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

Question

I got silicone implants in 2012 along with a lift. I was 23 at the time and I did the procedure due to having breast asymmetry and tuberous breasts. My implants came out much larger than I expected and stretched my areolas . I don't know what to do now in terms of what procedure I need and what type of results I can hope for. I want much smaller, perky implants and an areola reduction. Is there any hope based on what my breasts look like now? They are drooping with my nipples pointing down.

Camille Cash, MD · Answer

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.

Fernando Ovalle Jr., MD · Answer

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!

Jonathan Heistein, MD · Answer

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!

Michelle Zweifler, MD · Answer

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.

Gary M. Horndeski, MD · Answer

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.

Best Wishes,

Gary Horndeski, M.D.

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

Answers (5)