What approach would you take in downsizing my implants? Wondering what type of lift (if any) I may need. (Photo)
Doctor Answers 13
What approach I would take when downsizing?
Smaller breast implants
Revision Breast Surgery
Your arms are back and up in your photos you provided, making it difficult to assess breast ptosis. You will need an in person examination to determine the need for a breast lift. Having said that, looking at the photos and knowing your plans for down sizing, you would probably benefit from a lift.
Best of luck!
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You may need combo therapy.
Additionally, you might need combination therapy with some fat grafting of the really thin parts of your breast. That's a decision that most likely will have to be made in surgery and after the implants are exchanged. It sure seems likely based on your photos.
Regarding your need for a mastopexy/breast lift, that cannot be decided without an examination, and might even need to occur during the surgery. Once the decision has been made to reduce the implant volume, the magnitude of the volume change and the laxity of your tissues are the prime determinants of the type of lift you could need. Again, if I had to guess, you'd probably end up with a circumareolar (around the nipple) type of breast lift.
Your situation demands an experienced breast surgeon who can make many of these judgments during the procedure. A board certified plastic surgeon whose reputation you have some familiarity with will be your best bet. If you'd feel better getting multiple opinions, I'd limit those to 3 surgeons. You should have an excellent idea about the differences in surgeons after that many visits.
Revision breast surgery
Breast implant revision
My partners tv show "botched" is about getting the right advice about plastic surgery and trying to avoid problems.
I would recommend switching to an anatomic implant that may help with the rippling, but more importantly can give you the proper breast volume in a smaller size.
Internally we would need to close down the pockets.
Once we got the implants sitting perfectly, we would then address the skin with a lift. This may be just around the areola or may need to be extended.
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
best of luck!
Changing to Smaller Breast Implants
Some of my patients strongly wish to avoid incisions on their breasts (others don't particularly care or mind) and have the option of a Benelli lift but the decrease in size of the implant would need to be more conservative. Discuss your choices and options carefully with your plastic surgeon and realize that there is probably no single right answer, just the one that sounds most appealing to you.
Site placement likely the key
What approach would you take in downsizing my implants? Wondering what type of lift (if any) I may need.
Kenneth Hughes, MD
Beverly Hills, CA
Breast Revision Surgery
With your desire to downsize, you probably will need internal tightening of your capsule. Also I would recommend to switch to a more form-stable silicone gel implant to try and minimize your chances of rippling. Another option would be to add fat grafts to your breast to add some thickness to your skin if you have enough fat on your body to harvest. That would really decrease your chance of recurrent rippling.
Get a consultation with a surgeon who's comfortable with revision surgery. Good luck.