Winston Salem Breast Implants doctors
 |
Scott Tucker, MD
Winston Salem Plastic Surgeon
1345 A Westgate Center Drive, Winston Salem |
14 answers |
Recent Answers
I am 5'2, 108 pounds, and have a 27" ribcage. I had my first breast surgery about 2 and a half months ago. I am looking to downsize but am unsure on whether to change profiles. Currently, I have 425cc Natrelle style 20 silicone HPs under the muscle. I was a deflated and very saggy C-cup before surgery and wanted to end up in the full C to small D range. I was recommended "no less than 400cc" by my doctor. I am now sizing out much larger and want a revision (250 - 325cc). I also had a full anchor lift. I feel as though I have the terrible scars without the actual benefit of lifted perky breasts. It was explained to me that a high profile implant would mean more upper fullness, which I lost after breastfeeding my children. Instead, the high profiles look like they hang low without providing fullness to upper chest. Also, my asymmery is still present. My right breast is noticeably larger and the areolas are large and more uneven than before. All these issues were discussed with my doctor before surgery but were not adequately addressed. I am very unhappy and disappointed with my result, and I'm left needing the same things I did before surgery (lift, smaller areolas, improved symmetry). Which implant size and profile would better suit my petite frame? Can the implants be positioned higher, or is it a matter of changing to smaller implants that'll help with the positioning? Due to the submuscular placement, would I need pocket/muscle revision for smaller implants? Would I need a minor or full lift? How long do I need to wait before I can have my areolas reduced without serious risks? Another problem is that I have very visible rippling. Would a lower profile mean even more rippling? My doctor is now recommending Natrelle style 45 because it's the highest profile, which is supposed to cause less rippling, but I fear it will make matters worse.
Sorry for your unhappy result. It appears as if your implants are too large for your small frame. I think that you need to have your mastopexy redone, possibly tighten your capsule on the inside ( capsuloraphy), both to make a snugger pocket for a smaller implant. It is hard to tell in pictures, but somewhere in the 275 to 300 range with a moderate to moderate + implant would look good. Sometimes, however when people have poor elasticity in their skin lift procedures will stretch out quickly. Using smaller implants I think would give you a nice result and hold up longer.
Good Luck,
Dr T
I am planning on setting up a consultation and surgery date for breast augmentation within the next 6 months. I am between a 34a and a 34B, I think... I know that I wear a 34B which is a little larger cup than I can fully fill and continue to wear to appear larger breasted, but I'm not entirely sure exactly yet what my precise size is. I've decided on silicone implants and that I would love to be a large full D cup or a small DD. One of my breasts is slightly smaller than the other, and I'm not certain if I am considered to have a tubular deformity. Any info or advice anyone can offer is much appreciated, thank you.
I agree with Dr Friedlander that bra sizes are not consistant. Given that going up a couple of sizes from where you are is a definite possibilty. It is sometimes helpful to take in pictures of someones breast that are similar to what you desire. Your surgeon can then talk with you about whether this is possible with the amount of breast tissue and skin you have.
Good luck with your surgery,
Dr T
I just discoverd that my dr only uses high profile implants. My BWM is 12. So he suggested a 375 silicone HP implant. I dont understand why that is the only implant a dr. would offer. I feel like I dont have a say, which is very frustrating..but then I read to let your dr. pick. I fear having robo-boobs with the high profile. Since they are silicone and not saline, will that "help" them look more natural? After looking at implant measurement, it looks like the saline mod. profile would be comparable to the silicone HP.
The reason the manufacturers have different type of implants is that there are different types of body shapes. With each patient a plan for her body type should be discussed rather than just saying this is the way I do it. The ultimate goal in any cosmetic procedure is for the patient to be happy. It usually works out well because rarely is my patient happy when I am not.
Good luck,
Dr T
