is there alternatives to a breast lift?

I lost a lot of weight before getting an augmentation (I went from 170 to 140 5'8") I thought I was doing something good for my self by getting implants and filling out the excess skin.  My doctor suggested implants and a lift.  I was against the lift, because of the scar up the breast.  Well he ended up putting in extremely large implants against what I asked for.  He was suggesting a 450 cc with the lift, but he ended up giving me 600 cc with out the lift.  I am way to big and now I have bottomed out.  I asked him to fix the problem.  He suggest implant removal with smaller ones and again a lift, or clipping the skin at the bottom to fix the bottom out problem, but then I'm still stuck with these huge things. Is there any way to put in smaller implants in and just remove the extra skin and draw in the areloa for a bit of a lift instead of smaller implants and a lift?

[Howard Rosenberg, MD]

While a so-called periaureolar lift (or Benelli) lift can be performed, it is often less predictable and less accurate than a properly performed full lift.  This is particularly true if the size of your implants is reduced.  I generally perform a "tailor tacking" procedure.  Once the new smaller implants are inserted, the skin is temporarily tightened with sutures to achieve the best result.  This is marked with a surgical marking pen and the sutures are removed.  This provides and exact pattern for skin resection so that the best shape is assured.  While there are scars, they usually fade with time.  The results are often better than misshapened saggy breasts with no scars.