I currently have 500cc / 550cc implants and would like to downsize. Which size implant would be ideal for my body type?

If you planning to go small, remember that you will need breast lift to adjust the extra skin, 350 will be good size for you

Hello, thank you for your question. Yes it is common for patients to come back and either go bigger or go smaller. We generate an ideal size scale based on the breast width. Speak once again to your plastic surgeon to see your options.

Dear sweetpea212,
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

Judging by your photos, in addition to removing and replacing and going smaller, I would also recommend a lift to achieve a desirable aesthetic outcome. As far as how small to go, I like to review photos with my patients as well discussing in detail what they are trying to achieve, in particular in the upper pole. With going smaller, the result will also be that there is less upper pole. There are ways to counteract that, for example, I remove the lower pole breast tissue during the lift and add the volume that I am removing to the size of the implant to achieve more of an upper pole if the patient desires. Another way to size, if the patient has saline implants, we deflate them in the office (very simple) and then size our patients with Allergan/Sientra sizers.

Hope that helps.

Based on your pictures, it looks like you are experiencing breast droop, where breast have fallen overtime. A revision could treat this issue and additional breast support can be created using Strattice mesh (also referred as an « internal bra »). If you want to downsize, the surgeon can help you choose the right size by shoeing you different implants during an « in person » consultation.


I hope this helps,
best of luck !

An exam is needed to help determine the right implant size for your frame that also matches your surgical goals. When selecting an implant in addition to volume you will need to consider shape, type, and profile. From your photo it appears smaller implants would be a better fit for your frame. I've included a video about implant selection that I hope you find helpful.

I would agree that your current implants are too large for your tissue and frame and encourage going smaller. If you go down too small, you may need a lift. If you do not want a lift, drop down about 100 cc's and your lateral pockets can be internally tightened.

hello this is dr. can I like to explain what you need here or at WhatsApp. your body ratio looks already good. ıf you want smaller ıt may be fitted also but photo is not ideal to discuss about it. we need to see your upper body also. and for smaller implant you may need lifting surgery. let me know if you have any question or need. have a great day!

Your nipples are already low.
Downsizing will cause them to sag lower,so you will need some kind of lift

Based on the 1 posted goto I might offer 350/400 or 400/450 moderate profile + with bilateral donut lifts. Fee fro $6,000+. Best to virtual consult with....