Breast implant exchange to go smaller - what size should I go for?

Question

Hello, I have had breast implants for 20 years and am considering exchanging them for smaller ones. When I initially received my implants, I was about a size 32A and opted for 375cc, which brought me to a 34DD, possibly slightly larger. I understand that a lift may be necessary during this process, but I definitely want to go smaller. For context, I am 5'2" and weigh 125 pounds with a smaller frame.

Daniel Barrett, MD · Answer

Dear tenneybm,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

The most important thing is the type of lift you undergo rather than the size of the implants.  The technique I recommend is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

I would suggest that you consider going down to 200-250 cc's which should drop you a cup in size. if you want to be smaller, consider removing the implants and doing a lift. You may not need implants any longer.

Breast implant exchange to go smaller - what size should I go for?

Answers (3)

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.

Breast implant exchange to go smaller - what size should I go for?

Answers (3)

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.