Unhappy with current implants. Want smaller, perky implants and an areola reduction - it this possible? (photos)

Hello and thank you for your question!In my opinion, yes, you are a great candidate for an implant exchange and revision breast mastopexy. Typically, depending on how much smaller your desired implants/cup size are, the surgeon may have to do extra work on the capsule layer (implant pocket) to tighten it appropriately to better fit the new smaller implants. The areola can be reduced and moved up, along with having the remaining breast skin and tissues tightened through a Wise pattern (anchor incision) on each breast. Your best option is to have an in-person consultation with a board certified plastic surgeon who can do a physical exam, point out where the incisions and answer your specific questions, goals and concerns. Good luck on your journey!

You are a good candidate for an exchange to smaller implants and another breast lift. This can be a tricky operation so make sure to choose a board certified plastic surgeon who has a lot of experience with this type of surgery. Best of luck!

Revision of breast implants with smaller implants and a breast lift with help with perkier breast. The areolar can be reduced with the breast lift. At times a surgical mesh “internal bra” helps keep the breasts supported and lifted.

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. The areolas can be reduced to the size you desire. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. You would benefit from her revision where your breast is lifted, your implants are downsized, and your areola is resized. As this is a revision breast lift and implant placement, you would benefit from an internal bra to provide longer lasting results. Good luck.

Dear lycheecat,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You can go down in size and have a full lift. The areolar lift will not work for you. Going smaller will have less wait and less risk of future sagging.

From the description of your goals you can consider an implant exchange for smaller implants and a breast lift revision. This will remove excess skin as well as lift the position of the breast and nipple, and downsize the areola. See a board certified plastic surgeon near you for a consultation to learn more.

Great posted photos for failed surgery due to poor surgical techniques. You need revision of full lift, downsize implants to 200-250cc, N/A reduction revision. Fee $10,000. Best to virtual consult with...

You can certainly replace your implants for smaller implants.
However you will need a breast lift, and areolar reduction