Buffalo Plastic Surgeons

I Cant Decide Between 300-350cc Silicone, Or Which Profile to Get. I Want Natural Looking (photo)

I am 29 years old. I have a 32B currently. My rib is 28". I wanted to get teardrop but my dr only does round. I want them to look natural. I dont want them to be too round up top giving the "fake" look. Because im quite small I was going to go 300-350 but I dont know which profile is better for my size I think my chest size across is 11.2. I have breast fed one child and one breast seems larger and sags a bit more. I was also wondering if I would have to get a different size in one? THX!

At 11.2cm you have a narrow frame. Since you are not going too large either a high prfile or moderate profile implant would be fine.  It depends on whether you want more cleavage or more projection.  I would try on the different sizes and profiles during your next visit to your surgeon to help you decide. You should achieve a very nice result.

Todd B. Koch, MD

Buffalo Plastic Surgeon

Am I a Candidate For Fat Transfer in One Breast Only? I Have Uneven Breasts and Already Had Encapsulated Implants Removed.

I am 42 5'2" & about 130 pounds. I had breast implants 20 yrs ago. They encapsulated and caused me lots of complications. I got them replaced & removed 4 years later. I now have uneven breast - 1 A cup & 1 AA cup & they are different shapes now. My question is -since Im not a candidate for implants, would you recommend fat grafting for me if I only want to inject fat into the smaller breast (AA) so that it can be the same size & shape as the (A) cup? How much fat would I need? thanks!

It sounds like you may be a candidate for fat graft breast augmentation.  You have reasonable desires.  Photos would be helpful.  I would seek a consultation with a Board Certified Plastic Surgeon familiar with this approach.

Todd B. Koch, MD

Buffalo Plastic Surgeon

What's Your Opinion on the Sub-fascial Breast Implant Compared to Subpectoral?

Is it really better than sub pectoral? I am getting a full lift with small impants in April and never heard of sub fascia before. It all sounded impressive but I`m a bit sceptical. Loved the facts and the PS is highly recommended, he really explained all the facts but I wanted to hear other opinions. Thank you!

I use the subfascial approach only in patients who fulfill the following criteria:  only in patients who want gel implants and have at least a pinch test of one inch in the upper aspect of the breast. There is a greater risk of developing rippling with saline implants or if there is not enough tissue to cover the implants. This approach allows the breasts to settle more quickly so that you will reach your final result faster.  There is much less pain postoperatively with the subfascial approach.  One is able to return to work sooner.  I have not found there to be any difficulties performing mammography.  In a patient requiring a lift a subfascial implant with fill out the skin envelope better providing a nicer result.

Todd B. Koch, MD

Buffalo Plastic Surgeon