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In 2026, breast surgery trends are clearly shifting. We are seeing a decisive move away from overly large breast implants and toward smaller, more natural, and healthier outcomes. This change is especially apparent among women who have had prior breast surgery and are now reassessing what truly fits their lifestyle and long-term goals.
Rethinking Size, Comfort, and Longevity
As a plastic surgeon specializing in secondary breast implant surgery, most of my patients have already experienced life with implants. Many are now choosing either to remove their implants entirely—often combined with a lift or reshaping procedure—or to replace aging implants with smaller, lighter ones. The guiding principle is simple: less is more.
Why the change? Large implants are heavy, and over time, that weight can take a toll. Bigger breasts can interfere with physical activity, exercise, and everyday comfort. As we age, natural weight changes and skin laxity can exaggerate breast size, contributing to a look that many women describe as “matronly” rather than youthful or refined. Smaller breasts often feel more proportional, elegant, and easier to live with.
The Appeal of Simplicity Over Time
Another important factor is long-term maintenance. Breast implants are not a “one-and-done” procedure. Many women reach a stage of life where breast size is no longer a priority, and simplicity becomes more appealing. A growing number of patients are also motivated by health optimization. While implant risks are generally low, some women feel their overall well-being may improve without them.
To support these goals, we offer a full range of modern options, including implant removal, downsizing, and the PerkyLift™, Dr. Duncan’s trademarked minimally invasive breast lift that adds no additional scars for patients with mild to moderate skin laxity.
Ready to Learn if Breast Surgery Is Right for You?
If you’re considering a healthier, more natural approach to breast surgery, call today to learn how our philosophy of beauty and balance may benefit you.
