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Concerned that Implants Will Just Give Me a Larger Version of My Breasts Now, Which I Don't Like, Options? (Photo)

asked 8 months ago by fakeit1
Latest answer by Remus Repta, MD
Question viewed 705 times
Tags: options, placement, shape

Hello Doctors I’m am considering breast augmentation However I have two big concerns…. 1) dislike the shape of my breasts I’m worried that implants will just make them larger versions of themselves.It is the shape that really bothers me much more then the size. 2)I want VERY NATURAL looking implants.I really want a lot of “lower pole” fullness and dislike a lot of “upper pole” fullness. What are your thoughts on 250 cc round moderate profile silicone implantunderneath the muscle? Thank you

26 answers to Concerned that Implants Will Just Give Me a Larger Version of My Breasts Now, Which I Don't Like, Options? (Photo)

I want natural looking breasts

Dear fakeit1, You have an asymmetry of your breasts that Dr Aldea has accurately described. I think that implants would give you a nice result but you would have to be realistic in your expectations. There would still be some asymmetries and so it is important to carefully go through what your goals are with your surgeon. Anatomically shaped or teardrop implants often give a more natural shape with less upper pole fullness and this is something that you could consider,... more

Jonathan J Staiano, MBBS
Birmingham Plastic Surgeon

Breast implants can improve breast shape

Hello, It is often best to think of implants as adding volume and breast lifts or other breast tissue type procedures as shaping the breasts. With that said, breast implants alone will change the shape of certain breasts and your breast may be a good example. As you have stated your lower breast pole volume is small. This gives the appearence of a high inframmamary fold. The fold may be the cause of lower pole deficiency as in constricted breast syndrome or a... more

Remus Repta, MD
Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

Breast implants and the shape/look of the breast

In general, a natural looking result from a breast augmentation using breast implants is indeed your breast with its same shape looking bigger. This is also what would happen if your breast grew from added volume with growth or fat volume. An implant is just a pillow that provides volume and does not change the basic characteristics of the breast including normal asymmetry like the larger areola on the right and the slightly different inframammary crease position although it can offset the... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast Shape and Symmetry Can be Improved with Appropriate Implant Techniques

Hi there- It is first important to understand that the details of your procdure would not be appropriate or responsible (in my opinion) for any surgeon who has not examined you in person to recommend- and therefore I won't. On the other hand, I think it is safe to say that while basic breast augmentation technique would most likely do exactly what you are afraid of- create only larger versions of the breasts you already have, a skilled and experienced surgeon should be able to... more

Armando Soto, MD
Orlando Plastic Surgeon

Breast shape after augmentation

Generally, augmentation does not change the shape of the breasts. Certainly, the different profiles of available implants will influence the post-operative result. It's important to have reasonable expectations. Personally, I favor the type of augmentation you are seeking in terms of the volume you wish to add to your breasts. I always advise patients, especially those in their 20s or 30s, that any weight gain later on will be reflected in breast size so it's... more

Robert L. Kraft, MD
New York Plastic Surgeon

Natural look from breast augmentation

Without knowing your measurements in terms of breast base width and ribcage measurements, it can be difficult, but I think you would likely be close to your desired shape. Having said that, a breast implant will not significantly change the structure of the native breast tissue. It mirth cause some sagging and some flattening of the breast in some cases, but changing the shape of your own breast by placing an implant alone is not always reliable.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Breast shape after augmentation.

Your question is a good one and one you should discuss this in detail with your surgeon. Basically it comes down to this 1) there are multiple shapes and sizes of implants than can effect the final result , and 2) the initial shape and skin envelope of the breast will effect the final result.

Jay M. Pensler, MD
Chicago Plastic Surgeon

Concerned that Implants Will Just Give Me a Larger Version of My Breasts Now, Which I Don't Like, Options? (Photo)

Thanks for the photos. I recommend at least a 300 HP implant. Best to see boarded PSs in person. Regards Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast implant and natural look

A well planned breast augmentation should give you a nice result. The smaller the breast implant and using silicone gel implants will help you acheive a more natural appearance. Because of the shorter distance in the lower portion of your breasts, some release of the tissues may be necessary, depending on the size/diameter of the implant.

Steven S. Carp, MD
Akron Plastic Surgeon

www.carpcosmetic.com

Implant selection affects final shape

Thanks for sending a photo it really helps. First, I think you choose a reasonable style and shape of implant to keep a natural appearing breast, however I think your left breast is smaller and in particular narrower. I would recommend you have place a slightly larger implant on the left to increase width to gain symmetry. Good luck with surgery.

Vishnu Rumalla, MD
Dallas Plastic Surgeon

tarrantplasticsurgery.com

Fixing breast asymmetry

You are correct and I do not think you will be happy with just breast augmentation. Your posted photo shows significant asymmetry with the left breast fold lower than the right, the right nipple higher than the left, the right nipple points forward in the photo while the left points slightly off to the outside and there is more of a breast mound on the right than the left. It is clear that you need a skin and breast fold procedure in addition to the augmentation. Augmentation alone will... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Breast augmentation and changing shape

I think an augmentation will change the shape and looks of your breast. In my hands high-profile implants give more natural look and then moderate profile on low-profile implants. In order to change the look of your breast your inframammary fold will need to be lowered and the implant diameter needs to be the same diameter as your chest wall are slightly smaller. I don't think the 250 mL implant will change the shape of your breast. The best thing you can do is to look at before and... more

Wendell Perry, MD
Miami Plastic Surgeon

Natural Breast Augmentation with Fat for Constricted Breasts

Its amazing when the patent makes their own diagnosis- the constricted breast is when the distance from the nipple to the underwire fold is very short and there is a deficiency of lower pole skin and breast tissue. While you have breast asymmetry (over 95% of all women have it), your bigger issue is the constricted breasts. The problem with implants is that they are circular so any increase in the lower pole from the implant will result in THE SAME INCREASE in the upper... more

Daniel Del Vecchio, MD
Boston Plastic Surgeon

www.bostonbreastcenter.com

Breast Implants: A Larger Version of Yourself?

