Currently, I have 650cc gummy implants. Following substantial weight loss, I find myself in need of a reduction, aiming for 400/450. I've been informed that a lift is not necessary and there are expectations that the skin will recover naturally. Is this a typical suggestion? I want to avoid unnecessary surgeries.
When downsizing, there's a risk of having an overly large envelope. If the dimensions of your implant decrease significantly in width, you'd likely benefit from tightening the pocket during your procedure. Once the implants are in place, then you can decide whether a vertical plication of the mound could enhance the result. You don't necessarily need to relocate your nipple, but a vertical plication might make your lower pole tighter and rounder instead of droopy. Alternatively, you can follow your surgeon's advice, anticipate the best outcome, and revisit if issues arise later.
After weight loss, downsizing implants can often improve both the appearance and alleviate any discomfort in the neck, back, or shoulders. Following the placement of smaller implants, there may be some excess skin present. The amount of skin contraction can vary depending on the elasticity of your skin, making it difficult to predict. One option is to follow your surgeon's recommendation and wait for 4-6 months after surgery to assess the final result. Alternatively, combining the implant exchange and lift in one procedure can expedite achieving your desired outcome and reduce the need for an additional surgery. I wish you a speedy recovery and a great result.
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