An implant exchange can be performed to reduce the overall size of the implants. However, the new implant size will affect what may need to be done to the breast gland or skin envelope. For patients with good quality skin and smaller volume changes, an implant exchange may be all that is necessary. For larger differences in volume, a mastopexy may have to be performed. This can be as little as a circumareola lift, which uses an incision around the border of the areola. If the smaller implant results in significantly looser tissues, then the mastopexy technique required may need to be more extensive. This might require using a lollipop incision or even an inverted T incision to adjust for the larger volume differences.