Breast Revision - 480cc submuscular saline implants. Is my desired size possible?

Question

I have 480cc submuscular saline implants, likely overfilled. They are 20 yrs old & too large (F cup). I want to reduce to a C/D cup. Been to multiple consults and now I’m confused. Dr #1 - would reduce pocket to desired size with sutures. Recovery time 6-8 weeks. Dr #2 - cautery method to reduce pocket but says going smaller than DD cup isn’t likely. Recovery time 6+ months. Dr #3 - would create a new pocket under muscle. Recovery time 6-8 weeks. Please help! Is my desired size possible?

Daniel Barrett, MD · Answer

Dear Fearless154658,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

The first surgeon is the most realistic. The pocket is made smaller with sutures. The pocket is not actually made smaller with cautery, but the capsule can be removed and the pocket tightened, or the capsule can be opened and enlarge the pocket. There is not a new pocket under the muscle if you are under the muscle now.  Go with the first surgeon. If you are really a "F" cup, consider just removing the implants. What you have now is about 3 cups in volume.

Breast Revision - 480cc submuscular saline implants. Is my desired size possible?

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Breast Revision - 480cc submuscular saline implants. Is my desired size possible?

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.