Breast Augmentation: Q&A
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Possible Breast Augumentation Issues
I have been considering breast augmentation, however I may have a few more issues than the "normal" patient. I have had a few fibroadenomas removed leaving a noticible dent in my breast when i lift my arms. Also, I am an avid weight lifter (not professional) and rely on some physical strength for my work, some of it consisting of chest muscles. I have fluctuated from a B to C cup (now B) but my breast are fairly low due to weight fluctuation and genetics, I would like a D cup. Suggestions?
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8 Doctor Answers |
Asked by
Daytrippergirl
in Gig Harbor, WA
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Breast Augmentation
With weight lifting you may need to consider textured implants and placing the implant on the top of the muscle/subglandular if you want to avoid the rippling/indentation look of the muscle compressing the implant with the submuscular approach. You need to see a Board Certified Plastic Surgeon to obtain your options and possible outcomes. This is not a surgery for an inexperienced surgeon.
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Breast augmentation
With the multiple issues that you describe, it is always best to have a physical exam and discussion with the doctor. if you have depressions from the biopsies, it probably will not significantly improve with implants, but the implants will make the breasts larger.
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Breast lift and breast implants
Without photos and/or a physical examination it is impossible to know what would be best in your case. With the changes in bra size you describe and your breasts being fairly low it is likely you will need a breast lift in addition to augmentation. Your situation is complicated by the dent you describe and the fact that you are a body builder. I would assume you want the dent addressed rather than just making the breasts larger. Lacking more details it is impossible to know if different...
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Los Angeles Plastic Surgeon
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Breast Augmentation
Without pictures or examining you in person, it is impossible to give you specific advice. In general, under the muscle silicone implants give the most natural result and have the most tissue coverage. However, if you have sufficient breast tissue, then above the muscle may be a possibility. You may also need fat grafting to contour the lumpectomy defect.
Good Luck.
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May benefit from combined fat grafting and implant augmentation
The best answer would involve physical examination. Based on your description and your expectations , above the muscle silicone implants and possible combined fat grafting may work.
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Possible Breast Augumentation Issues
Unless you are a determined body builder than the muscle split or sub fascial placement are good options. But if you are truly serious lifter than above the muscle placement is better. As for the post op dent I recommend fat grafting at the time of implantation.
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Breast augmentation issues for weight lifters
Women who do weight training have particular issues with implants, and often a split muscle or subfascial technique is worth considering. The problem is that when body fat is low breast implants above the muscle look fake but under the muscle can have problems of what is called animation deformity, which is a distortion of the breast shape with muscle flexion. At least 3 out of 4 women with submuscular implants using the standard technique will have some degree of animation deformity because...
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Complex breast augmentation issues
You do have a tougher than usual starting point, but fortunately you seem aware of that. The description you give leads me to believe you might need a lift as well as implants. Going to a larger size, though, complicates the matter and increases the risks especially when a lift might be involved. The fibroadenomas present another problem in that they may continue to be an issue in the future not to mention the deformity they have already caused in the breast. This is...
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