Implant downsize - what is your size suggestion?

Question

I am 58, 5'4", 118 pds. 22 years ago I had gummy bear implants to go from an 32A cup to a C cup. My weight has remained fairly constant but I am now 32D cup with back/neck/shoulder issues. I am looking at getting current implants removed and do not wish to return to an A cup. Am looking at a lift and smaller implants. What is your implant size/ suggestion (ie cc's and profile) for me to go to a healthy B cup? Thank you

Gary M. Horndeski, MD · Answer

Your implants took you from a 32 A to a 32 C so they would be approximately 200 cc implants.  The technique I recommend is 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 if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear evangeline jamie,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

As I say on social media all the time, height, weight, cup size are all irrelevant. My rule of thumb is based in percentage change from current implant size. The smallest perceptible change is roughly 10-15%, which may surprise you. For example, if your implants are 300cc, then you will need to reduce your implant size by 30-45 cc to appreciate the downsizing. With regards to pain, it is unusual to have the common problems that women with naturally big breasts have. If you went from a C to a D, then your breasts grew. No one can perform a surgery to get you to a specific cup, and so that discussion is fruitless. Your issues are medical and possibly cosmetic. I suggest being evaluated for a possible reduction and lift. If your breast tissue is significant, then you may not need to touch your implants at all.

Connie Hiers, MD, FACS · Answer

You did not state what size you have, but you could consider something between 150-200, maybe 250 cc's for a nice B. Your own tissue has been thinned and stretched with the larger implant.

Mats Hagstrom, MD (license on probation) · Answer

It’s not appropriate for us to give you guidance on what size implant to use. This is something you need to work out with your provider.
Best,
Matt hagstrom, MD.

Implant downsize - what is your size suggestion?

Answers (5)

Answer: Size

Answer: Size

Answer: Choosing implant size

Answer: Choosing implant size

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Everything you need to know about Breast Implant Revision

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Implant downsize - what is your size suggestion?

Answers (5)

Answer: Size

Answer: Size

Answer: Choosing implant size

Answer: Choosing implant size

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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.