I want to downsize my new 425cc implants to 300cc. I have perky breasts but thin skin. Is this an easy procedure?

Question

4 months post op currently. I wanted to be a full C being a Full B before. My doc recommended 425 saline implants that I know now are too big (DD). I really want to downsize and get gel instead bc I have rippling. I won't be financially stable for this surgery for a few years. Would this be an easy procedure 2do if I wait or would breast pocket tightening be required to downsize? I am fine with the more natural breast look (not high up) let me know your thoughts so I can be saving appropriately!

E. Ronald Finger, MD · Answer

If you have no capsular contraction, this should be a very easy procedure. With a capsular contracture (encapsulation), which you could develop over a period of time, it takes more surgical time, but for experienced plastic surgeons, not a complicated procedure.
The wrinkling that you have makes me think you have saline implants. I recommend silicone Memory gel implants to reduce this risk.
Thank you for your question and photos, and good luck.

Thomas A. Pane, MD · Answer

It's unfortunate you aren't fully satisfied so soon after your initial surgery.  I am inferring these are saline implants on top of your muscle.  If you want to be smaller and have less rippling, downsizing to gel is a good idea and a plane switch (to under muscle) should be considered.  This is best for an in-person consultation.  I would advise a consult with a practice that likes secondary breast cases, and plan on saving for a re-augmentation to gel with lift.  If a lesser procedure is acceptable for you, all you would have done is over-saved, which is a good thing!

Richard Baxter, MD · Answer

When downsizing implants, the skin has to shrink a bit or there will be sagging. One thing you can do to help it is to have the implants intentionally deflated. It's an in-office procedure, and then over the next few weeks the pocket and skin will shrink. The new implants should be a higher cohesivity type such as Sientra of Allergan Soft Touch, and the base diameter and profile will be important to minimize rippling. Some patients need Strattice or Galaflex to add coverage.

Thomas Trevisani, MD · Answer

There is nothing easy about performing surgery on qualified patients. If your Surgeon determines that your pockets are adequate you could explant and replace at the time when you're ready.

Thomas Fiala, MD, FACS, FRCSC · Answer

If the implant pocket is over expanded, and the downsizing would result in tissue laxity, it can get quite complex.  Sometimes, you need to plicate the pocket, add Strattice to reduce ripples, change the implant, and do some form of mastopexy.  Other times, it can be as simple as a implant exchange.You'll need an in-person evaluation to determine where you fall on the spectrum.

I want to downsize my new 425cc implants to 300cc. I have perky breasts but thin skin. Is this an easy procedure?

Answers (8)

Answer: Revision breast surgery

Answer: Revision breast surgery

Answer: Downsizing

Answer: Downsizing

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Everything you need to know about Breast Implant Revision

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I want to downsize my new 425cc implants to 300cc. I have perky breasts but thin skin. Is this an easy procedure?

Answers (8)

Answer: Revision breast surgery

Answer: Revision breast surgery

Answer: Downsizing

Answer: Downsizing

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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.