Not satisfied with BA and want to go smaller. Will I need a lift? (photo)
Doctor Answers 6
Decreasing Breast Implant Size
It is certainly feasible to #downsize to smaller implants and also alter the positioning; if possible. However, decreasing is size may also require a Breast #Lift to to #tighten loose skin, better optimize the end result. Any #revision has risks of unhappy outcome or other complications. Also, the right implant for the revision is contingent on shape of body and your desired outcome.
Not satisfied with BA and want to go smaller. Will I need a lift?
Very hard to advise without seeing before posted photos. I bet you had asymmetry in the before? Thus the results with very large implants magnifies the asymmetries even if slight. I might reduce to 450 cc implants, with left donut lift of N/A to even out the levels, and possible fat grafts after 1 liter liposuction to gain better upper pole fill. Fee $8,000. Regards
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Ultimately, careful communication of your goals will be critical; in my practice I find the use of goal photographs very helpful. Remember that terms such as "full C cup" may mean different things to different people.
Based on your photographs, I do not believe that breast lifting would be necessary. Whether or not adjustment of the breast implant capsules (capsulorraphy) and/or the use of additional supportive material such as acellular dermal matrix or biosynthetic mesh will be helpful will depend on your physical examination and a careful consideration of your concerns/goals. The dermis may also be helpful when it comes to "treatment" of breast implant rippling/palpability.
You may find the attached link, dedicated to "downsizing" cases, helpful to you as you consider options. You will find a separate page, on the same website, dedicated to correction of breast implant rippling concerns. Best wishes.