Replacement with smaller breast implants and mastopexy

This 30 year old woman had an augmentation with 625 cc saline implants when she was 23 years old. She then got married and had 3 children, all of whom were breastfed. She now felt her implants were too big and her breasts had sagged significantly with her pregnancies. She underwent an exchange of implants to 400 cc high profile silicone implants as well as a mastopexy. She loves her new size as it makes her look like she lost weight. She also loves the perkiness of her new breasts. Her postoperative photos are shown at 2 years.