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Getting Smaller Implants - 700cc to 500cc Feasible?
Implants can increase the amount of skin you have on your breasts through tissue expansion (this same concept is used for breast reconstruction). Downsizing your implants still leaves the expanded soft tissue envelope. Removing implants or reducing the size can lead to sagging breasts.
Most of the time a 200 cc implant size difference will need more than a circumareolar mastopexy to provide a lasting result and a good shape. The mastopexy design that can be an alternative is a Wise pattern mastopexy (the anchor design scar).
This provides an excellent lasting lift but the trade-off is a larger scar. In the end, it depends on how much ptosis you have now, but a high profile 700 to a 500cc moderate plus profile will likely require some sort of lift.
In addition, your tuberous breast reconstruction may make your breasts more susceptible to sagging.
Clinical Context
A breast lift (mastopexy) raises and reshapes sagging breasts by removing excess skin and tightening the surrounding tissue. The degree of lift required determines the surgical technique — from periareolar for mild ptosis, to vertical (lollipop) for moderate sagging, to anchor (inverted-T) for significant ptosis.
Selecting a board-certified plastic surgeon who is a member of the American Society of Plastic Surgeons ensures your surgeon has met the highest professional standards.
