Minneapolis Breast Implants doctors

I'm not sure what kind of lift you had, but your surgeon likely removed only 1-2 ounces of "extra" skin to lift and tighten your skin brassiere, while adding over 2 POUNDS of implant per side! I'm surprised that your breast incisions healed with this much additional volume per breast. I'm conflicted as to whether or not I think your surgeon is heroic for attempting to achieve your goals, or a total idiot for accepting your challenges as even remotely possible!

Gravity cannot be overcome by even the most skilled surgeon and the most advanced breast lift techniques. Perhaps if you are unlucky enough to develop severe capsular contracture, your breasts will become high, tight, hard, and round, but gravity will still pull inexorably at your chest, shoulders, and back, and you will then be asking different questions!

You state that you want to go "ALOT bigger in the future" but that is neither possible (implants don't go that large in the United States), nor a solution. Bigger is even heavier yet, and gravity will continue to exert its forces on your body.

Just because you wanted what you did, and despite your surgeon doing his best, you cannot rewrite the laws of physics. Sorry, but this is not the fault of your surgeon; yours is an impossible goal!

Of course, your examining plastic surgeon has a significant advantage in having the opportunity to examine and measure your breasts and pertinent anatomy. So he or she can obtain information that all of us here can only estimate from your description and photographs.

That being said, a few generalizations may be useful to consider.

First of all, you are concerned for a reason. Try on 220cc implants in a bra and stretchy top and see if you like the look, or if the resultant size matches your goal photographs. Have you shared your goal photos with your surgeon? And has he or she responded with information that the size you are "limited to" will achieve this size? I'm not sure why you are "limited" to anything but your requests, your anatomy, and your surgeon's judgement!

Second, in general it takes about 250cc to equal about one cup size. So by this method of estimation, you will gain almost one cup size in addition to your present size. This means you will fall short by almost a cup or so.

I agree with Dr. Aldea that cup size is so variable among bra manufacturers, and patient "mental images" regarding cup size are equally variable, that this is a metric which is virtually worthless in helping women size for breast augmentation surgery.

Still, we have to start somewhere, and your pre-op photos and your goal photos do not show unrealistic expectations, or anatomic roadblocks to any of us who would strive to achieve your best result, rather than "limiting" you to a specific parameter based on a study protocol or specific surgeon's preconceptions.

Thus, your photos (and my own experience with thousands of women over 24 years of doing breast augmentation) tell me that you are right to be concerned. If you are paying for this surgery, you should be allowed to have input about your own goals, particularly if your anatomy and goals are reasonable and compatible. I believe they are, and would encourage caution with proceeding as planned. Perhaps more discussion and even an additional consult or two with ABPS-certified plastic surgeons that have extensive experience with breast surgery can provide a useful counterpoint to your present recommendation. Good luck and best wishes!

Based on your height and weight, as well as your description of your present breast size and your goals, it sounds as if your surgeon has advised you much as I would. Of course, any surgeon who has examined you in person has an advantage over any of us answering online, but you seem unsure for some reason.

"Cutting the muscle" or "dissecting the [infero] medial portion of the muscle" is exactly what should be done to minimize activation distortion with pectoralis contraction, while still providing the significant benefit in minimizing capsular contracture from intraductal bacteria and biofilm formation, as well as creating a nice soft slope in the upper pole of your breasts. Above the muscle has higher capsular contracture rates, as well as a higher likelihood of visible or palpable rippling, edge feel, and an unnatural round "Baywatch look!" Some women like this look, although it is decidedly abnormal.

As to size, I tell my patients that approximately 250cc equals one cup size (based on 25 years experience with thousands of breast augmentation patients), so 400cc implants seem just about perfect to yield "not too large" and to go from an "A maybe B very saggy completely flat" to a C cup.

If all other things seem as they should with your choice of surgeon, I think he or she is recommending appropriately. If you still have concerns, ask your doctor more questions--if the answers seem defensive, incomplete, or unsubstantiated by science, experience, or a feeling of competent confidence, seek additional consultation from ABPS-certified plastic surgeons. This should help you clearly decide who is best for you! Best wishes!