Is 500cc subglandular the right choice? (Photo)

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant
should be equal to or, more ideally, smaller than the width of your breast. The
breast width is a measurement of how wide your breast is at the base, which
should be measured at the level of the nipple. Choosing an implant that is
smaller in diameter than your breast width will avoid the "side
breast" fullness that is often associated with a more artificial
appearance. Other than that, you should choose the implant based on
volume, not on the dimensions of the implant.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid silicone
(less cross-linked), if this implant should rupture, it will leak only into the
scar capsule formed around the implant but may cause some discomfort or implant
distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.



The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!



Dr. Schwartz

If you are athletic, I think the 500 cc implants you will find to be much too large.  If you really want to minimize the risk of capsular contracture you should go with sal e implants inder the muscle.  They rarely encapsulate.

Hello 2babycakes,Thank  you for your questions and photos.You appear to be a excellent candidate for breast enhancement.Many  factors should be considered by you and your Plastic Surgeon prior to your surgery.  Each choice has its unique consequences (not bad or good).The final choice will be based on your desires, your anatomy and your Plastic Surgeons experience/preferences.General overview:IMPLANTS 1) normal saline fill vs silicone gel fill2) profile: low profile to high profile3) shape: form stable vs roundPLACEMENT OF IMPLANTS1) sub pectoral, dual plane2) supra pectoralsACCESS INCISION1) periarolar2) inframammary3) axillaryBREAST MOUND1) symmetrical 2) equal size3) breast fold locationNIPPLE/AREOLAR POSTION1) normal 2) high3) low4) symmetrical SKIN QUALITY1) stretch marks2) thin skin3) elasticityI suggest you meet again with your Plastic Surgeon or make several additional consultations until you are satisfied with your choices. Please make sure your Plastic Surgeon is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best,