly well over time and it will likely be worth the more comfortable fit and better shape.Best wishes,Dr. BlaggAustin, TX
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December 21, 2016
Answer: What Happens when You Downsize Large Volume Implants Hi and great question. I think it is feasible to go down in implant size. This process just adds one more step: how to deal with the excess skin and the position of the nipple. Why? Because as we decrease the volume of the implant the sag is going to increase. This will be seen as excess skin and a lower nipple position. Overall, this will result in a less perky, less youthful, and less aesthetically pleasing breast. The way I deal with significant excess skin and/or low nipples is by a lift. Is a lift alway necessary? No, not always.If you are downsizing your implant by only about 10%, then you should not need a lift. Any more than that and some form of a lift will be needed. Most of the time this can be combined into 1 procedure. There are times (significant capsular contracture with above the muscle implants or Breast Fold Reconstruction Needed) that these need to be performed in 2 separate procedures. For your specific case, it is a little difficult without photos. You previously had an anatomic shaped implant. I think the anatomic shaped implants are really needed in very small subset of people: extremely thin and/or significant native breast architecture distortion. Why? Because in those cases we are relying on the implant to form the breast. If you were very happy with the anatomic implant previously, then I would suggest going back to it. As for which dimension to use on the implants: you should use the base width (12cm, 13cm, 14cm, 15cm etc) that matches your specific breast base width (and therefore your chest width); that (and that alone) will give you the most natural look to your breast regarding a natural shape to the breast. I do not think that an around the nipple lift alone will be enough when downsizing from a 700cc to a 500cc this is almost a 30% volume decrease. And an around the nipple only lift is going to create a "purse-string" or flattening of the nipple/areola and this should be your most projecting part of the breast...thus, creating an unnatural appearance. I believe you would need a full lift with an implant decrease of almost 30% in volume.I hope that helps. Best of luck!
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December 21, 2016
Answer: What Happens when You Downsize Large Volume Implants Hi and great question. I think it is feasible to go down in implant size. This process just adds one more step: how to deal with the excess skin and the position of the nipple. Why? Because as we decrease the volume of the implant the sag is going to increase. This will be seen as excess skin and a lower nipple position. Overall, this will result in a less perky, less youthful, and less aesthetically pleasing breast. The way I deal with significant excess skin and/or low nipples is by a lift. Is a lift alway necessary? No, not always.If you are downsizing your implant by only about 10%, then you should not need a lift. Any more than that and some form of a lift will be needed. Most of the time this can be combined into 1 procedure. There are times (significant capsular contracture with above the muscle implants or Breast Fold Reconstruction Needed) that these need to be performed in 2 separate procedures. For your specific case, it is a little difficult without photos. You previously had an anatomic shaped implant. I think the anatomic shaped implants are really needed in very small subset of people: extremely thin and/or significant native breast architecture distortion. Why? Because in those cases we are relying on the implant to form the breast. If you were very happy with the anatomic implant previously, then I would suggest going back to it. As for which dimension to use on the implants: you should use the base width (12cm, 13cm, 14cm, 15cm etc) that matches your specific breast base width (and therefore your chest width); that (and that alone) will give you the most natural look to your breast regarding a natural shape to the breast. I do not think that an around the nipple lift alone will be enough when downsizing from a 700cc to a 500cc this is almost a 30% volume decrease. And an around the nipple only lift is going to create a "purse-string" or flattening of the nipple/areola and this should be your most projecting part of the breast...thus, creating an unnatural appearance. I believe you would need a full lift with an implant decrease of almost 30% in volume.I hope that helps. Best of luck!
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September 17, 2015
Answer: Reduction Yes, it is possible to reduce the volume by 200 cc. This however, may require a full breast lift at the same time to tighten up all of the loosened skin. Consult with several breast revision specialists.
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September 17, 2015
Answer: Reduction Yes, it is possible to reduce the volume by 200 cc. This however, may require a full breast lift at the same time to tighten up all of the loosened skin. Consult with several breast revision specialists.
Helpful