If implant is too large, will it cause loose skin or deformities when downsizing in implants? From 650cc to 550cc

Question

I had a BA 8 years ago for flat chest. Dr measured nipple to inframmamary fold 4.5cm; stretched, 6cm. He squeezed in 460cc, allergen #45. High profile. Was a small D cup. Loved the results but noticed fullness had gone down after 6-7 years. Got a revision to regain fullness. Dr said I’d need 600cc to achieve that. I didn’t want that large of an implant. I said I wanted around 550cc. He gave me 650cc, inspira srx. I’m worried it’s too big for my chest. Would downsizing look funny from larger?

Gary M. Horndeski, MD · Answer

Downsizing from 650 cc to 550 cc implants will probably result in excess hanging skin and you will need a donut mastopexy.  This can be done at the same time as the implant exchange.

Best Wishes,

Gary Horndeski, M.D.

Jed H. Horowitz, MD, FACS · Answer

Will downsizing implants cause loose skin and deformities ?
Thank you for writing. It would help to have more information regarding your measurements such as how tall are you how much do you weigh what size bra do you wear what is your chest measurement?
For do you prefer breasts that are rounder on your chest like a grapefruit or more projecting with less breast on the side of your chest. The profile of the implant in your case high and extra high are a tradeoff for the diameter of the breast given the same volume. Secondary breast surgery can be complex and needs to be done by an experienced plastic surgeon. At the Pacific Center for Plastic Surgery, Dr. Horowitz has a special interest and extensive experience each over the past 25 years in secondary, or “redo” cosmetic and reconstructive breast surgery. They are often referred patients treated by other plastic surgeons to correct and improve upon patients with preexisting implants and often combine additional surgeries such as a breast lift using advanced minimal scar techniques (e.g. peri areolar (donut), or “lollipop” short scar technique), Liposuction or other aesthetic procedures. Please schedule an appoint with us for an examination and personal evaluation Dr. Horowitz advises the best course of action based on each patient’s individual circumstances.

Connie Hiers, MD, FACS · Answer

I would downsize just to have less weight on the neck and shoulders. Your surgeon can tighten your pocket internally.

If implant is too large, will it cause loose skin or deformities when downsizing in implants? From 650cc to 550cc

Answers (3)

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If implant is too large, will it cause loose skin or deformities when downsizing in implants? From 650cc to 550cc

Answers (3)

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.