Downsizing breast implants. Would I be able to go from 505cc to 350cc without needing a lift? (Photo)

Question

I had breast augmentation in March ‘22. The implants I had placed are 505cc HP. I feel they are much too big for my body and are causing me back pain. Would I be able to go from 505 to 350cc without needing a lift? My goal is to have upper pole fullness.

John Michael Thomassen, MD · Answer

You would likely be fine with an implant exchange for a smaller size without a lift.  The nipple/areola complexes appear to be high enough.  You may need a capsulorrhaphy laterally to make sure the smaller implants do not move too far out but this does not add any visible scars.

Randal Haworth, MD, FACS · Answer

Hello !

The decision to downsize breast implants and whether or not a breast lift is needed depends on various factors, including the amount of excess skin, the degree of sagging, and the elasticity of the breast tissue. It's difficult to determine whether a breast lift would be necessary without a proper evaluation by a board-certified plastic surgeon.

However, in some cases, downsizing breast implants without a breast lift may be possible if there is good skin elasticity and the implants have not caused significant sagging. In general, going from 505cc to 350cc is a significant reduction in size and may result in a loss of upper pole fullness. To achieve the upper pole fullness you desire, a breast lift or fat transfer may be necessary.

It's important to discuss your concerns and goals with your plastic surgeon, who can assess your breasts and provide recommendations on the most appropriate course of action to achieve your desired results. They can also discuss the potential risks and benefits of any procedures and help you make an informed decision.

I hope this helps,
best of luck !

Daniel Barrett, MD · Answer

Dear brittaniek,
it is hard to tell for sure without an examination. You can replace implants and wait to see the final results. Later if needed you can get breast lift. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Jonathan Heistein, MD · Answer

Hi.  I think you can go down in size without needing a breast lift.  The smaller you go, the less volume and roundness you will see, especially at the top.  If your skin is loose, then it will get looser as you go smaller, but it will still be more firm than the way it was before your surgery last year.  Talk to your surgeon about the options and expectations with the size that you desire.  Best of luck!

Ajaya Kashyap, MD · Answer

Thank you for your question. It is certainly possible to downsize your breast implants. I would recommend a non surgical skin tightening method like radio frequency (ThermiTight or Bodytite) which can tighten the skin envelope so that breast lift is avoided.. I often do extra-capsular removal of the implant with redraping of breast tissue on the new implant which seems to help. Please discuss this with your plastic surgeon who can help you with all your concerns. All the best!

Gary M. Horndeski, MD · Answer

If you are having back pain from the implants then I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

An examination is needed to see if a lift can be done. You could have your lateral pockets tightened and use minimally invasive radiofrequency skin tightening for improvement.

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