Currently have 650 cc saline implants with full 38 DD want to go down to an average D cup. (photo)

Dear sls,It is refreshing to hear that someone is actually downsizing their breasts in Texas.  The size implants that you have chosen to replace with should give you the desired D cup breast.  Also, the implants will be lighter and should age better than your current heavy saline implants.  Good luck!

At
size 38 each 200 cc’s of implant corresponds to 1 cup size change.450 cc implants would take you down to a 38
D.However, the greater problems you
have are the vertical scars from your previous lift and bottoming out of your
implants.This will require a
simultaneous lift.Unfortunately, the
vertical scar cannot be removed but can be revised by another circumvertical
lift at the time of implant exchange and you will need internal plication of the
capsule of the implant because they have bottomed out.Best Wishes,Gary Horndeski, M.D.

Thank you for the picture. Downsizing to about 450 or 500 cc implant should put you in that cup size range. I focus less On cup size versus your desired result. When speaking with your plastic surgeon I would bring pictures of your desired result and that can be more readily matched than a cup size.