Finding a Doctor with expertise in replacing large implants with small ones? (photo)

I had a large implants placed 13 years ago... the Dr. did a great job, but made them larger than I wanted. I kept them because my husband likes them, but I'm sick of them getting in the way. They're starting to cause neck and shoulder problems as well. I'd like considerably smaller implants and I'd really like to avoid a lift. Thanks for any advice!

Doctor Answers 7

Replacing large implants with smaller ones.

HI, I think that you will need to have some sort of tightening procedure if you wish to put smaller implants in; otherwise,, there is a good chance that you will have wrinkling and rippling without tightening the pocket. Also, you will lose projection as well and also, you will look flatter and less full without a tightening/ mastopexy. In order to do this, you will probably have "lollipop" types of incisions. Best, Dr. Rodgers

Denver Plastic Surgeon
4.9 out of 5 stars 89 reviews

Maximum projection with minimal implant

Many women refuse lifts because of the ugly vertical scars associated with the traditional technique. For that reason, a new technique has been developed called The Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Aligning the areola and breast tissue over the bony prominence of the chest wall maximizes anterior projection without use of implants. Unfortunately, you have not told us the size of your implants or bra. Using this technique, you can remove your implants and achieve the size you had before or replace your implants with smaller ones. This technique maintains nipple sensation, the ability to breast feed and incisions are hidden at the areola-skin junction just like routine augmentations.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 222 reviews

Finding a Doctor with expertise in replacing large implants with small ones? (photo)

Seek 3 opinions in person from boarded PSs in your city/state to determine who you feel best with...//

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Breast implant reduction

I think that you need to go for an examination in person. It is difficult to say from the photos whether or not a lift can be avoided.  

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Finding a Doctor with expertise in replacing large implants with small ones?

   This will depend upon a number of factors.  I would offer you two options - one to downsize and adjust the pocket if necessary.  The other would be to allow me to make the determination of the need for a breast lift on the table once the implants were downsized and the pockets were adjusted.

Find a plastic surgeon who performs hundreds of breast augmentations and breast augmentation revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD 

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Down sizing

Thank you for the photos but one would really need to do a complete examination before determining whether you would benefit from a lift and what type.  Many times creating a new pocket for smaller implants is all that may be neede.

Dr Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 61 reviews

Finding a breast implant/lift surgeon

As we said in your previous post, the downsizing of the implant is straightforward, but the real artistry will come in handling whether you want/need a lift. That is where the biggest differences between surgeons will be seen so check multiple photos of the different doctor's lift and see whose are best.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 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.