Chattanooga Doctors

I Am 5'10, 130lbs BWD is 14. Would HP 500-600cc Be Right For My Flat Chest? (photo)

I've had 5 children ranging in age from 11yo-10 months. I breast fed the last 3 for approx. 9 months each. I am a very FLAT A34/36 cup. I do have a little bit of sag. My waist is about 25 hips are 37. I am wanting to have breasts that resemble Jessa Hinton. If you google her you would see pics. I am thinking that because of my height and frame, I should go with an implant ranging from 500-600 cc's silicone, HP under the muscle. Would appreciate your opinions. Thanks

Thank you for your question. It appears that your breasts have shrunk considerably and that the skin is stretched out. Large implants such as a 500-600 cc HP silicone may look good in the short term, but here are some things to consider when selecting a large implant size for breast augmentation.

1. As you get older, your breast skin will age, stretch and become thinner even without an implant.  The larger any breast, augmented or not, the worse it will look over time due to skin stretching.

2. Adding any implant to your breast adds weight and will produce stretch and irreversible thinning of your breast tissues over time.

3. The larger the implant, the greater the amount of breast tissue stretch that will occur.

4. Adding excess weight to the breast almost guarantees that it will look worse over time, with increased stretch and sagging.  It is impossible to predict whether or when this will occur in any individual patient.

5. Adding weight to your breast with a large implant may cause you to need further surgery in the future, particularly mastopexy (breast lift) with additional visible scars and risks.  You will incur additional costs, time off work, risks, and trade-offs if additional surgery is necessary.

6. Excessive breast tissue stretch from a large implant can make you more likely to have surgical complications with healing problems if the tissues become very thin.

7. As breast tissues thin, You will definitely be able to feel your implant and portions of the implant may be visible through your skin and visible rippling or wrinkling may occur.

8. If excessive stretch or complications occur (and this is unpredictable), it may even become necessary to remove the implants, with compromise in the appearance of your breasts and probable visible scarring if breast lifting (mastopexy) is necessary when the implants are removed.

I think that having breasts that look like Jessa Hinton's long term is not realistic. I don't think that your breast tissue will be able to tolerate such a large implant.  You chances of rippling and further tissue thinning are high.

I hope this helps.

J. Jason Wendel, MD

Nashville Plastic Surgeon

Thoughts About Having Cosmetic Surgery (Face Lift) at a Residency Program?

Thoughts About Having Cosmetic Surgery (Face Lift) at a Residency Program?

It really depends on where you go and who you see.

I have been a faculty member at an institution that has a teaching program.  I also have my own separate cosmetic plastic surgery practice.

The honest answer is this:  Just like not all doctors are the same, not all residents are the same either.  There are some physicians-in-training that are more advanced and skilled for their level than others. You want to get someone good.  Don't just take the luck-of-the-draw.

If you are going to go this route, then I recommend you do some serious homework and find out who is good and who is not as far along in perfecting the artisitic nature of plastic surgery.  If you don't have any say in picking which resident physician you are going to see, I'd reconsider.

I hope this helps.

J. Jason Wendel, MD

Nashville Plastic Surgeon

Do I Really Need Mastopexy on Top of Different Size Implants For Asymmetry? (photo)

Hello, i have been to one surgeon who has suggested me to have a breast augmentation with mastopexy on my right breast, because of the position of my nipple, She says if i don't get it done, the assymetry will still be there with two different size implants, and it won't look nice and i won't like the result. i was against the mastopexy (which she plans to do around the aerola) because i am scared of having scars...she suggested 150-200cc but i think i am going for 200-300cc would it be too big?

The circular scar around the right nipple is necessary if you want the position of the right nipple adjusted. If you don't care that one nipple points in a different direction because you really don't want the additional scar, then no, you don't have to have it done. She is recommending to you what will help you look the best for size correction and asymmetry correction.

As far as the size of implant, it's up to you and depends on how big you want to be. 

If you want, you can see two or more board-certified plastic surgeons in your area to get other opinions as well.

Many women have breast asymmetry. It depends on if you are willing to have additional scars on your breast to fix that asymmetry or if you can live with the asymmetry of the nipples you have.

Best of luck.

J. Jason Wendel, MD

Nashville Plastic Surgeon