Size Change

One of the most common reasons for revision surgery is size change.  This is a medically unnecessary procedure and should only be performed with sufficient good reason.  A size change revision is also totally avoidable.  If a patient understands at the time of the first operation that implant size should be based upon both measurements of their own tissue and published data about the ideal size for any given measurement, then it follows that each breast has one “correct” size.  Dr. Teitelbaum is a renowned expert for his ability to determine the “correct” size for you.

Sometimes, patients gain or lose weight and therefore need to change their implants.  Breastfeeding can also lead to a change in the breasts and the size of an implant that will best fit.

In general, more patients actually want to be revised smaller rather than larger.  This finding dispels the myth that patients always wish they had chosen a larger implant size.  This desire to reduce the implant size could be because the patient wants a more natural-looking breast, may face discomfort during sports or fitting into fashionable clothes, or even simply wants accommodate her evolving personal relationships and lifestyle.  Whatever the reasoning behind the revision, Dr. Teitelbaum will provide you with an exceptional surgery.

Before and After Size Change Photos

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  1. Capsular Contracture (Right), Implant removed (Left)

    This patient had multiple attacks of capsular contracture. The right implant became infected and was removed. Scar tissue was removed from both breasts, and new, larger implants were placed.

  2. Capsular Contracture, Drooping, Wants Larger Implants

    The scar tissue made her implants high, hard, and round. Scar tissue was removed and Strattice used to reduce chances of contracture. Larger implants were placed. Her tissue is droopy, but she did not want a lift.

  3. Inferior, Lateral Malposition, Wants Larger

    Both implants are too small and narrow, and the left is very low and outside. Larger implants placed in the proper space gave closed the gap between her breasts and made it much more attractive.

  4. Lateral Malposition, Wants Smaller

    Her implants have fallen down and out, leaving her upper inner breasts empty, her cleavage wide, and causing her breasts to rub against her arms. Even with smaller implants, by closing the outer pocket she achieves more upper fullness.

  5. Capsular Contracture, Wants Larger

    Scar tissue around her breast implants hard, round, and unnatural looking. She wanted more cleavage, soft breasts, and prettier breasts. Removing the scar tissue and placing larger implants improved her cleavage and her shape.

  6. Symmastia, Inferior Malposition (L), Wants Smaller

    This patient did not know exactly was wrong. She just knew that they were too big and mishapen. The right was far inward, and the left was inward and low. The pockets were equalized and implants were placed which fit her body.

  7. Rippling, Wants Larger

    Her implants were too small and too wide apart. Her breast skin was not filled. A slightly larger ipmlant and removal of scar tissue gave her better cleavage, shape, and treated the rippling.

  8. Wants Larger, Rippling

    She is round and far apart, so it looks like a contracture. But it is actually a high profile saline implant (see rippling on side view.) Larger silicone ipmlatns were placed which improved her cleavage, shape, and rippling.

  9. Superior Malposition (Left), Deflation Saline (L), Desires Larger

    Her left breast was always too high and recently started leaking and getting smaller. She also wanted to be larger, so larger silicone implants were placed.

  10. Lateral Malposition, Wants Bigger

    The left implant was positioned too low and to the side. Moving that inwards would increase upper fill. But she also wanted the right to look more round but not too fake, so slightly larger implants were used.

  11. Inferior Malposition, Wants Smaller

    Her implants were positioned to down and in. They were also too big and fake for her vey lean body. The implants were better centered under her nipples and smaller, less highly projecting implants were placed.

  12. Lateral Malposition (Left), Wants Smaller

    The left implant was placed too low and to the side. She also just wanted her breasts to be less obvious. So the pocket was corrected and smaller ipmlants placed.

  13. Wants Smaller

    Her surgeon talked her into going larger than she wanted, because he told he that everyone wishes they were larger (that is not true.) Clothes were too tight on her bust, so she wanted to go smaller, yet still have full and atractive breasts.

  14. Medial/Inferior Malposition - Symmastia

    Concave breast bone and large implants caused symmastia. Strattice was used to reduce and strengthen new pockets, and smaller implants were placed. The left implant was also too low.

  15. Severe Rippling

    This patient had such large implants they thinned her tissue. And her muscle was damaged, so she lost coverage over the implants. Note the implant fold at 7 O'Clock on the right breast. Strattice was used to thicken the tissue and pull the muscle down.

  16. Symmastia, Wants Smaller

    It is obvious that her implants were simply too wide for her chest. They could not go anywhere but touch in the center. The central pocket was closed, reinforced with Strattice, and smaller implants were placed.

