i have 325cc saline and I want them reduced to 275cc. What are the risks? Skin sagging?

Answers from doctors (14)


A significant downsize can result in skin excess. However, this is not always the case. There are other factors at play including age and skin quality.

While a 50 cc downsize is not significant, there is no way to accurately predict how the skin will react post-op. Younger patients with good quality, youthful tissue (w/o striae/stretch marks) can expect a relatively better result than their older counterparts who may require a lift.

As always, discuss your concerns with a board-certified plastic surgeon (ABPS).

Answered by The Institute of Aesthetic Surgery (View Profile)

A significant downsize can result in skin excess. However, this is not always the case. There are other factors at play including age and skin quality.

While a 50 cc downsize is not significant, there is no way to accurately predict how the skin will react post-op. Younger patients with good quality, youthful tissue (w/o striae/stretch marks) can expect a relatively better result than their older counterparts who may require a lift.

As always, discuss your concerns with a board-certified plastic surgeon (ABPS).

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Jun 15, 2016

You have the risks of a second surgery. Also, there is only a 50cc difference, which is perhaps 3-4 tablespoons. I doubt you will notice an appreciable change in the size of your breasts.

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Answered by ELLIOT B. DUBOYS, MD, FACS

You have the risks of a second surgery. Also, there is only a 50cc difference, which is perhaps 3-4 tablespoons. I doubt you will notice an appreciable change in the size of your breasts.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Jun 03, 2016

This decrease is less than 1/2 cup, but sagging depends on many factors. This is not a signicant change, and you might not notice much of a difference.

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Answered by Barry J. Kaplan, D.O.

This decrease is less than 1/2 cup, but sagging depends on many factors. This is not a signicant change, and you might not notice much of a difference.

Published on Jul 11, 2012


Sean Kelishadi, M.D.

Published on May 08, 2016

Hello, and thank you for your question. You would need an in-person examination with a board-certified plastic surgeon to go over your best options. To be honest with you, going from 325cc to 275 cc is not a major difference, and I am not sure what the benefits will be considering that you will have to pay for anesthesia, facility fee, surgeon's fee. If for some reason going down to 275cc were acceptable or appropriate for your situation, you probably wouldn't have new skin sagging as that is not a major reduction of volume.

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Answered by Sean Kelishadi, M.D.

Hello, and thank you for your question. You would need an in-person examination with a board-certified plastic surgeon to go over your best options. To be honest with you, going from 325cc to 275 cc is not a major difference, and I am not sure what the benefits will be considering that you will have to pay for anesthesia, facility fee, surgeon's fee. If for some reason going down to 275cc were acceptable or appropriate for your situation, you probably wouldn't have new skin sagging as that is not a major reduction of volume.

Published on Jul 11, 2012


More About Doctor Paul Vitenas Jr., MD

Published on Mar 15, 2016

Thank you for your question. Because it normally takes roughly 200 cc’s to make one full cup size, going from 325 cc's to 275 cc's will barely be detectable to the average untrained eye. If you are considering having them reduced to that size, there will be a very minimal amount of skin sagging, if any at all.

Answered by Paul Vitenas Jr., MD (View Profile)

Thank you for your question. Because it normally takes roughly 200 cc’s to make one full cup size, going from 325 cc's to 275 cc's will barely be detectable to the average untrained eye. If you are considering having them reduced to that size, there will be a very minimal amount of skin sagging, if any at all.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Feb 26, 2016

Thank you for your question. Without an examination or viewing photos, it is impossible for online consultants to give you good advice. I would recommend communicating with surgeons who can demonstrate examples of their work in regards to "downsizing" breast implants and answer your questions for you.

Answered by Tom Pousti, M.D. (View Profile)

Thank you for your question. Without an examination or viewing photos, it is impossible for online consultants to give you good advice. I would recommend communicating with surgeons who can demonstrate examples of their work in regards to "downsizing" breast implants and answer your questions for you.

Published on Jul 11, 2012


Tania Medina De Garcia M.D.

Published on Feb 25, 2016

The implant pocket can be made smaller during the revision. I would not worry about stretched skin, because the skin usually contracts snugly. But this depends on several factors, including:

* Your age
* The prior condition of your breasts
* Assuming no weight gain/loss in interim
* Hormonal factors
* Skin elasticity
* Tobacco use
* Submuscular vs Subglandular placement
* Textured vs. smooth surface

Without being aware of these factors, as well as other issues, it is very difficult to predict what the shape of your breasts will be or the condition of the skin envelope when you downsize.

