How Much Smaller an Implant Can I Get with an Implant Exchange Without Requiring a Lift? (photo)

This is a great question and a tough one to answer.  From the photo you have included, the nipple position appears to be good.  With such large implants place above the muscle, you have stretched the skin out and down sizing the implants will leave extra skin.  The smaller the implant, the more the excess skin you will have.  Having a detailed discussion with your plastic surgeon about your ideal look and size can help guide what can be done.  One option is to down size and then perform a lift at another operation if needed.  Another option is to perform a periareolar mastopexy (incision around the nipples) at the time of surgery if there is some excess skin and nipple descent that would create an unappealing look.  Your surgeon can help guide you in a direction that fits your budget and timeline.  

Good luck!

 

You have the typical look of subglandular implants in a thin person where you see  the outline of the implant and no feathering of the edges as is seen with submuscular implants. If you like this look then going down 100cc may be OK  It is hard to predict how well your skin will shrink. Good Luck!

Just based upon your photos, it looks like you will need implant exchange if you want to downsize. It does not look like you have alot of native tissue. An exam in person would be appropriate.