What size of implant will be more appropriate for me? (photo)

At size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. The problem is not that your implants are too high, it is that your breast tissue is too low. The lollipop lift did not lift the breasts.

Best Wishes,

Gary Horndeski, M.D.

Dear J.Lugo,
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

The size depends upon how much smaller you want to go. I would suggest considering somewhere between 300 to 350 cc, which should drop you one to a half cup in size. Lowering the implants will also decrease the upper breast fullness.

It would help to see more views but from the single shot, it looks like the only thing you need is a smaller implant, lower in profile down to say a moderate plus, and slightly narrower diameter. If you lower the pocket, there is a possibility of bottoming out or double bubble formation. But that can't be determined by just one view.