Wanting a Smaller Implant Exchange: Will I Need to Get a Lift As Well? (photo)

It is certainly feasible to #downsize to smaller implants and also alter the positioning; if possible. However, decreasing is size may also require a Breast #Lift to to #tighten loose skin, better optimize the end result. Any #revision has risks of unhappy outcome or other complications. Also, the right implant for the revision is contingent on shape of body and your desired outcome.

There is a new technique called Implant Exchange with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to replace your implants with smaller ones and place them retro-pectoral.  I recommend silicone gel since they look and feel more natural.  At the same time, your breast tissue can be reshaped to increase upper pole fullness, elevate the breast higher on the chest wall and more medial to increase cleavage.  Aligning the areola, breast tissue and implant high over the bony prominence of the chest maximizes projection and allows the use of a smaller size implant.

Best Wishes,

Gary Horndeski, M.D.

The answers us yes.  When you downsize you will excess tissue that will need to be tailored over your implant (i.e. Lift).

Dr. ES