I was a 34B, wanted to be a 34C/ small D, have 375cc silicone implants and I'm a 34DD. Want to be smaller, what size?

It is very possible to #downsize to smaller implants and also alter the positioning; if possible. However, decreasing is size may also require a Breast #Lift to to #tighten loose skin, better optimize the end result. Any #revision has risks of unhappy outcome or other complications. Also, the right implant for the revision is contingent on shape of body and your desired outcome. Breast revision surgery is more difficult, complicated, and requires more time than primary surgery. There is as much as a 40% chance additional surgery will be needed following the #revision. As far as sizing, there are no promise or guarantee of the specific cup/bra #size and shape you will be after your surgery and results will be rewarding if expectations are realistic. As with any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

It would help to see photos to determine if a lift is needed in addition to switching out the implants.  What size to go with is a matter of judgment and subjective, just like a D  versus a DD is subjective.  It also depends on how much of your own breast tissue you have.  Make sure you familiarize yourself with the different implant size ranges and carefully consider what size to use before you proceed.

Thank you for your question.In my experience I have found that most women who wish to downsize implants need a lift as well. Don't be afraid of a lift, as new technology has been developed that eliminates the need of the dreaded and very visible vertical scar. The Ultimate Breast Lift technique lifts and reshapes breast tissue so that a small sized implant is sufficient. The UBL technique is so successful in reshaping a female breast that I have replaced 500cc + implants with that of 180cc implants without a change in bra size. You are welcome to view my before and after gallery to see what can be accomplished with the UBL technique.FYI; with a 34 circumference every 100 cc's equals to one cup size.I hope this information helps.Kind regards, Gary Horndeski MD

The volume of implant needed for your desired silhouette is less important than dimensions of the implant.  Cup size is a bra measurement, and depends on multiple factors, some of which are independent of breast size.  Breast lift sometimes indicated when volume diminished, provided surface area of breast skin doesn't proportionately diminish.  Your breast history and skin elasticity are important considerations.  "Tightening" the capsule (capsulorrhaphy) may or may not be indicated.  These technical details are situational.  Difficult to make specific recommendations of any kind without more understanding about what you have now and what you want.  There are so many choices and possibilities.

     Without pictures or an exam, this is difficult to answer for your particular case.  Sometimes, the pocket needs to be adjusted for a smaller implant.  Sometimes the skin needs to be adjusted with a lift.  Sometimes, nothing needs to be done, depending upon your starting point and your goals.Kenneth Hughes, MDLos Angeles, CA

Thank you for your question.


Please
put your front, side pictures. These pictures are easier to see if they are
taking by someone else not close to the camera of the area you are interested
only to give you a better answer.


Many
surgeons, including myself, offer online virtual consultations where you send
us your photos and we can estimate the cost. I, like many surgeons, also
offer free consultations so that you can be examined and given the most
accurate quote.





Choose a board certified
plastic surgeon who has done a ton of Brazilian Butt Lifts and has privileges
to do this surgery at a local university hospital. This says his credentials
have been checked out by fellow Drs. All surgeries carry risk, talk to your
plastic surgeon and choose one wisely.

I'm sorry to hear about your dissatisfaction after breast augmentation surgery. As you can imagine, it is not possible to give you precise advice without direct examination and a full communication of your goals.  Some general thoughts may be helpful to you.
Generally speaking,what breasts look like after removal or down sizing of breast implants will  depend on several factors such as: the quality of skin elasticity (the better the elasticity, the better the skin will bounce back),  the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation). 
Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will  potentially influence the factors discussed above. If you take these factors into consideration and apply them  to your specific circumstances you may get a good idea of what to expect after the implants are removed or replaced with smaller implants. There is no specific/accurate correlation between cc of breast implants and cup size change. As you know, cup sizes will vary from one bra manufacturer to another and should not be used as a communication tool. In my practice I find the use of goal pictures helpful during the communication process. “Tightening the capsule", otherwise known as capsulorraphy, involves the use of sutures to decrease the breast implant pocket space. Sometimes, it is a useful procedure when patients are having breast implant displacement problems and/or downsizing breast implants.  In my practice, I would ask that you communicate your goals carefully with the help of goal pictures. Then, I use temporary intraoperative sizers (with the patient in the upright position);  this intraoperative sizing technique (dimensional planning) allows for individualized selection of breast implants ( size/profile) to help achieve patient's goals.
You may find the attached link (dedicated to revisionary breast surgery concerns) helpful to you.
Best wishes.

Although
it’s understandable that many women think of breast implants in term of cup
size, this is actually very problematic in terms of expected results. There’s
simply no standardization among bra manufacturers, so one company’s B cup could
be another company’s C cup. Despite this disclaimer, I can tell you that the
general rule is that 150-200 cc = about one cup size. Keep in mind this varies
quite a bit depending on your frame, weight, and a number of other factors.
It’s possible you may need a lift if going smaller, but again, this depends on
many factors. Definitely see a board certified plastic surgeon who specializes
in breast implant revision for the best results.

Although it is not possible to go into specifics, there are several general points that can be made that will perhaps answer your questions. Breast implants are pillow volume that fill out your breasts from behind. They do not lift the breast up, larger implants do not lift breasts up further and smaller ones do not make them sag. Round breast implants are properly sized by making sure the diameter of the implant matches the internal width of your breast. Your choice is the forward dimension/volume (called the profile). In round, smooth surface, silicone gel-filled implants there are three forward volumes or profiles that correspond generally to 1-2 cup size increases in volume if they are matched to the width of your breast and your breasts are not unusually wide or narrow. If you already have implants in place and assuming they are in the proper position and your breasts are properly positioned over them, you can exchange your existing implants for smaller ones but only in the forward profile and only if you are not already at the lowest profile. You cannot downsize the diameter and height of a round implant if it was properly fitted to the width of your breast to start with. So if you have a high profile round, smooth surface, silicone gel-filled implant in place, you can have it changed to a medium or lowest profile implant of the same diameter and it will fit and your tissues will accommodate it without additional surgical maneuvers. Thus if you have a high profile implant now you could drop by about 1/2 to 1 cup size by lowering the forward profile. If you have the middle profile implant now then you can only drop to the lowest profile and lose about 1/2 cup size. If you have the lowest profile implant now then there are no good options for smaller implants. It's not a question of the number of cc's. It depends on what profile implant you have now and if the current implants are in the proper position in relation to your breast. If the implants are not in the correct position relative to your breast then you will need more than a simple replacement.