Breast Implants: Q&A

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What Can I Do to Have a Less Round Appearance?

I am fairly lean in my upper body. I have mod prof 300cc saline implants overfilled (for rippling purposes) to 360cc..the doctor placed them in a subfascial plane to correct minor pitosis. I wanted a natural appearance but the step off for me looks too round, especially when i wear a push up bra. Is there any way to correct this? I am 6 months post op. The first picture is me laying on my back, they look really round and I dislike it.

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300-349cc saline implants round implant

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5 Doctor Answers | Asked by bubble277 in Savannah, GA

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Fixing an undesirable round appearance with a change to subfascial silicone implants

I use almost exclusively subfascial placement in my practice. Your breasts have the appearance of sub glandular placement not subfascial. One of the great advantages of subfascial placement in my hands is that the intact fascia really blunts the upper pole step off creating a teardrop effect. I use a subtle variation of the subfascial plane that I call 'cold-subfascial' to ensure that all of the fascia that makes the procedure a success is intact and healthy. My bet is that there is... more

Achieving a less rounded appearance in Breast augmentation

Dear bubble277, There are multiple factors that lead to an exaggerated, rounded upper pole appearance, not all may apply to your case: High profile implants: These types of implants are more projecting, so the transition from the normal chest to the implant tends to be less gradual than moderate or low profile implants. Thin chest tissues: If there is not much natural breast tissue, the implant will be seen more easily through the tissues. The more coverage, the... more

Improving The Too Round Upper Pople After Breast Augmentation

The combination of subglandular (above the muscle) positioning and overfilled saline implants will give a round upper pole. It can really only be significantly improved by changing to a submuscular position and a lower profile device such as a moderate plus silicone gel implant. In so doing, however, your ptosis may be exaggerated and may require management. This consideration should give one pause to determine which trade-off of the two situations can one live with the best. more

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Demarcation upper pole

A demarcation of the upper pole has to do with the pocket location the thinness of the overlying tissues and the amount you are pushing up the breasts. You may want them below the muscle.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Round to Natural

Excessive upper pole roundness is related to several factors. If the implant has very little tissue over its upper edge, this edge becomes more visible. If a saline implant is overfilled, the upper half of the implant will take on a rounder appearance. So the surgeon has to take into consideration numerous factors before performing a surgery. The key to the approach is finding out what the patients goal is. In your situation, several different approaches could be used. The... more

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