Want to down size my 535 hp xtra gel implants to 415 or 450 without lift. Currently over the muscle.

Question

Hi I’m 5’4 110 lbs I’ve had a revision done already from 415 to 535 hp xtra gel implants over the muscle but I find them too large and wide for my frame and it is also extremely uncomfortable i went for a consult and have discussed revision. But I want to know if there will be sagging and if I should go back to 415 or go with 450 this time. I just want to be comfortable and proportioned. Thank You

Daniel Barrett, MD · Answer

Dear Sincere232916,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Yes, what you selected is way to large and heavy for your frame. I would suggest going back down to 415 cc's at the largest. Your surgeon can do some internal tightening if needed. You may not need a lift, but your surgeon can discuss this with you.

Want to down size my 535 hp xtra gel implants to 415 or 450 without lift. Currently over the muscle.

Answers (2)

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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.

Want to down size my 535 hp xtra gel implants to 415 or 450 without lift. Currently over the muscle.

Answers (2)

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Recommended reading

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.