Desire for a size change
It may come as a surprise to many that the most common request in my breast revision practice is for SMALLER implants! Many patients recall being told by their friends who have had breast implants to always go bigger than what they think they would like. Times have changed, and for most women, bigger isn’t always better.
Moderate sized implants are usually in order for two main reasons. First, many women initially chose implants that were too large, or their surgeons chose for them, probably thinking “the larger the better,” and “the happier the patient.” Second, larger implants are associated with more breast complications (like malposition, thinning of the tissue, rippling, and a host of other problems). To effectively manage these issues with a breast revision, it’s often advisable to choose smaller implants.
If you are pleased with your breast implants, have no complications, and simply prefer larger implants, this is a straightforward procedure. Patients choosing smaller implants usually will do well with an implant exchange alone but sometimes there will be a need for additional modifications to the breast in order to ensure that the breasts maintain a pleasing shape.
