I had a breast augmentation with implants a decade ago. Surprisingly, my breasts have significantly enlarged despite weight loss, and I now find them displeasing. If I choose to have smaller implants inserted, would a breast lift also be necessary? If I decide to remove the implants without replacement, would a breast lift be needed?
If your breasts have significantly increased in size, it may be possible to remove the implants and be satisfied with your natural breast tissue. However, replacing large breast implants with significantly smaller ones can result in sagging. To obtain a proper answer, it is necessary to have an examination by a board-certified plastic surgeon who can provide a consultation and opinion.
If you wish to replace your current implants with smaller ones, it is highly likely that you will need a breast lift to maintain a visually pleasing nipple position. Another option could be using your own fat to compensate for the lost volume, but since you desire a smaller size, a breast lift seems necessary.
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