Is it possible for me to get higher smaller boobs? (Photo)

Hi from Istanbul, thanks for this question. It's a rather interesting topic and I think it would help prospective patients as well. The "footprint" of the breast, meaning the anatomical starting and ending points, is different for everyone and can't be changed by implants or a lift. While implants or a lift can add volume and lift sagging breasts, they won't alter this natural placement. For breasts that are naturally positioned lower on the torso, it's not possible to significantly raise them and maintain that position long-term. So, you could review your options with this in mind. Best of luck to you.

The simplest solution to wanting to be smaller is to remove your implants, and since you aren’t happy with your larger breasts, you may be happy with your implants out. You should be very close to your pre-operative size. What is very difficult to accomplish is to move your breasts higher on your chest. The level of your fold under your breast determines where your breast is positioned and it would be very difficult or impossible to alter that. I agree with your other surgeon that you do not appear to need a breast lift. If you wish to have additional fullness in the upper portion of your breast, you may consider having fat grafting. Best wishes.

Hello; Since your previous breasts were not sagging; the Surgeon said; there was no need to lift it up. This is the right approach. But, I wish; I didn't wear a bra; before the surgery. It will look like a push up bra; if you had stated that; you wanted a breast. Because, unnaturally; after an overly large breast prosthesis is not made, the breast; it never looks like a push up bra. Whereas; with clavicle; the gap between the upper boarder of the breast is quite large; prosthesis that will narrow for this wide area; it must have a fairly large base and volume. Now, by performing breast lift; your breast can be lifted up with the prosthesis. If the breast prosthesis is removed; your breast will appear bulkier, looser and emptier than before.

The distance between your collar bone and the top of your breasts is determined by where your breast base sits on your chest wall. This is very difficult to fundamentally change, but can be disguised by providing more fullness in the upper pole of your breasts. Selection of an implant with the correct width & height for your frame, and projection to meet your aesthetic goals is key. You are not out of options, but would require revisional surgery with implant exchange, revision of the position of the inframammary fold, and you may also benefit from an uplift. You may require more than one further procedure to reach your goals.

Dear Anon_A,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You can have your implants removed and it is a simple process. You likely have some stretching of the breasts, but generally speaking, I think you will have acceptable skin retraction. See link. Thank you.

You've done an excellent job of providing us with comparative images showing your specific concerns from similar angles and sizes before and after the procedure.

At this stage, there's a well-formed internal capsule around the implant, which can be leveraged to reshape the breast pocket effectively. To achieve this, we would proceed by removing the current implants, performing internal capsulorrhaphy to elevate the inframammary fold from within the breast using sutures. Subsequently, smaller breast implants would be placed, and then the areolas would be raised to a higher position over these newly positioned implants through a breast lift.

This approach ensures the necessary lift, facilitated by the capsule suturing providing sturdy internal support. The outcome will bring you significantly closer to your desired results, albeit with the necessary trade-off of incisions associated with a breast lift.

Dr. B

Typically, the decision to move the nipple up would depend on its relation to where the breast meets the chest wall, typically called the inframammary fold. From this standpoint, your surgeon may be correct in that it may be difficult to position the nipple higher relative to your breast footprint. In order to achieve your goals, this may require a breast lift with internal capsule work to reposition the implant higher, thus moving the entire "breast footprint" more superior. However, would need a full compliment of pictures and an in person physical exam to determine this. It would also help to have a bathing suit or bra that is typical for you to ensure the nipple is not being raised so much to show.

Dear Anon_A, thanks for sharing your concerns, after evaluate your case description and pictures, a really good option will be Breast lift and change your implants to smaller size, this will help to get you the results you are looking for. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

You've got bilateral drop out with double bubble (implant below your native fold). A lower profile implant of similar diameter would suffice and give you a smaller, less projecting breast. Repair of the pocket will allow that device to sit higher on the chest wall. You can get what you want.