Downsizing - would 195cc be too small? (Photo)

Question

I’m 5,2” 110lbs, athletic with very little body fat I currently have 380 HP UTM saline implants (diameter of 11.40) My BWD is 11 and 11.50. I’m downsizing to either 195 LP (diameter of 10.40) or 220LP (diameter of 10.90) I can’t decide which would be best since my pocket is already developed. Would 195 be too small ?

Ronald J. Edelson, MD · Answer

I would rd omens the 220 c implants. When you go below 200 cc’s it’s like the implant is barely there. With 220 you’ll be downsizing by a third which would be right. However your breasts currently look excellent and not too large.

Frank Agullo, MD · Answer

Thank you for reaching out with your specific details and concerns about downsizing your implants. Based on your current measurements and the options you're considering, it's clear you are looking at a reduction of about a cup and a half in size with either the 195 LP or the 220 LP implants.

The primary difference between these two options is a volume difference of 25 cc's. To put this into perspective, one tablespoon is equivalent to 15 cc's, so the difference in volume is relatively small. In terms of diameter, the difference is just 5 mm, which is also not substantial.

Given that your pocket is already developed for a larger implant, it's crucial to consider that a pocket reduction surgery might be necessary. This is to ensure that the new, smaller implant doesn't move around excessively within the larger pocket created by your current implants. You may require mesh support.

Additionally, a small doughnut lift might be required to adjust to the new implant size and maintain an aesthetically pleasing result. This type of lift can help in repositioning and tightening the breast tissue to match the new implant size.

Deciding between the 195 LP and the 220 LP implants depends on your aesthetic goals and how you envision your post-surgery appearance. While the difference between the two sizes is not significant in terms of volume and diameter, it's important to consider how each size aligns with your desired outcome.

I recommend discussing these considerations in detail during your consultation. This will help in making an informed decision that best suits your needs and expectations.

#Staybeautiful @RealDrWorldWide

Connie Hiers, MD, FACS · Answer

I would suggest going with the large 220 cc implants because of your pocket size. Your pocket can be tightened internally laterally to help, but your current implant has also stretched your pocket anteriorly.  there will be less loose skin with the 220 size than with the smaller implant, and your bra size will probably be the same with both.

Mats Hagstrom, MD (license on probation) · Answer

I suggest you ask your plastic surgeon to guide you through the process of implant selection. Each plastic surgeon while on their own way of choosing implants or guiding patients through the process. My personal preference is to use a lot of before and after pictures to get a clear understanding of what the patient is trying to achieve. I typically use temporary sizers during surgery to determine what implant size will give the desired outcome. I typically have a full selection of implants available during surgery and open the implants that correspond to the volume determined by the use of the temporary sizer. Other plastic surgeons have the patient make the final selection which is a little easier on the surgeon since they are not ultimately responsible for choosing the implant. I found it working with sizers and a lot of before and after pictures has given the most accurate and consistent outcomes.
Look at your before, and after pictures and calculate the percentage decrease by your implant options as another way of trying to figure this out. In the hands of the right plastic surgeon should be guided through the process. Sufficiently experienced surgeons should have a large number of before, and after pictures. Not all plastic surgeons use temporary sizers and many plastic surgeons determine implant size before surgery and come to the operating room with only one pair.
There’s no right or wrong way to do this. A different plastic surgeons have their own way. Being in the hands of the right plastic surgeon is important. If you’re comfortable with your surgeon, then continue working with them and ask them for the guidance you need to make the right decision.
I think it would be inappropriate for us to tell you what implants to use.
Best,
Mats Hagstrom, MD

Downsizing - would 195cc be too small? (Photo)

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