Hate Being 34DD Wanted to Be 34C. Wish to Downsize 3yr Implants from 450ccs to at Least 300ccs? (photo)

Nobody can predict the future with absolute accuracy, and therefore nobody can tell you with certainty that you will or will not "heal fine".  Every procedure is accompanied by risk, including aesthetic risks, implant related risks, and medical risk.  You look very nice from every direction shown.  My recommendation would be to keep current implants unless you are absolutely miserable with them.  Both size and shape are superb.

It is certainly feasible to #downsize to smaller implants and also alter the positioning; if possible. However, decreasing is size may also require a Breast #Lift to to #tighten loose skin, better optimize the end result. Any #revision has risks of unhappy outcome or other complications. Also, the right implant for the revision is contingent on shape of body and your desired outcome. Additional elective cosmetic #surgery is a personal choice. Your procedures should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

I agree with the surgeons you have already seen.  In your case you should be able to switch to smaller I plants without a lift and no special work done on the pocket.

Hello,

It is not uncommon to see women wanting to downsize their implants.  Motives that drove the surgeon to place implants that were ultimately too large range from patient demands to drooping breasts that 'needed' a large implant.  Regardless, the task of the surgeon is now to make the breast smaller and also preserve or enhance it's shape.

The volumes you mentioned (420 filled to 450) sound like either a Natrelle moderate profile implant filled to capacity, or a Mentor high profile implant filled to the low end of it's available range (420 to 500).  Which one it is may influence the type of implant that will be chosen, however, I agree the new size should be 150 cc (or 25%) less volume than you have now.

It is always challenging to look at photos and make this sort of prediction, but I believe that you will not need a lift.  There does appear to be some discrepancy in the position of your nipples which may be photographic artifact or the real situation.  If that is the case, a discussion should be had regarding it's correction if possible.  Frequently internal pocket adjustments are made to accommodate the smaller implant as well.

Best of luck!

 

 

Thank you for the pictures.  It is hard to assess the quality of your skin but from the pictures it looks in good condition.  When downsizing implants you should expect a little sagging, one way to correct this is with a periareolar mastopexy.  This will tighten the skin and decrease the diameter of your areola.  I hope this helps you.

Kindest regards

Neil J. Zemmel

You look like a good candidate for downsizing; meaning if you went to smaller implants the chance of your breasts sagging to the point that you may need a lift is small; however, no one can tell/predict how much you will sag.  Consult different plastic surgeons to see what they have to say.  Also, have them show you many examples of before/after photos of cases similar to you to see if you like the results.

As things change with time, it is not uncommon to want to downsize.  Since you have saline implants, the easiest way to achieve this is to intentionally deflate your implants.  You will void your warranty (but you didn't need it since the implants were not ruptured) but you will see exactly how your breasts settle and you will have a more accurate idea of what size you desire (don't forget to add the volume of the deflated shell).  My patients that pursue this route are always satisfied with their new size.  You can discuss this with your doctor and he/she should be able to help you navigate the best course of action.

Downsizing is a possibility, but remember the breasts may sag a bit as you go down. One consideration, and this is based upon an exam, is to perform a circumareola reduction to make the areola smaller and tighten the skin envelope a bit....just a thought.

Anytime you have any kind of procedure there is a small risk.  For breast implants that includes capsular contracture, infection, and bottoming out, however,  the risk is minimal. If you feel that your current size is too big than downsizing is good option.

One advantage of having saline implants is that if you do choose to go down in size, you can have them deflated in the office a few weeks before the surgery to allow your skin to accommodate and tighten up before replacing with a smaller implant.  This reduces the likelyhood of needing a breast lift and can allow for more precise placement of the new smaller implant.

It is hard to tell with out a proper physical exam. Looking at the pictures I have a feeling if you down size the implants by at least 100cc there is a chance you will need some type of lift to give the beast aesthetic results with the downside of more scars on the breast. The fact that you are young and probably have good skin elasticity it is possible that the skin will contract some and you maybe ok with out the lift. one option is to down size and see how it contracts. If you are not happy you can have a breast lift later.

 

Best of Luck!