I am considering downsizing from 560 to 300cc - will I need a lift along with my implant exchange? (photos)

You do not appear to need a lift, but your inferior pockets will need to be tightened since you are bottoming out from such large heavy implants. You may need mesh for support.

Your breasts are too low on the chest wall. You would benefit from explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hello. In my opinion you would need skin resection in order to reshape the breasts after downsizing implants by 260 cc. The nipple areolar complexes appear to be in good position, however the breasts have "bottomed out" with most of the implant volume sitting below the nipple areolar complexes. I would recommend removal of your current implants and repair of the capsule to reduce the size of the implant pockets on both sides. This would elevate the infra-mammary folds to a more natural position. You may also benefit from reinforcement with absorbable mesh to prevent recurrent implant malposition. The excess skin would likely need to be removed in an anchor pattern. The goal of the procedure would be to reduce the overall breast volume but improve the breast shape with the nipple areolar complex centered over the most projected portion of the implant. I hope this helps. Good luck.