5'1, 100 lbs. Over the muscle 250cc high profile implant to under the muscle; what are my options?

I've had my implants since Dec 2014 and not happy with the results. They're very firm and a bit large for my frame. My doctor advised me to reduce the implants to 150cc HP for softer, more natural breasts. But I'm thinking of having unders but he doesn't recommend it since I have saggy breasts and I might develop double bubble if the implants will be put under the muscle. Or will it be better if I'll go for 200cc moderate plus to have more natural breasts. Pls doctors, im desperate for advices

Doctor Answers 2

Best option for revisionary breast surgery…

I am sorry to hear about your concerns after breast augmentation surgery. When it comes to revisionary breast surgery, it is extremely important to make the correct diagnosis, in order to formulate a surgical plan to improve the patient's specific "problem".
In your case, given your description of "very firm", I would be concerned that capsular contraction is present. If this is the case, conversion to the sub muscular pocket plus/minus any additional maneuvers (such as breast lifting) will likely be in your best interests.
 You may benefit from consultation with additional board-certified plastic surgeons who can demonstrate significant experience helping patients with revisionary breast surgery. Best wishes.

Over to under

If you know how to loosen the muscle properly going from over to under should not give you a double bubble if you don't have one now. I think a 150 hp implant would look kind of round. If you want to look more natural a lower profile implant is often better in that size range. If they are firm you may have a bit of capsular contracture that is making them look round

David E. Kim, MD
Beverly Hills Plastic Surgeon
4.7 out of 5 stars 87 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.