HP vs moderate plus?

For most women, 650 cc implants are much too large and heavy for their frame and tissue. I do like the moderate plus profile for most women and it might work well for you. Your surgeon can help guide you to the best profile for you.

Your plan of a 27% reduction in volume and switching to a device that doesn't put a lot of volume up front sounds like a good plan that will leave you feeling not so top heavy. My only concern is about what I don't know: how your soft tissue will respond to that change, i.e. would that leave you in need of a breast lift. It certainly is not a given, and many women reduce their size to a greater degree without the need for a lift. You will need to see your surgeon or one who is expert in revision breast surgery to make that determination.

Going down by 165 cc will be 1 cup size difference if you are 36 or 38 OR 2 cup size difference if you are 32 or 34. The loss of volume may result in the loss of a lack skin envelope and the breasts may hang. Unfortunately, you have not provided photographs or told us your bra size. It may change the way you appear.

Best Wishes,

Gary Horndeski, M.D.