I Am Very Confused About What Implants to Get? 41, 5'5", 122LBS With Deflated C Cups? (photo) Doctor Answers, Tips
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I Am Very Confused About What Implants to Get? 41, 5'5", 122LBS With Deflated C Cups? (photo)

I am 41, 5.5 and I am 122 pounds. I was always a slender woman with large breasts. I was a 34 DD, and have trained for competitions which brought me to a C cup. I have had two children. I feel like my breasts are deflated. I have researched implants, and have no idea if I should go with saline, silicone, over the muscle, under the muscle, where the scar should be, and now I am not sure if I need a lift. I don't want large breasts, but just enough to fill them up again.

15 Doctor Answers | Asked by bella100 in Canada
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Implants

An examination is the best way to start. There are many options and combinations that are available to you and an open discussion with your surgeon is necessary
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I Am Very Confused About What Implants to Get?

The best way to minimize (though not eliminate) the confusion is to have an in person evaluation, with and exam, and some give and take conversation about your goals, and how to accomplish them. For example, I don't know if you consider your breast to be too low. If not, you may not need to think about a lift (though again, I might think otherwise after examination). Most surgeons in the US use silicone, most prefer under the pectoral muscle placement. The silicone... more
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Implant alone is usually not enough

Many women focus on size, type of implant and position but a lift is more important. Your photographs show your breasts are too low, you have no upper pole fullness and the breasts are deflated. You would benefit from a new technique called Breast Augmentation with Mini Ultimate Breast Lift. Using only a circumareola incision it is possible to reshape the breast tissue to increase upper pole fullness, increase your cleavage by moving the breast more medial and allow... more

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+1

Implants and position

Are always controversial issues as well as what to do for body builders. These issues should be discussed with your chosen surgeon and it would probably beneficial to you to get a second opinion from a doctor that strongly prefers a different implant position. And its always good to talk to your fellow body builders who have implants and get their opinions as to what is best. The best implant is determined by your own desires and needs and is recommended after you are seen. more
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Breast Implants in body builders

On line advice can never replace an in person consultation, we can just give recommendations based on the information presented to us. Let's look at your anatomy first; your breasts are equal in size, you have grade 1 ptosis, they are close together, there is a lack of upper pole fullness, your shoulders are equal and your nipples are on the same plane. You are a 41 y/o mother of 2 children with a very muscular body build and aspiring body builder? Taking all these things into... more
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Options for breast augmentation

Hi there, Your nipple and most of your breast tissue is above your fold. For these reasons, you do not need a lift. I strongly recommend silicone over saline implants. The new gel silicone implants are absolutely safe. They are superior to saline implant in all all respects. The look more natural, feel more natural, and do not stretch the breast out as much as saline over time. They also do not deflate. Any... more
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Breast implant options

There are certainly many choices out there. You need to educate yourself on the different options, the advantages and drawbacks of each. Go on a few consults. Different surgeons will give different opinions. I prefer saline implants because there are fewer problems and concerns over the long term. But there are many surgeons who will recommend silicone gel and will tell you they feel more natural. As far as size is concerned, I recommend around 350 cc's. more
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Best Breast Implant Size/Profile for Me?

Thank you for the question and pictures. Despite providing good pictures and precise body measurements, it is not possible to provide you with precise advice online. When it comes to selection of the “best” breast implant size/profile to meet patient's goals, the best online advice I can give to ladies who are considering breast augmentation surgery is:
 1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training,... more
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Breast implants

You have a lot of good questions, and I think it would be best for you to go for a consultation to get appropriately examined.
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Breast implants

Without an examination, and going only on your photo, I would go with 400-425cc, silicone on top of the muscle. This will fill up your skin envelope, and give you a small to med D cup-best guess. Good Luck
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Breast augmentation surgery

All doctors will have their favorite techniques and opinions. In my hands saline or silicone are fine depending on what you prefer. I would place your implants under the muscle with a transaxillary approach. You do not need a lift. About a 375 cc moderate plus should put you back to a full D. Good luck and please see a board certified plastic surgeon.
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Which implants to get?

Choosing the right implant is one of the most challenging parts of the decision to have an augmentation. From your pictures and your goal of just wanting to fill out your skin, I would recommend implants without a lift. Unlike many of my colleagues, I feel that placing an implant above the muscle does a better job of filling out the skin and it moves more normally (when you lie down, it will shift off to the side as a normal breast would) and looks more natural. Silicone gel tends to feel... more
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Breast augmentation in deflated breasts

There is no right answer. Each option has its advantages and disadvantages. That is why the most important decision you make is in choosing your board certified plastic surgeon. A well qualified surgeon will take the time to discuss all of the options with the risks and benefits of each. In my practice most patients end up choosing silicone implants and I prefer under the muscle in the vast majority. However, there are cases where I use saline and also in some, go over the muscle.... more
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Breast Augmentation in Athletic Person

In bodybuilders, I have placed implants both over and under the muscle depending upon strength and aesthetic concerns. In other athletes, I tend to place the implants in a submuscular position. I place both saline and silicone through the entire array of incisions. I leave a lot of this up to the patient, since I do not have a preference. It is important to educate the patient and have him or her make the best decision. Please find the plastic... more
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Implant choices

Thanks for your question and photos. I think you would be a great candidate for augmentation. I do not think you would need a lift. You referenced competitions, but did not say what type. Bodybuilders do not like implants below the muscle. For other activities I would encourage an implant below the muscle. I never use saline. It doesn't look or feel as natural and it can deflate. In meeting with your Board certified PS hopefully they will measure your base width and be able to suggest... more
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Comments (3)

bella100 25 Jan 2013
Thank you so much for your feedback, it really did help with worring about the lift portion. I did have one consult so far, which he did say that I did not need a lift, but I was still confused, and worried I might. Someone asked what kind of competitions I did. I haven't competed in 5 years in figure and fitness, but I now do mudruns occasionally,which are like obsticle courses. I just wanted a basis of what I am looking for, and there are so many options.We have only one PS here, and he only does saline. I am from Canada and am looking for options in the states and mexico.When I sent my pictures to mexico they suggested a lift, which I really don't want to do, unless it is necessary. Currently, I feel so bad about my breasts, I do not ever take a shirt or bra off unless I shower, and I put two on to work out. I find them disgusting to look at. The longer I leave them, will they sag more? WIll they sag with implants? Thank you again,
Tyedye 3 Feb 2013
I would think you dont need a lift, mine kinda sit where yours are, theres lots of cases like ours and they didnt get a lift and they look very natural minths later! Im going for my 2 appts on wednesday to find out what they say for me! I want silicone :)
bella100 25 Jan 2013
Thank you so much for your feedback, it really did help with worring about the lift portion. I did have one consult so far, which he did say that I did not need a lift, but I was still confused, and worried I might. Someone asked what kind of competitions I did. I haven't competed in 5 years in figure and fitness, but I now do mudruns occasionally,which are like obsticle courses. I just wanted a basis of what I am looking for, and there are so many options.We have only one PS here, and he only does saline. I am from Canada and am looking for options in the states and mexico.When I sent my pictures to mexico they suggested a lift, which I really don't want to do, unless it is necessary. Currently, I feel so bad about my breasts, I do not ever take a shirt or bra off unless I shower, and I put two on to work out. I find them disgusting to look at. The longer I leave them, will they sag more? WIll they sag with implants? Thank you again,

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