Advise on downsizing breast implants after bottoming out?

Question

2 months after BA with round smooth gel implants under muscle (200 cc, UHP, 9cm base, 4.1cm projection) & need revision for bottoming out. Considering downsizing to 150 cc mod + (9.5cm base, 2.9cm projection) for less projection & more natural looking breast, but do not want to look flat either. Do you think I should change to 150cc mod+ for the more natural look I want? Or could the 200cc settle to a natural shape? Could I have problems with implant rippling with mod+? (5'2", 100 lb)

Tom J. Pousti, MD · Answer

Thank you for the question and pictures but you will find that all like consultants, will not be of much specific help to you. You will be much better off spending additional time with your plastic surgeon communicating your goals carefully.  Also, make sure that your plastic surgeon can demonstrate significant experience helping patients with breast implant displacement problems. Be careful about the use of words such as “natural” and “flat”;  these words can be subjective and a source of confusion/miscommunication. In my practice, I find the use of goal pictures much more helpful.  I also think that the use of intraoperative sizers make the selection of breast implant size/profile a much easier decision for your plastic surgeon. Best wishes.

Steven Wallach, MD · Answer

You do not particularly look like you bottomed out at two months.  At least in the photos. I would wait several months to see how they settle.

Myles Goldflies, MD · Answer

Before jumping into more surgery, try aggressive pectoral muscle stretching exercises.  The way you will get a shape closer to what you submitted as desired results, is to give the implants more room/mobility in the pocket.  Going to a smaller size will just be a smaller version of what you have and not a completely different shape.  Besides, 2 months are much too early to show your long term result.  I don't believe this is bottoming out, because the nipples usually point up when that happens with someone of your preoperative shape and volume.

Advise on downsizing breast implants after bottoming out?

Answers (3)

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Advise on downsizing breast implants after bottoming out?

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.