Advice on reducing upper pole for more natural appearance? (Photos)

Question

Looking to reduce upper pole in the one side as it looks too full compared to the other, implant sizes are 275 and 425 Thinking of reducing 425 to 325 for more of a symmetrical look as asymmetry was overcompensated for with first surgery

Ramiro Morales, Jr., MD · Answer

Thank you for your question and picture.  That might be the correct new size of implant.  The best way to tell is to have your surgery use temporary sizers in a bra in the office ADDING SIZE to the smaller size until they both look equal.  Then the PS will have a better idea how much smaller to make the larger size.   And then, I would still use temporary sizers in the OR to be sure to get the closest symmetry possible.

Ronald J. Edelson, MD · Answer

It’s obvious that your implants are different sizes. Using different size implants is a game that’s hard to win.  You can let your surgeon try different size implants at the time of surgery to determine the best fit. Ultimately it may be best to use the same size on both sides

Mark Eberbach, MD · Answer

The answer is straight forward. The options are increase the smaller, reduce the larger, or do a combination. Your pre operative photos would help decide.

This is not as simple as it sounds since the skin envelope and base diameter is also asymmetrical. With a change to smaller the new implant will tend to slide and move more when lying down unless the pocket is also modified. This takes a lot of experience to get right but is not technically difficult.

An ultrasound may be needed prior to decision making.

Good luck.

Generally,

Advice on reducing upper pole for more natural appearance? (Photos)

Answers (3)

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