  17. Wants Smaller

    These very large implants were placed through the nipple and were too large and uncomfortable for her. Note the distracting scar around her areola. While some Americans use this incision for Asian patients, it is rarely used in Asia.

  18. Symmastia, Wants Smaller

    This patient developed symmastia immediately after surgery. Her implant pockets were actdually connected. It is clear that her implants were wider than her chest. She was corrected with smaller implants and a neosubpectoral pocket.

  19. Superior Malposition, Wants Larger

    It is hard to know from a picture that this is not capsular contracture. But she was soft; the implants were just too high, and that is why she had the upper bulge. The lower pockets were adjusted and larger implants given as she wished.

  20. Wants Smaller

    This very athletic woman liked her implants, but they were just a bit big for her given how thin and active she is. Though they do not appear to be a lot smaller in the photograph, they really changed the way she felt about her breasts.

  21. Wants Larger

    She wanted more cleavage, but she didn't want her breast to look round. Her round implants were removed and were placed with larger teardrop shaped impalnts. Note the increase in her cleavage and the overall less round appearance. Subtle, but real.

  22. Drooping (Bottoming Out), Wants Smaller

    This patient has had large implants for years, and already had a lift once. But the heavy implants stretched her again. Now she wants a longer lasting result, so the lift was redone and smaller implants placed.

  23. Wants Smaller

    Very common story of a woman whose boyfriend paid for and talked her into enormous implants. She developed neck and back pain, and finally wanted implants that were comfortable. Note the loose skin along the inner breast; is from the big implants.

  24. Drooping, Wants Smaller Implants

    She "emptied out" after babies and had very large ipmlants placed, which caused her to droop and were always too large. Smaller implants were placed and a lift was done. At 6 months the scars are still very visible, but faded over time.

  25. Wants Larger

    If you look carefully, the upper poles of both breasts are a bit concave, and after surgery they are full. She didn't want a big change, only enough to be full. She also wanted her breasts evened out.

  26. Medial/Inferior Malposition - Symmastia and Wants Smaller

    Her implants are wide, but they were also placed too close together. Note how that tips her nipples outwards. Strattice was used to reinforce the tissues adn keep the implants more outwards, and smaller implants were placed.

  27. Wants Larger

    Her wish was not more size per se, but to be more full on the top and to be closer together in the center. Obviously, that meant having larger implants, though the look itself just looks prettier more than it looks larger..

  28. Wants Smaller, Capsular Contracture, Drooping, Removal

    Her breasts always felt too high and disproportionate. She had several failed attempts at treating capsular contracture. She just wanted to be a perky A or B cup, so the implants were removed and she had a lift. Scars are still red here at 3 months.

  29. Inferior Malposition, Larger implants

    Whether due to surgeon error or weak tissues, her implants slid downwards. She also wanted to be larger. The lower pocket was closed off and new implants placed. Note the improved nipple orientation just from the implants being in the right place.

  30. Inferior Malposition, Wants Larger

    Her saline implants were low, which left her with very little fill of the upper breast. she also wanted them to be a bit fuller and larger. She wanted the smooth upper pole of the 410 breast implant.

  31. Wants Larger, Drooping

    She had high profile implants, which are very round, too narrow for her, and have an abrupt step-off on the top. Larger moderate profile implants fixed those problems. She is droppy but does not want a lift.

  32. Drooping, Wants Smaller Implants

    This older but athletic woman wanted smaller and perkier implants. After replacing with smaller implants and doing a lift, she looks much better three months after surgery. Scars will fade and shape will improve with time.

  33. Medial/Inferior Malposition - Symmastia and Wants Smaller

    Her implants are too wide for her chest, and so they met in the center. The central pockets were closed off and smaller implants were placed.

  34. Wants Larger, Rippling

    She had high profile silicone implants in front of the muscle which were too small for her. Going behind the muscle with a larger anatomic implant gave her a much more attractive shape and eliminated her rippling.

  35. Drooping, Wants Smaller, Removal

    This woman gradually gained weight, mostly in her chest. Her breast were too large and pendulous. She wanted them smaller and perkier. After the weight gain, she had adequate tissue of her own, so implants were removed and she had a lift.

  36. Drooping, Lateral Malposition, Wants Larger

    Her implants were too narrow, the left was too far to the side, she was droopy, and she wanted more cleavage. Larger implants were moved towards the center and a donut lift was performed.

  37. Capsular Contract

    Her breasts were very round, hard, far apart, and painful. The scar tissue was removed. Though she looks smaller, the new implants are actually bigger. Note the improvement of cleavage and overall balance of the breasts.