Will I need a lift if I exchange for a smaller implant? Do my breasts look saggy and to large for my frame? (Photos)
Doctor Answers 7
Will I need a lift if I downsize my implants
Hi and thank you for the question. I think in all likelihood a lift will be necessary if you decide to downsize. The lift allows us to reshape your breasts around the small implant. This is The same principle that applies for a person who loses weight but wants to keep the same dress. You have to go to a tailor to reshape the dress to fit your new body. Most patients prefer to avoid the extra scars that are associated with the breast lift. However, in my experience, patients almost always prefer breasts that have scars but a beautiful shape over breasts with fewer scars but a poor shape. My suggestion would be to discuss your concerns with your Plastic Surgeon. If you feel that he or she doesn't clearly understand your goals then my suggestion would be to get a second opinion. Good luck to you.
Breast Implant Revision
Thanks for your pictures and question. The operation you decide on depends on what goals you are trying to achieve. A smaller implant will make you smaller in size, but you will loose fullness on top. Based on your pictures, I believe that a breast lift to remove extra skin, tightening the breast pocket internally to maintain shape, and a smaller implant would give you fullness and perkiness without being so large. Ultimately an in person exam with your plastic surgeon would be best to determine what options you have to attain the look you want.
I would have to see you in person to determine what might be necessary. A small circumareola lift may be procedure to do if the breasts appear to sag a bit. Hard to say without a good exam.
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Will I need a lift if I exchange for a smaller implant?
I am sorry to hear about your concerns after breast augmentation surgery. Yes, you should be able to undergo downsizing of breast implants. Keep in mind as you are thinking about your goals that sometimes adjustment of the breast implant pockets (capsule adjustments) may be necessary to achieve the outcome you are looking for. Whether or not the adjustment of the breast implant capsules (capsulorraphy) and/or breast lifting will be necessary will mainly be dependent on your physical examination and how much you choose to downsize; specifically, factors such as the amount of redundant skin and quality of skin elasticity will be important. If your breast implants were placed in the sub glandular position you may benefit from conversion to the sub muscular space.
Generally speaking, the best online advice I can give to ladies who are considering revisionary (downsizing) breast augmentation surgery is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "down a cup size” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
3. Once you feel you have communicated your goals clearly, allow your chosen plastic surgeon to work with you in determining the best plan to achieve your goals.
I hope this, and the attached link (dedicated to revisionary, specifically downsizing, breast augmentation surgery concerns), helps. Best wishes.
Do I need a lift if I go to smaller implants?
The decision to go with smaller implants often also requires a decision about a possible breast lift. Breast Augmentation enhances breast fullness and shape, but the placement of the implant in a space behind the breast gland (or both breast gland and chest muscles) can ultimately create a space that is too large for a smaller diameter implant. Commonly the space is made smaller (with internal sutures) to position the implant directly behind the contour of the breast gland again. But there is also the ligament support of the breast gland in front of the implant that may need to be adjust or tightened, which requires a lift. Repositioning the breast gland requires tightening the ligament support that is around the breast, likely leaving extra skin that is removed using incisions around the areola and on the front of the breast (possibly even in the crease along the bottom of the breast itself). While everyone wants to avoid additional incisions (including Plastic Surgeons) a breast lift may be necessary to create a "perky" and youthful shape. Please discuss these issues with your Plastic Surgeon, and possibly bring in photos of the look you desire. Your surgeon can then advise you of your options.
I would not have expected for you to go from a B t o DDD with a 375cc breast implants based on your information. If you are too large now, downsizing will help but you will need pocket work and possibly an inframammary fold resection. Go and see your surgeon and express your concerns.
Nana Mizuguchi, MD
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.