As you have been told, breast implants alone cannot radically change the shape of your breasts, so to some extent you will get a larger version of yourself. Having said that, there are ways to increase fullness of a tight lower pole. Using silicone gel implants placed partially under the muscle (the "dual plan" approach) with partial thickness release of the lower pole breast tissue (scoring) is what I believe will give you the best result.

Joseph Fata, M.D.
Indianapolis Plastic Surgeon

www.breastsurgeryindianapolis.com

Natural looking breast augmentation

Hi, you would be an ideal candidate for the shaped cohesive gel implants. They are thin on top and slope down to be fuller on the bottom. I use those implants for women in my Toronto office who want to have a natural shape to their breasts. Unfortunately they are not available in the US yet. I agree that a moderate profile implant placed above your muscle and lowering your fold will make the implant sit lower is your second best option. Good luck!

Dana Khuthaila, MD
New York Plastic Surgeon

www.drkhuthaila.com

Shape of Breasts After Breast Implants

Breast implants, to a large extent, will merely enlarge you breasts as they are right now. That being said, there are certain things that can be done to adjust the shape. For one, to addresst insufficient lower pole fullness, the lower pole can be "scored" (expanded) at the time of the augmentation to allow for more lower pole volume. Also, your breasts appear cone shaped. A periarierolar or "donut" mastopexy can be done at the same time to make... more

Gary D. Breslow, MD
Paramus Plastic Surgeon

Smaller implants under the muscle are more natural

Overall you appear to be a very good candidate for breast augmentation surgery, but, as other surgeons have already stated, breast augmentation surgery generally does give you a larger version that what you start with. You have some asymmetries that may be augmented along with the size of your breasts. If you want to be as natural as possible, keep your implants under the muscle and do not get large implants. The size that you have chosen should be fine from a natural standpoint and will... more

James McMahan, MD
Columbus Plastic Surgeon

Does breast augmentation give you the same breasts only larger

In general, the breasts may be similar. for size picking I think it is important that you pick a size with the base width that fits your breast width. I find that in the photo you submitted, the breasts are slightly far apart and the areolar complex especially on the left side is pointing outward. proper sizing and maybe moving the areolar slightly more medially could improve the situation, if that is what bothers you. for size look at photos on line to see what you like and discuss it with... more

Rick Rosen, MD
Norwalk Plastic Surgeon

Look at photos

You need to see photos in your doctors office of people he has done. In like silicone over the muscle. Give the most natural look. Size should be determined with sizers pre op with the doctor.

William B. Rosenblatt, MD
New York Plastic Surgeon

What to do?

Looking at your photo I see a few concerns you need to consider. First, your breasts are fairly wide apart. Second, you have some asymetry in that your left breast appears slightly smaller than your right. Finally your breasts and skin are fairly "tight", meaning that they will not stretch readily. I think that your idea of using smaller implant is a good one. I think that you could probably go up to 300 or 325 without a problem and still get what you described looking... more

Ronald Schuster, MD
Baltimore Plastic Surgeon

Internal lower breast tissue release together with breast implants will give you lower pole fullness.

Hi. 1) I see exactly what your concern is, and it can be addressed. You will not be happy with breast implants alone. 2) The bottom of your breasts is short and tight. You don't really have tubular breasts, but you need a "tubular breast type" operation. Going in around the nipple, the lower poles of the breast tissue need to be "scored" and released with internal incisions. This makes more room and allows the implants to... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Implants

The smaller the implant, the more likely the breasts will look more natural. It is hard to say what would be best for you without an exam in person and to get a sense of your specific goals.

Steven Wallach, MD
Manhattan Plastic Surgeon

Wishing a 'natural look' with breast augmentation

Hi, Thank you for the picture. You are right - breast implants will usually give you a larger version of what you have. You have very lateral areolas/nipples. Consider having a periareolar approach so that your nipple/areola complex can be moved towards the middle of your chest. This will make your breasts appear more natural. If size is not a concern, then 250cc silicone implant sounds like a reasonable choice. I always place all of my implants under the muscle, this allows for some... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

Natural Looking Breast Augmentation

A natural-appearing breast is noticeably fuller in the lower pole (below the nipple) than the upper pole. In profile (viewing from the side), the upper pole slopes gradually from where the breast begins in the upper chest down to the nipple, and the lower pole is full and rounded. For any patient considering breast augmentation, there is an implant size above which the upper pole begins to look rounded, convex, and unnaturally full. Mild to moderate upper pole fullness can look beautiful and... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Concerned that Implants Will Just Give Me a Larger Version of My Breasts Now, Which I Don't Like

Your concern is partially justified. Breast implants add volume and alter the breast shape somewhat but are limited in what they can do otherwise. in your case, there appears to be a significant size difference between the breasts. While both breasts appears to be position on the side slope of the chest, the breast on the right side of the photograph is position more laterally than the one on the left. In addition the distance from the upper mid chest to the nipples is greater on the breast... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast augmentation results?

Thank you for the question. Although I understand your concerns, it is important for you to be aware that generally speaking the breast augmentation procedure does “give you a larger version of your current breasts”. I think that the breast implant size and position that you describe will give you very nice results but you should be aware thatmuch of the final “look” achieved after breast augmentation surgery depends on several... more