Can I go down 70-90cc + lower profile and still expect a good result after a year with Soft Touch 295cc Mod implants? (Pohto)

You will keep the animation since the implants are behind the muscle. Going down in size and height will decrease the upper fullness. Your nipples are in good position, and decreasing the upper fullness will improve that look. A sizer can be used to see if 15 cc's difference is enough, or if you will need the next size up for symmetry.

Breast symmetry is rare. Your asymmetry is not remarkable considering where you began. You may consider doing 1 implant reduction. The larger breast going down about 100 cc's. This may allow the nipple-areola complex to match since right now they are at 2 different levels.

Best Wishes,

Gary Horndeski, M.D.

To make an assessment regarding the outcome of a 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 and ask your surgeon to forward, the pictures they took.
There are three variables that determine breast augmentation outcomes.
The first is the patient’s candidacy for the procedure. The second is the choice of implants in regards to size shape and type.
The third is the surgeons ability to place the implant in the correct an atomic location.
Each plastic surgeon will have the wrong method for guiding patients through the implant selection process.
Some plastic surgeons have the patient choose the implant and other providers will make the decision themselves based on feedback from the patient.
My personal preference is to use a lot of before and after pictures to get a good understanding of what the patient is, hoping to achieve.
I asked patients to bring in examples of before, and after pictures of previous patients who have similar body characteristics that ended up with results very similar to what they’re hoping for.
I usually bring those pictures with me to the operating room and use temporary sizers to determine what implants will create an outcome consistent with the patients wishes.
Each plastic surgeon will do this differently.
Some plastic surgeons do it better than others.
The outcome after changing implants, will take some time before the tissues settle down just like it did after the first procedure.
Not everybody is an ideal candidate for breast augmentation or getting certain types of outcomes.It’s important to understand your own candidacy for the procedure, especially including any potential limitations in outcome, such as breast asymmetry, breast ptosis, less than ideal position of breasts on chest wall and breast divergence.
In the end, the three variables stated above are going to determine the outcome.
There are a lot of variables to take into consideration.
Finding the right plastic surgeon is probably the most important variable since it is the variable patients have the most control over.
Understanding your candidacy, choosing the right provider and getting implant choice, correct are the key variables.
Focus on the variables you will have most control over.
I don’t think there’s a yes or no answer to your question.
Best,
Mats Hagstrom, MD