Plastic Surgeon in Houston Reveals Innovative Technique for Downsizing Breast Implants

Dr. James F. Boynton is one of few plastic surgeons in the Houston area who employs the state-of-the-art neo pocket method for breast implant downsizing.

Houston, TX — According to recent statistical data released by the American Society for Aesthetic Plastic Surgery (ASAPS), breast augmentation was the second most popular cosmetic surgical procedure performed last year. While the vast majority of patients are extremely satisfied with their results, states Houston plastic surgeon James F. Boynton, MD, some women’s aesthetic goals change over time, and they may eventually wish to alter the size of their implants. For individuals interested in downsizing their breast implants, Dr. Boynton offers a revolutionary method called the neo pocket technique.

Also known as the neosubpectoral technique, the neo pocket method for revision breast augmentation is performed to create a new tissue interface for the ideal placement of smaller implants, notes Dr. Boynton. By employing this technique, he explains that a fresh subpectoral breast pocket is first dissected in front of the preexisting capsule’s anterior wall. Then, he continues, the original capsule is collapsed and secured to the chest wall, and the natural fold below the breast (inframammary crease) can be raised/repositioned as needed for optimal results.

In addition to downsizing breast implants, Dr. Boynton states that the neo pocket technique can also be an excellent option for patients who are experiencing implant complications such as capsular contracture, malpositioning, and symmastia from a previous augmentation, as well as for individuals seeking to upgrade to anatomic form stable cohesive gel implants like Mentor®’s MemoryShape™ and Sientra® HSC anatomic silicone gel implants.

Ultimately, Dr. Boynton says the key advantage of the neo pocket approach to breast implant exchange is that it provides the opportunity for the new implants to be repositioned under the muscle rather than subglandularly. This subpectoral implant placement, he explains, has proven to help diminish the risk of potential complications as well as produce the most natural looking results.

About James F. Boynton, MD, FACS

Dr. Boynton graduated from Duke University prior to obtaining his medical degree from the University of Texas Medical School at Houston. For three years in a row, he has been voted to the list of Texas Super Doctors®, and he has also been named a “Top Doctor” in Plastic Surgery by U.S. News & World Report. Certified by the American Board of Plastic Surgery, Dr. Boynton is member of such medical organizations as the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery, among others. He is also a Fellow of the American College of Surgeons.

To learn more, visit,, and Dr. Boynton is available for interview upon request.


Boynton Plastic Surgery
1900 St. James Place
Suite 200
Houston, TX 77056
(713) 800-6060

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