Not Happy With Size of Breasts After Mastectomy

asked 1 year ago by Sunny64 in Lincoln, NE
Latest answer by Max Polo, MD
Question viewed 571 times
Tags: breasts, female, A cup, breast size, DD cup

I Am 46 and Weigh 260. Had Prophylactic Bil. Mast. Done. PS Inserted MX410685. Look Like A's Was DD Prior. Options? I am feeling dismayed/depressed to say the least. Surgeon said he put in the largest. Can that be? I was a 44DD. He said he would check with colleagues and I was to check also. Don't care how we got here, just want to find a solution? I am doing the study, but don't want to walk around with A breasts (or close) the rest of my life. Suggestions?

6 answers to Not Happy With Size of Breasts After Mastectomy

Breast Size After Reconstruction

This is not an uncommon problem. In women who are overweight, reconstruction with even the largest implants available may leave an inadequate result with breasts that are small and out of proportion with the rest of the body. In these cases, additional procedures involving autologous tissue reconstruction may be indicated. These would include TRAM flaps and latissimus dorsi flaps. At your weight, bilateral reconstruction with TRAM flaps would involve high risk of complications of fat... more

Max Polo, MD
Miami Plastic Surgeon

Implant choices

It is difficult to size all patients adequately to what they once were before mastectomy because we are limited to the largest implants being 800 cc. In an overweight patient this becomes more evident.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast implant reconstruction

The problem is that there are only so many implants, and none as big as a DD breast in a 260 pound person. The larger the patient the more they swallow up the volume of an implant. Your best bet would be to lose weight, which would be good for your health, and the breasts will look bigger and bigger as the pounds come off.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Size of Breast after Implant Reconstruction

I am sorry to hear of your dissatisfaction regarding your implant breast reconstruction. With the high level of projection on your gel implant, it is not going to be possible to reconstruct a larger breast by implant alone. Depending on your height and weight, your surgeon can calculate a Body Mass Index (BMI). They can utilize this number to determine the safety in performing a tissue based reconstruction. If your BMI is too high, your plastic... more

Paul S. Gill, MD
Houston Plastic Surgeon

Size of Breast after Mastectomy & Implant Reconstruction

I am sadden by your dissatisfaction with your breast reconstruction. Most women are very satisfied with their reconstruction. However, there are few women in your situation. It is really hard to give you a specific advice without doing a proper exam. There are other options available to you. These may include changing the implant capsule shape, changing implant type, shape, and size, adding autologous tissue (your own body) such as Latissimus muscle flap or even TRAM. I would suggest... more

Stanley Okoro, MD
Atlanta Plastic Surgeon

www.georgiaplastic.com

Breast size after mastectomy and reconstruction

I completely understand how going from a DD to an A cup can be upsetting. You currently have the Style 410 Allergan cohesive gel implants with a base width of 15 cm and projection of 7.1 cm. There is not another gel implant (round or anatomic) with more projection than the one you have. The anatomic implants are shaped such that the most projection is at the base (bottom) of the breast. You might consider changing to a round implant, which could give you more... more

Carmen Kavali, MD
Atlanta Plastic Surgeon

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