Patients who have breast implants schedule consultations wishing to undergo changes to their breast implants or mammary prosthesis. One common request is to downsize their breast implants. The first step is to determine their current bra size and to determine the volume of the mammary prosthesis that they have in place. Once these are determined, the patient and physician can discuss the volume that they wish to be reduced towards. Typically, changes or adjustments in the implant pocket need to be completed to optimize the position of the breast implant or mammary prosthesis.