Grand Rapids Breast Implants doctors

Steven L. Ringler, MD Steven L. Ringler, MD
Grand Rapids Plastic Surgeon
2680 Leonard Street NE Suite Four, Grand Rapids
10 answers
Bradley Bengtson MD Bradley Bengtson MD
Grand Rapids Plastic Surgeon
555 MidTowne Street NE Suite 110, Grand Rapids
6 answers
John Renucci, MD John Renucci, MD
Grand Rapids Plastic Surgeon
220 Lyon St NW Suite 700, Grand Rapids
1 answer
William H. Sabbagh, MD William H. Sabbagh, MD
Detroit Plastic Surgeon
32000 Telegraph Rd., Bingham Farms
Marguerite Aitken, MD Marguerite Aitken, MD
Grand Rapids Plastic Surgeon
220 Lyon St NW Suite 700, Grand Rapids

Recent Answers

Methods for Choosing Implant Size

Which you consider better. The PS takes measurements and tells the patient a size range and profile that fits her diameter. Then: 1. Tells her to try different sizers in his office. 2. Makes the final decision during the surgery with temporary sizers. 3. Tells the patient to bring photos of women whose breasts she likes to define a final size. 4. Tells the patient a specific size and profile that fits her diameter. Which of these methods do you use and why?

A: expectations for augmentation

Ultimately, its your goals in augmentation combined with your surgeons judgement which dictates which implants are best for you.  The challenge is to achieve your expectations safely and predictably.  Many techniques is sizing/imaging/measuring etc have evolved.  Every surgeon has their own way of evaluating breast augmentation patients.  There are many safe, predictable and consistent techniques.  Bringing in photos gives the surgeon an idea of how the patient wants to look, but this doesn't help with volume of implant.  For example, a 350cc implant would look much larger in a 5'3', 110lb patient with a narrow chest versus a 5'8', 150lb patient who has a broader chest.  When the surgeon measures your breast width, they are determining which implants will fit proportionally beneath the breast tissue. In general, there will be a range implants that could theoretically "fit" you depending on your goals.  Trying on sizers puts together your initial goals from the photo along with the surgeons judgement on appropriate size.  The sizers are only a rough guide for your visual confirmation.  Intraop sizers (typically within the range of preop sizers) are final confirmation for the surgeon that preop discussions, physical examination, and sizing led to the appropriate size.  hope that helped. best of luck Dr. Renucci

John Renucci, MD
Grand Rapids Plastic Surgeon
I Am 5 Ft 4 in Tall 115 Lbs. Are 450 Cc Implants a Good Size for Me ?

I was considering 425 cc vs 450 cc. I am currently a 34 A bra size and my surgeon is also doing a small lift with this as well which he felt I needed to get the look I desired.

A: Breast Implant Size Selection

Selecting a breast implant size prior to surgery requires evaluation of several factors; height, weight, breast volume and breast dimensions.  In addition, the amount of laxity of the over-lying tissue will potentially determine how large of an implant can be used successfully.  The information you have provided is helpful, but not sufficient to make a final recommendation.  As previously stated, a 25cc difference in implant size is virtually imperceptible. Discussing implant selection with your plastic surgeon prior to surgery, along with photographic results or imaging will help clarify for both you and your surgeon what your goals and expectations are for your surgery. Good communication with your plastic surgeon is an important step in achieving the best result for you. 

Steven L. Ringler, MD
Grand Rapids Plastic Surgeon
What Are the Advantages and Disadvantages of Subfacial and Submuscular Placement? (photo)

Which would you recommend on a thin woman to get the most natural result?

A: Submuscular breast augmentation offers advantages

The most popular technique for breast augmentation in the U.S. at this time is submuscular placement of the implant.  The reason for this two fold.  The first being a much lower rate of capsular contracture (scar tissue tightening around the implant), and secondly, a more natural contour to the upper portion of the breast. Subfascial placement of the implant most often refers to implants that are placed behind the muscle in the upper portion of the breast and are not completely covered by the muscle in the lower portion of the breast. This may also be referred to as "dual-plane" technique.  Originally implants were placed in the sub-glandular plane (between the breast tissue and muscle fascia), however, this technique may result in more visibility of the edge of the implant and has a higher rate of capsular contracture.  Some surgeons attempt to place the implant totally under the muscle fascia ( a thin layer of connective tissue on the surface of the muscle), however, this technique may only reduce contracture rates, but not improve the contour of the breast as much as the submuscular approach. The main disadvantage of sub muscular placement is implant movement with muscle contraction (animation) which might be disturbing to some people.  

Steven L. Ringler, MD
Grand Rapids Plastic Surgeon
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