Breast Implants: Q&A
Ask a Question
Realistic Goals? (photos)
I DON'T want ANY breast lift. I'm *COMPLETELY HAPPY & CONTENT* w/where my nipples lie. SIMPLE, TWO-FOLD QUESTION: Will High Profile Implants (sub pec or otherwise) relax into a natural look over time (10+ yrs), also are you able to ascertain from the before pic IF implants exist to go as big as the goal picture? STATS: 189 lbs 5' 4.5" 36 small C cup. PS. OBVIOUSLY in-person consultations are needed for the most accuracy & are NECESSARY before having surgery- please don't state the obvious.
AND What to Do when Drs Want to Fix Something You Like & Dont Want to Change? -HAPPY W/WHERE my NIPPLES Lie TY!
Tags:
17 Doctor Answers |
Asked by
whthavibecomemysweetstfriend
in NY
+2
No lift, BAM
I will say that based on the pics and your stats, you should have no problem on the size. The implant sizes available should be able to get you what you want there.
I understand your desire to avoid a lift, but your nipples are low and the added weight of the implants acting on the already low structures will only cause more ptosis. What things will look like right after surgery will be a bit hard to predict, and guessing what things will be like it 10 years impossible.
I...
more
+2
Realistic Goals?
Thanks for the question regarding realistic expectations. All too often we have to deal with very unrealistic expectations during consultations. First of all, you can achieve a very acceptable augmentation result without a lift, but you will need either on top of the muscle (not usually the best idea) or under the muscle using the dual plane technique, which is commonly done by many surgeons. But if you were to take a picture of that patient with your desired result in 10 years, it would...
more
+2
What happens to large implants over time?
Hello Sara,
You ask some tough questions. While it is quite possible that over time your breasts will either sag a lot more or "bottom out" with large implants, I have a couple of patients that have 600-800cc implants that I have been able to follow for 5-10 years and so far they continue to be happy with the result. I don't know for sure what size would be necessary to achieve your goal look, but it will probably be the largest available. Using sizers in your PS's office can help...
more
You might also like...
Real Stories
Love My Doctor!!!! - Rockville, MD
I have never had surgery before... So, hence I was very hesitant. But Dr. Barry Cohen is...
+2
Realistic Goals?
I'm not sure these goals are realistic. While you may be able to have implants large enough (or nearly so) to look like your goal photo, and while you do not (obviously) have to have a lift if you don't want one, the concern is that implants that large will, over time, drop into the skin you have and eventually produce a bottomed-out look. No one can guarantee that that will happen, but it is a concern. That being said, if you don't do the lift now you can always keep that...
more
+2
IMPLANT SIZE AND PROFILE
Hi Sara,
I am located in Williamsville. You can probably go with very large implants if you want. But this may not be the best decision long term. Over time the weight of large implants will stretch out the ligaments and skin envelope and the breasts will fall or sag. You need to be realistic as far as your goals and the long term consequences of your decision. Good luck.
+2
No lift desired
Should do fine with augmentation only. High profile not wide enough base diameter for you but moderate plus profile a better fit. Good Luck! PLease see a board certified plastic surgeon.
+2
Choices for implants and avoiding a breast lift
Your nipples appear to be just below the infra mammary crease. It appears that a standard sub muscular breast augmentation would give you a nice result and you should not need to use a huge implant to accomplish your goal
The choice of implants has gotten more interesting since we now have shaped gel implants available, depending on your degree of skin laxity this may be a nice choice since the implant can help shape the breast and push out the lower pole.
there are two...
more
+2
Breast Implants and sagging
Breast Implants can make a woman quite large breasted, even as large as the photo which was posted. There are many factors involved with getting you to your desired look. Breast base diameter is a very important factor and will indicate to the physician whether a midrange or high profile implant would be best. Keep in mind that when someone uses very large implants there are more risks of sagging (ptosis), back, rippling and stretching over time. If a physician does not seem like he is...
more
+2
Breast augmentation and 'realistic goals'
You appear to be a good candidate for breast augmentation alone, without the need for a breast lift. As concerns size, most surgeons will measure the breast dimensions to ascertain which implant size will fit most naturally given your specific anatomy. Beyond that, implant sizers can give a further indication of how you would look with any given implant size. If your overriding goal is to be 'huge' then some surgeons will probably decline to operate. Others will offer surgery but make it...
more
+2
Breast Lift With Implants
Sara. By looking at your side view photo, your nipples ar above the breast fold so you don't need a lift. If your doctor insists on a lift, consider finding another surgeon. As far as the size goes, it is possible to make you the size that you show in the picture, but with such a large size, there are added risks such as stretch marks, loss of nipple sensation, future drooping, back and neck pain, etc.
+2
Realistic Goals
Rather than predicting improvement in the contour with time if you get a huge enlargement, I would predict that the appearance will deteriorate, with enhanced pace of sagging, and the "rock in the sock" appearance of a large implant in a sagging breast. That is a more realistic outcome over a decade.
Based on your current photo, I think that the largest available implants (800 cc) will make you a lot larger, but not as large as the patient in your goal photo.
As to the...
more
+1
Breast Augmentation Goals
I assume your question is "Can you attain the objective (picture with large implants) without the need for a breast lift. Answer is Yes. I don't think you necessarily need high projecting implants in order to obtain the result in the photo. If saline implants are acceptable, then 800cc should accomplish that.
+1
Realistic Goals?
Interesting way of asking your questions! Are your goals realistic as to looking as the posted result photo? In a word NO! But you can have a 650 cc HP implant to have a very large slightly ptotic breast. When you visit a boarded PS you "should" be honest and ask/tell what your desires and restrictions are. Then the surgeon can determine if your wishes can be easily attained. I think yes but as you already know you need IN PERSON evaluations. Good Luck
+1
Based on the photos
You are not ptotic, your nipples are above the IM line -- just putting implants in should give you what you want. I would not put them in under the muscle and also don't think that you need high profile implants. Only a consultation can tell for sure.
+1
Best results
If you have realistic expectations you maybe able to augment your breast and get a certain look but will not be able to achieve an ideal breast appearance with the breasts you have. It is all about what you body will allow.
that said if you have realistic expectations you maybe happy with the results.
+1
Unrealistic expectations.
While the volume you request may be appropriate, I think that it is a bit unrealistic to expect similar results. You may need a lift, but without an exam I can be sure.
+1
Testy question about breast implants
You have asked this differently recently, and now have an "attitude" laced through this post. The only thing we doctors can do offer is our best suggestion based on your anatomy and on our years of experience. If you don't want to listen to that, no problem. But don't expect that just because you want huge implants and want to be told that you will never have problems or never need revisions or incur extra costs that anybody reputable will tell you that. In fact, if...
more
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.
This comment does not follow our Community Guidelines and/or Terms of Service. We reserve the right to remove any post for any reason.
This comment does not follow our Community Guidelines and/or Terms of Service. We reserve the right to remove any post for any reason.
This comment does not follow our Community Guidelines and/or Terms of Service. We reserve the right to remove any post for any reason.
This comment does not follow our Community Guidelines and/or Terms of Service. We reserve the right to remove any post for any reason.