Breast Implants: Q&A

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5'3" 111 Lbs and Confused About Implants? (photo)

Thank you for your help! I am confused about implants...I know I want silicone, but am uncertain about profile and ccs. I want a more "natural" look, meaning people won't look at me and think "boob job." I was a full B/small C while nursing my 3 kids, and feel that size fits my active lifestyle. Ideally an implant could provide some "lift," as I would like to avoid another procedure. Why do some drs size under breast width and some over? Currently I am a 32A. BW=11 cm. Chest = 29 in. Thanks again!

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15 Doctor Answers | Asked by MississippiGirl

Doctor Answers (15)
Community Comments (1)

Breast lift and augmentation

It looks like you have more extra skin and a larger left breast and mild ptosis with larger areola based on your pictures. In my hands a circumvertical (lollipop lift) with a sub muscular moderate plus profile silicone implant in the 300 to 350 size is what I would do.Good luck!

Natural look by aligning implant, breast and areola

At size 32 A, each 100 cc of implant will correspond to 1 cup size change. If you want to be a C cup then you need a small implant (approximately 200 cc). I recommend silicone gel implants placed retro-pectoral. More important than the implant is a breast lift. The biggest problem in not that your breasts are low but they are too far apart. You will need a technique called Breast Augmentation with Mini Ultimate Breast lift. This gives natural results by... more

Implants re not a substitute for a lift

Your photos suggest that you need a breast lift and that implants alone will not fill the lost upper pole volume and elevate the nipples adequately. See a board certified plastic surgeon and first clarify the surgical approach and the specifics of the operation before debating the exact size and the profile. Sometimes, implants alone will create a more" unnatural" appearing breast if you do not address the ptosis by breast lift.

Confused about what type of surgery for breasts

I understand your concerns. You seem to have very appropriate goals. Your photos are good and would anticipate that you will get a great result. I would suggest that you also consider a small, peri-areolar lift (mastopexy). This will allow you to have just a small to moderate size implant and center the nipple over the implant. i am concerned that if you don't, you will need an implant that is larger than you really want in order to "fill out" the stretched breast skin completely. A good... more

Breast implants

I don't buy that notion that implants give any lift to the breast. If you are concerned about the sagging, you should have a vertical lift along with the implant. It will give you a much nicer shape. I would probably use implants in the low to I'd 300 cc range.

Breast augmentation and lifting

Based solely on your photos, you may need a lift and implant. Sometimes a circumareola procedure is enough and sometimes one needs more like a lollipop incision. An exam is key.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Natural augmentation

Implants are merely tools to help change the size and shape of the breasts. There are limitation to what they can do. Which implant to use is a function of the size and shape of your natural breasts and the size and shape of your desired breasts. While you want "natural" breasts, the fact is: you have natural breasts, you just don't like them. Any implant will automatically make them un'"natural". Most patient mean they don't want obviously unnatural-looking breasts but that is a matter of... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Breast augmentation versus breast lift

Hello, Thank you for the photos. You will have to decide on what implant you would like to use for your breast augmentation and if you would like to undergo a breast lift at the same time. You will most likely benefit from either a style MP+/15 or a HP/20 silicone implant (mentor/allergan) as you are fairly narrow. Your implant size for the cup size you are currently and the cup size you desire will be in the 300-350 ml. Try on implants in this range and category... more

#BreastImplant Concerns

From your photos, it appears the implant is not the major issue, it's that you may be undergoing the wrong operation. Your nipples and areolae are low even with your arms raised. I would be very concerned about your result if you do not consider a lift, unless you just want larger breasts with the nipples positioned low on the breast itself. Not an aesthetic ideal. No woman wants to have a breast lift, but if your breasts are already low this will not improve with time. This is very common... more

Hello

Choosing the right Plastic Surgeon is extremely important to get the results you are looking for. Thank you for your pictures, it’s hard to give you adequate advice without an exam. From your pictures it looks like you would get natural and proportion results if you went in the range of 400-450 cc that would give you a nice full C cup. I believe that a lift may not be necessary; we would recommend Silicone because you do not have enough breast tissue to get saline.... more

Choosing the right implants

Choosing the right surgeon that can effectively communicate with you is going to be more important that settling on a particular size or profile of implants. Your photo shows that you have a wide intermammary distance, widened areolae, and somewhat of an ovoid shape to the breast envelope. This is going to significantly impact the decisions that you make about implant sizes, profiles, and widths. I would communicate to your plastic surgeon what your goals for surgery are and then let him/her... more

Confused about implants

Thanks for your question. As you mention, different providers have differing philosophies about how surgery is planned and performed. This means that you, as a patient need to choose the plastic surgeon who you feel you gel with. Basically breast surgery is not just about implant volumes. There are many factors to take into consideration to include your breast measurements (very important), the quality of your breast skin and tissue, and what you are hoping to achieve. The implant... more

Confused About Breast Implants…

Thank you for the question and pictures. As you can imagine, it is not possible to give you precise advice without direct examination and a full communication of your goals. The best advice I can give you online is: 1. Concentrate on choosing your plastic surgeon carefully. Make sure that he/she can demonstrate significant experience helping patients in your situation. Concentrate on appropriate training, certification, and the ability of the plastic... more

Confused About Implants

And indeed the options are confusing. SInce you seem to have some goals in mind, this is the time to seek an in person consultation with a plastic surgeon. Once a goal size is determined, most surgeons will choose the profile such that the width of the implants match the breast width. You will need to consider a breast lift. Your nipples and areolae look rather low in these photos that have your arms partly elevated, and that lifts the areolae Implants alone will mot... more

Confused About Implants?

In my practice I listen very carefully to my patients concerns and desires about what size breast they would like to end up with.. Together we decide which implant will best meet that goal....you are correct in assessing that a silicone implant will achieve a more natural looking result. A consultation with a BCPS should be able to help you reach your goal.

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Comments (1)

MississippiGirl 30 Aug 2012

Thank you for your replies! I've seen the two board certified plastic surgeons in my small town and I was surprised by how different their suggestions were, which is why I am still confused. Thanks again for any help!

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