I am 5'1" 103 lbs. I am getting breast implants in 5 days. My surgeon has suggested 350 cc smooth, round, high profile silicone implants for my body. My biggest concern is I do not want to have the "ball" look on my chest. I want more of the natural slope of the breast look. Any advice on how to avoid the "ball" look?
How to Avoid Breast Implants Looking Like Balls on Chest?
Doctor Answers (10)
Choosing the right implants
The more soft tissue you have covering them, the more likley they will look natural. Also that means that a smaller implant usually looks better.
How to Avoid Breast Implants Looking Like Balls on Chest
I offer patient's a simple analogy to illustrate what we mean:
Q: If you take a baseball and you cover it with a silksheet, what will it look like?
A: Like a baseball, you will even see the stitching.
Q: Now if you take that same baseball and cover it with a comforter what will you see?
A: It depends on how thick the comforter is but generally you will see a softly shaped lump.
So now the question is what do you have on your chest, silk sheets or comforters?
The way we determine this is by looking at your chest, if I can see your ribs (under the muscle) then you anatomy will have a hard time disguising the implant whether it is placed under or over the muscle and you are more likely better off with a silicone implant. Another way of measuring this is to pinch your upper chest skin (similar to pinch and inch of your waist on the Special K commercial). If you have less than an 2 cm (under 4/5 of an inch) than you have "silk sheets"
If you have a thicker skin/fat/breast layer that pinches over an inch than you have the option of going under or over.
Now the exception to the rule:
Q: What happens if you change the baseball to a volleyball?
A: All bets are off, whether you put it under or over the muscle it will not look natural.
The last issue is the implant shape. There are some anatomic shaped implants but I have generally found them to produce no significant difference in outcome with the exception of breast cancer reconstruction. However, this is my personal opinion
Breast implant sizes.
1) This is why cosmetic surgery is an art. Of course, I have not examined you, but based on your size as you describe it, I think 350 cc's is too large, and you may well end up with very large "balls".
2) In New York City, we put different disposable implant SIZERS in your breasts during surgery. That way, I can tell without any guesswork, what implant size looks most natural on you. Then, and only then, we open the correct permanent implants from our inventory.
3) If you want a guess, I would guess 200 cc's to 250 cc's would be right for you. But the whole point is not to guess.
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Have a good surgeon and listen to him or her
Most good surgeons listen to their patients when they express their desires. You need to go to a good surgeon and listen to what he or she tells you and then go from there. The way your tissues are distributed as well as your dimensions and tissue thickness really determine everything else.
You are probably looking at mid-range implants in volume with muscular coverage.
How to avoid breast implants looking like balls on chest
If you have breast augmentation surgery, you cannot avoid it - but you can minimize it.
First, the result you described is USUALLY seen when an implant has little soft tissue cover from the beginning or loses its cover due to tissue wasting and is then squeezed by a choking scar tissue which balls things up, called capsular contracture.
Capsular contracture is seen more commonly with suprapectoral / under the gland placement, with the older gel implants, with a blunt pocket dissection leaving blood in the pocket (rather than precise bloodless cautery dissection), with foreign bodies in the wound (gown fragments, gauze fragments, glove starch) and by infection.
The best way to minimize it - pick a good surgeon who would help you pick an implant that would be covered by your present breast and will not exert too much pressure eventually causing your breast to thin out and uncover the implant; To put the implant under the muscle in a precise and close to atraumatic tech AFTER changing and washing the surgeon's gloves and irrigating the pocket.
That should prevent a large portion of capsular contracture.
I hope this was helpful.
Wrong choices for breast implants make artificial-looking breasts
The way to get an artificial looking breast is to make wrong choices! Wrong size,wrong pocket,wrong surgeon! A gel implant with the proper size and in the proper pocket will get you a natural result.
Web reference: http://newportplastic.com/
Avoid above the muscle placement for a more natural look
You are a thin woman and the larger the implant you go with, the more it can overtake the natural look. I am a firm believer in sub-muscular placement to provide better upper and middle breast coverage.
You should try the implants that will be used on in a sports bra and take a look in the mirror. This is the only good way to get an idea of what to expect from your surgery. Best of luck.
Web reference: http://www.medwardsmd.com/plasticsurgery_questions1.html
Breast Implants That Look Too Round Can Usually be Prevented
Implants that are too round and tight appearing on the chest can happen because of capsular contracture, large implants being placed in very thin individuals, and imprecise selection of the pocket location and implant type.
Many of these issues can be prevented if you see a board-certified plastic surgeon who can address your concerns and explain what they will do to avoid an unnatural result.
To avoid a "ball" type look I recommend the implants be placed submuscular and not subglandular. Meaning, have the implants under the pectoral muscle and not in front of the pectoral muscle. Also using an anatomic, or "tear drop" shaped implant can avoid the "ball" look that you are concerned with having.
Discuss this with your surgeon.
Natural appearing breast implants
Little Bigger Illinois:
It is difficult to determine how your proposed surgery will turn out without having the luxury of reviewing pre-operative photographs, examining your native breast tissue, or knowing the placement of the implant as proposed by your surgeon. The above factors as well as the implant size/shape used, will all contribute to the "look" of the breast.
Having said that, we typically see breasts with a "ball" appearance if the implants have been placed in a purely submuscular plane through an axillary approach in a patient with minimal or no stigmata involutional atrophy. The preferred approach in my practice is a "dual-plane" approach through a peri-areolar incision. This technique, when combined with an appropriately sized implant for your body-habitus, will generally give an excellent breast appearance with a natural slope.
Best of luck !
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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