How much smaller could I go without complicating things and will the cc come back?

Good morning,
You can certainly go down in size, but given your history I would do everything possible to reduce the recurrence risk- I would put them back under the muscle, place a drain for five days postop, have you take Vitamin E and singulair, and add a sheet of Strattice mesh on each side.

I would not recommend using the same pocket but place smaller implants retro-pectoral. Textured implants have a high risk for capsular contracture.

Best Wishes,

Gary Horndeski, M.D.

Dear Luminous8667,
capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery