What to expect? Downsizing after 3 years. 285 UHP to 200-220 MP. Sebbin. Sub-muscular. No lift for me. 32y/o no kids (Photo)
Doctor Answers 12
Changing implant size
No one can provide a 100% accurate prediction but my advice is 200.
I must inquire about your weight. Has your weight increased from the pre-operative status? I appears so in the photographs. Small differences in weight can produce significant differences in breast size. I only ask this because, you may not see the degree of decreased volume that you anticipate. Your true breast tissue may be even more than when you started. To place this in context, if you decrease your implants down to the 220 cc size, you are only decreasing your volume by just over 4 Tablespoons (4.3 to be exact) or about a 1/4 of an 8 oz cup. Place that in a glass to understand what this means.
The difference between a 220 cc implant and a 200 cc implant is a Tablespoon plus a Teaspoon.
Change to smaller implant
Your current implant is 10 cm wide by 4.6 cm projection, you are looking at a style 40 Natrelle that is 10.2-10.5 by 3.5-3.6 cm projection so there is no significant difference in projection. I like the expansion of the breast base that the wider implant diameter would give you a little more so I would give a slight nod to 220 cc. If you like a little more roundness you may consider Inspira 210 cc moderate profile which has the same dimension but a higher fill ratio to add more fullness to the top.
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Breast Implant Downsizing
From what you are describing, your breast implants are a good diameter, so reducing projection is the best way to down size. This has the best chance of preserving your shape while reducing the size of your breasts. Reduced volume also means reduced support, so the results are dependent on the amount of reduction, the elasticity of your skin and the amount of breast tissue that remains. The amount of breast tissue is likely smaller than it was three years ago.
Do not drive yourself crazy about 20 cc's. You will be unlikely to see the difference between 200 and 220. Pick whichever size makes your brain happy, because your breast are unlikely to show the difference.
So, without an exam, the plan sounds reasonable. If you are looking for confirmation, you will need to see another plastic surgeon, in person, to go through the details.
Downsizing of Breast Implants
Revising Breast Implant
the nipple position should remain good and I believe your tissue should shrink. I would wear a tight bra post op. The smaller size should suit you better.
Talk to your doctor about capsule adjustments, issues of skin laxity and wrinkling
Thank you for your invitation. Your photos are quite helpful. Reading your text I think you have a good understanding of the concepts. Although I don't have the results of a physical exam to confirm, I think your breast tissue is quite elastic, and will contract down to the smaller implant. I do not believe a lift is necessary.
You are correct, because of the base width being roughly the same, a capsulorrhaphy is not necessary and a quick swap out would be fine. My recommendation is to get as close to 200 cc as possible to achieve a reduction that you feel was worthwhile.
Additionally, you should consider form stable implants to achieve a long term good result that looks natural. I am aware of the fact that most surgeons shy away from them, and the vast majority of them would shudder to exchange a smooth round implant with a form stable textured implant for fear of rotation. Those of us who do these exchanges will tell you that proper pocket management (capsulorrhaphy) will keep the implants in place.
Best of luck!
What to expect? Downsizing after 3 years. 285 UHP to 200-220 MP. Sebbin. Sub-muscular. No lift for me. 32y/o no kids
Downsizing Breast Implants
Judging by the photos, you are considering a significant change in projection so the way the breast sits will change, meaning you may have a slight bit of more settling of your breast on the chest/crease.
Another option that I may consider would be to go to an HP implant instead of going down to MP. It really depends on how much smaller you want to be.
You do have a very nice result right now, so err on the side of caution.