I've had 2 consults and 2 different answers.

Your health history and an examination may have caused your 1st consultant some concern, but switching to smaller implants and a breast lift is a common procedure

Most likely you are getting the opinion of two different generation surgeons. These decisions depend on training, experience, and how your first surgery was performed. Most revisions to smaller implants with lifting can be safely done in a single stage. The two main concerns for the nipple include your implant position on top of the muscle, and where your old incisions were made. My biggest concern from your question is that an exchange and a lift would only take an hour and a half. Doesn't sound like enough time to do a great, safe job. Be sure you have all your questions answered before you proceed. Even though you're uncomfortable, its elective. Good luck. Dr. S.

Having an implant exchange and placing them in a new pocket (under the muscle) along with a lift is usually a safe procedure to be performed in one setting. However, some of this depends on how significant a lift is being performed as well as how large your new implants will be. Both approaches will likely give you a good outcome. If you are unsure, meet with another surgeon and make sure you choose someone you trust and are able to establish a good relationship with. Finally, I will say that doing an implant exchange and lift in an hour and a half sounds fast.

It's normal for good doctors to have different approaches to the same problem. There's no right way and wrong way when it comes to these choices, but each surgeon will use his or her experience and judgement to give you their best opinion on what is most likely going to give you a good result, in a safe manner. The first way is certainly the safest way to go, but you have to balance that against the need and cost of a second surgery. The second way may be a little less certain, but it might save you one surgery. If you trust and like one doctor more than the other, as long as you have done your homework and you know that you're dealing with experienced conscientious surgeons AND you understand the pros and cons of each approach, then you can go with the surgeon you have a better gut feeling about.

Ultimately you need to understand and feel comfortable with the plan and the doctor. Do your homework on their credentials and go with the one that has the best results to show you and helps you truly understand why they feel the way they do.

Either surgery will probably work although I'm impressed that the second procedure can be done well in 1.5 hrs. The first option is safer and will offer the most predictable results. Most important is that you choose a surgeon who is board certified in plastic surgery, has some experience in breast revision surgery and in whom you have confidence. All ASAPS members are board certified in plastic surgery and have shown an interest in cosmetic surgery as well