Would it be possible for me to reduce my implant size on one breast without a lift? (Photo)

Question

I got a breast augmentation. The surgeon during the consult recommends a 25cc difference in size, which I agreed to. After the surgery was over I was shocked to find out that she placed 110cc size difference. I feel they are very lop sided and never agreed to this. I am 5’10, had very little breast tissue to begin with (34A). She placed 295cc on L, 405cc on R using Natrelle soft touch. Is it possible to reduce the right side to a 300 or 325 without a lift? I’ve never had children or breastfed.

Wayne I. Yamahata, MD · Answer

Your photos suggest that you could reduce the volume without requiring a breast lift. Pre op photos would help to confirm this.

Gianfranco Frojo, MD · Answer

It would be quite beneficial to upload before photos to make the original size difference more understandable. It is difficult to determine if downsizing is even an option without having the original breast photos for comparison.

Frank Lista, MD · Answer

Hi there,
It is difficult to answer your question without a full examination. I would recommend for you to follow up with a board-certified plastic surgeon to address your current concerns. They can then go over which options are best suited for the results you wish to achieve.

Sean Fisher, MD · Answer

Yes, given your anatomy and tissue quality you should be able to downsize the right side closer to a volume match of the left breast without needing to do any sort of lifting procedure. Your surgeon may recommend internal capsule tightening or adjustments with the smaller implant based on the ultimate size selected. 
Sean Fisher Aesthetic Plastic Surgeon

Connie Hiers, MD, FACS · Answer

Yes, you should be able to exchange the implant for something smaller without a lift. The lateral pocket could be tightened if needed. Please discuss this with your surgeon.

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment regarding the outcome of any plastic surgery procedure, we generally need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
Understanding what you look like before the operation would help us understand the outcome a little bit better.
You can definitely have Your implants reduced. Your current implants look like they are bigger than the natural diameter of your breast.
Some women are OK with somewhat fake look the volume they desire.
If you feel like your breast are too big then I see no reason why you shouldn’t drop down in size a bit.
 Sometimes decisions regarding breast symmetry is done in the operating room.
Each plastic surgeon will have their own way of doing this in a perfect world. This would include clear and consistent communication during the consultation.
Personally, I would probably not commit to a specific size difference, but would request , the authority to make the decision during surgery using temporary sizers.
I’m sure your surgeon was aiming to achieve ideal symmetry in her decision in using the implants you currently have. Put silicon implants decides is predetermined and surgeons sometimes have to make decisions regarding quantum steps and increased size.
With sailing implants, we can adjust more carefully because we end up filling the implants and can make very small changes. Some surgeons have access to a complete inventory of every single implant size available during surgery and some surgeons need to order specific implants for the procedure. Symmetry sizing is always a little easier with saline implants. 
Perhaps she overshot slightly but at the same time 25 mL may not have been sufficient to correct for your baseline asymmetry.
Without seeing before pictures, we don’t have a baseline to go by.I’m going to assume that the right side has the bigger implant and that your left side appeared slightly larger to start with.
Breast asymmetry is fairly normal on most individuals. The left breast typically sits slightly higher on the chest wall on both men and women. 
Maintaining natural asymmetry is not wrong and neither is attempting to correct for it.
I’m quite certain your surgeon had your best interest in mind when making her decisions.
This is true regardless of the results.
I think all of us have been in this situation in some form at some point during our careers. 
Breast augmentation surgery has a fairly high revision rate.
This often includes adjustment of implant size.
What patients look like immediately during or after surgery laying on their back is sometimes different than what the outcome looks like months later in an upright standing position.
Go easy on your provider.
Other than slight volume asymmetry, the outcome looks rather good despite the implants being a bit on the large side if the goal was to maintain a natural breast appearance.
Implant envy is a very real thing.
Anytime, we use excessively large implants that go beyond the natural diameter of the breast we increase the chance of undesirable side effects, complications and need for revision surgery.
Follow up with your provider and ask if she will do a revision for you.
I seen no indication for needing a breast lift. 
Best,
Mats Hagstrom MD

Would it be possible for me to reduce my implant size on one breast without a lift? (Photo)

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