Issaquah Breast Implants doctors

I do have my patients try silicone gel sizers on in a stretch cup bra. Although not a perfect method, I think it gives us some idea of how much volume a patient wants to add to her own breast volume in order to obtain the desired breast mound size.  I also think that bringing in photos can help communicate to a surgeon what size and shape (eg: how much upper pole fullness) a patient is hoping for.  The first set of photos you show are very full breasts, with a pretty significant of upper pole fullness...an "implanted" rather than a natural look, but a nice "implanted" look.  Although it is difficult to tell without examining you, I would guess that you would need at least 400cc to obtain this look, and maybe closer to 450-475cc or so.

There only two ways to know what you have had done in the past:  Obtain your records from the surgeon's office where you had them put in.  The type of implant will be listed in your file.  Short of being able to do that the only other way is to have a plastic surgeon remove them.  When the surgery is over he or she can tell you what they found.  

Twenty seven years ago the implants weren't made like they are today.  Very few people drive twenty seven year old cars.  I highly recommend getting these exchanged for newer implants soon.

The constricted or tuberous breast has a tight, constricted lower pole.  These constricting bands need to be released and the implant needs to be allowed to stretch and fill out and round out this lower pole.  Although it is true that an implant in a subglandular plane will do this effectively, in my opinion an implant in a subpectoral plane will also do this equally well AS LONG AS a dual plane technique is used to release the pectorals muscle from the overlying breast tissue to allow the muscle to "window shade" up a bit, in a controlled fashion.  In this way the implant is in a subglandular plane down in the lower pole where it "counts" for expansion of the constricted breast, but still has the advantages of subpectoral placement in terms of upper pole coverage (if needed in a patient with thinner tissue), maybe a bit lower risk of capsular contracture, etc.  However, I do discuss and consider subglandular placement in patients who are choosing silicone gel implants and have sufficient upper pole thickness, though I place the majority subpectoral.