You have a complicated case that does not have an easy answer.  It sounds like your implants are on top of the muscle, because of the involvement with milk production.  It may be worthwhile trying to place the implants under the muscle.  Usually if one approach didn't work  well, then don't do the same thing next time.  That sounds like what your surgeon is trying to do by taking out the implants for a while, and let the tissues heal without a foreign body (implant) in the area. Other options may include the use of acellular dermal matrix (ADM) with or without the use of form stable implants.  It may be helpful for you to seek out another opinion as there are too many variables to go through in this question and answer venue without the benefit of a physical exam.

Breast Augmentation

There are 24 Board recognized by the Board of Medical Specialties (such as Neurosurgery, Pediatrics, OBGYN, and Plastic Surgery is one of them).  Not all Board Certified Plastic Surgeons have an interest in Aesthetic (Cosmetic) Surgery.  Some do mostly hand surgery, or microsurgery, or craniofacial surgery.  There are also many people who call themselves Plastic Surgeons who have not had any training.  Mostly this group calls themselves cosmetic surgeons.  

Of the 7 thousand Board certified Plastic Surgeons, there are only about 2 thousand that are members of the American Society for Aesthetic Plastic Surgery (ASAPS).  All of the members of ASAPS have to be Board Certified in Plastic Surgery, and they have to be well recognized by their peers as being recommended for the society, and they have to do a large portion of their practice in Aesthetic (cosmetic) surgery. 

So if you are looking for the best of the Aesthetic Surgeons, you should find someone that is listed in the roster for ASAPS and you KNOW that they are also board certified and they do a lot of cosmetic surgery.  

Credentials

This is a difficult answer as there are many variables.  Bra manufacturers are not regulated and have different sizes.  Victoria Secret makes all their bras one size bigger for marketing purposes.  So a D for Victoria Secret is a C for most other bras.  Another point is that drooping (which you are sure to have if he is taking 800cc away) adds at least a cup size because of the fulcrum effect.  But these things being said, 800cc removed would be about 3 cup sizes, and the fulcrum effect may take it down another size.  A physical exam would be much more helpful to determine.  Ask your Board Certified Plastic Surgeon his thoughts.

Dan Mills, MD FACS

Breast Reduction

There are real consequences of this ethically and legally in the US. The drug HAS to be FDA approved or the physician can loose his license and even be prosecuted for damages. This has been the case in a number of states already such as NY, CA, and FL. This actually protects the public from dangerous drugs and formulations and keeps the purity consistent.

Botox Injection

It is very possible to have a Breast Lift/Reduction to make your breasts look more alike. It is impossible to tell however if this can be done without a physical exam and history taken. Personally, I find this approach better by far than placing an implant as with weight gain and loss, an implant will not change, and you may continue being asymmetrical.  Having your breasts maintain the same volume keeps them more alike as changes in weight and laxity of the skin and breast happens, as the years go by. Sometimes it is preferable to equalize both sizes to match them better in shape and nipple height. This all depends on the physical exam. Visit an ASAPS surgeon in your area for a consultation.  Good luck!

Breast Reduction