Im 28 yrsold,5'7",130lbs,2pregnancies prior to aug, 1preg after augmentation. High pro saline under muscle 420 filled to 450. 2 docs seen for revision said I will not need a lift when downsizing & suggested at least 150ccs less. I wear 34DD with every bra brand & wish to be 34C max. I want a smaller look. Doc says breast will look exactly the same shape just smaller. Doc Says I Will NOT Need Lift? Will revision put me at higher risk of something going wrong? Capsu contr?Bottom out?Hard?Or will body heal fine since 1st time went well.
September 20, 2012
Answer: Downsizing Breast Augmentation
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!
Helpful 1 person found this helpful
September 20, 2012
Answer: Downsizing Breast Augmentation
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!
Helpful 1 person found this helpful
October 11, 2012
Answer: Downsizing implants
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
Helpful 1 person found this helpful
October 11, 2012
Answer: Downsizing implants
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
Helpful 1 person found this helpful