Good luck :)

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Answered by Tania Medina De Garcia M.D.

The implant pocket can be made smaller during the revision. I would not worry about stretched skin, because the skin usually contracts snugly. But this depends on several factors, including:

* Your age
* The prior condition of your breasts
* Assuming no weight gain/loss in interim
* Hormonal factors
* Skin elasticity
* Tobacco use
* Submuscular vs Subglandular placement
* Textured vs. smooth surface

Without being aware of these factors, as well as other issues, it is very difficult to predict what the shape of your breasts will be or the condition of the skin envelope when you downsize.

Good luck :)

Published on Jul 11, 2012


David C. Yao MD, FACS

Published on Feb 25, 2016

Thank you for asking. This is hard to say without knowing more about your history and your exam. A small amount of skin may need to be removed in these situations, and perhaps a formal lift may be needed. Other patients may not need any other work if their skin is OK. See a board-certified plastic surgeon who can guide you. Best wishes!

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Answered by David C. Yao MD, FACS

Thank you for asking. This is hard to say without knowing more about your history and your exam. A small amount of skin may need to be removed in these situations, and perhaps a formal lift may be needed. Other patients may not need any other work if their skin is OK. See a board-certified plastic surgeon who can guide you. Best wishes!

Published on Jul 11, 2012


Body by Ravi

Published on Feb 25, 2016

After downsizing an implant, there is always a possibility of needing a lift. An in-person consultation will help identify if you would need one.

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Answered by Body by Ravi

After downsizing an implant, there is always a possibility of needing a lift. An in-person consultation will help identify if you would need one.

Published on Jul 11, 2012


Edward Domanskis M.D.

Published on Feb 24, 2016

There are not many risks in changing them to that amount, for you are reducing your cup size by only about one half. For my patients, I can usually do this even under a local anesthetic if they have a saline implant like you do.

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Answered by Edward Domanskis M.D.

There are not many risks in changing them to that amount, for you are reducing your cup size by only about one half. For my patients, I can usually do this even under a local anesthetic if they have a saline implant like you do.

Published on Jul 11, 2012


Gerald Minniti, M.D., F.A.C.S

Published on Feb 24, 2016

You will need to be examined to see if there will be an issue. Keep in mind that a 50 cc reduction in volume represents only about 15% reduction, and that would be very little visible change.

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Answered by Gerald Minniti, M.D., F.A.C.S

You will need to be examined to see if there will be an issue. Keep in mind that a 50 cc reduction in volume represents only about 15% reduction, and that would be very little visible change.

Published on Jul 11, 2012


Daniel C. Mills, M.D., F.A.C.S

Published on Feb 24, 2016

Honestly, you will barely notice the difference. There is 150cc in a cup size generally. I don't think you will have any more sagging, but no less than you have now either. The human eye can only start to notice a size difference at 30cc. Good luck

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Answered by Daniel C. Mills, M.D., F.A.C.S

Honestly, you will barely notice the difference. There is 150cc in a cup size generally. I don't think you will have any more sagging, but no less than you have now either. The human eye can only start to notice a size difference at 30cc. Good luck

Published on Jul 11, 2012


Larry Leverett, MD, FACS

Published on Feb 24, 2016

Why 275? Reducing the implant size by 50cc's is a net reduction of only 3 tablespoons of volume--a table is 15 ccs. Therefore, a 50 cc difference isn't a very significant change. See your local board-certified plastic surgeon to help with the decision making process.

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Answered by Larry Leverett, MD, FACS

Why 275? Reducing the implant size by 50cc's is a net reduction of only 3 tablespoons of volume--a table is 15 ccs. Therefore, a 50 cc difference isn't a very significant change. See your local board-certified plastic surgeon to help with the decision making process.

Published on Jul 11, 2012


Robert J. Brueck MD, FACS

Published on Feb 24, 2016

When you remove saline, the breasts will be smaller and there will be a greater degree of sag. But also it means there is a greater chance of the implant breaking down and leaking because saline has no lubricating properties.

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Answered by Robert J. Brueck MD, FACS

When you remove saline, the breasts will be smaller and there will be a greater degree of sag. But also it means there is a greater chance of the implant breaking down and leaking because saline has no lubricating properties.

Published on Jul 11, 2012


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