Downsizing Implants: two stage breast implant revision - is this the best route?

Question

I am planning to downsize my breast implants a small amount - 150cc. I have had them for 2 years. I have consulted with a few doctors and one suggested that a 2 stage procedure would be ideal - implant removal followed by 3 weeks with no implants in to allow skin to retract, then 2nd surgery to place new implants. I don't want to have 2 surgeries if its not necessary but I do want the best result so I'm unsure whether I should go this route / if it will really make a difference. I'm late 20s.

Vasileios Vasilakis, MD, FACS · Answer

Thank you for the question. It is hard to answer this question without photos and an in-person examination. Both approached are safe. A one stage approach of implant exchange is reasonable for many patients. If there is loose skin after a year then decision to remove skin/lift can be made at that time. I wish you the best of luck. Vasileios Vasilakis, MD. Fellowship-trained plastic surgeon. Houston, TX.

Ronald J. Edelson, MD · Answer

The only reason that would make sense to do this on two stages is if you needed a lift. What you are describing makes no sense at all.

Daniel Barrett, MD · Answer

Dear xandrasmith,
it is hard to tell for sure without an examination. Generally speaking, it is possible to remove larger implants and replace them immediately. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You should be able to do the procedure in just one surgery and with internal tightening of the pocket. I would not suggest doing it in two.

James McMahan, MD (retired) · Answer

Thank you for your question.  There are some instances in breast revision surgery with implants where a two stage procedure is best; this, however, is not one of them.  In the long run, there is absolutely no difference in skin retraction by doing your procedure as one stage or two stage.  Going through two procedures increases the length of your recovery and you have a higher risk of complications such as bleeding, infection or anesthesia problems.  Only one stage is necessary. Be sure that you are seeing an experienced, board certified plastic surgeon.

Downsizing Implants: two stage breast implant revision - is this the best route?

Answers (6)

Answer: Exchange

Answer: Exchange

Answer: No need for two stages

Answer: No need for two stages

Recommended reading

Everything you need to know about Breast Implant Revision

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

Downsizing Implants: two stage breast implant revision - is this the best route?

Answers (6)

Answer: Exchange

Answer: Exchange

Answer: No need for two stages

Answer: No need for two stages

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

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