Breast Implant Revision: Q&A

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Deflated A Cup to Full C Cup - What Implant Should I Have Gotten?

I was a B. Blew up to at a D (breast feeding) then deflated to less than A. I requested FULL not projected, ball park full C. Said I was a tomboy, lived in tank tops - active. Wanted the most natural full look. I was given mod saline, 350cc R 360cc L dual plane with anchor lift. I hate them, hate the movement as I am always moving my arms. I think my R fold is lower. Huge gap. Bad guidance by PS? Now want mod memory gel subfascial/subgland. apprx 550cc. which would still be less proj more full.

7 Doctor Answers | Asked by science experiment in Los Angeles, CA
+2

Proper implant choices in deflated breasts.

Your pre-operative photos show deflated breasts with grade III ptosis (nipples below the imframammary creases). You state you have less than A volume, which looks about right from your photos, which show essentially "empty" breast skin. You are thin with very little subcutaneous fat as well, so submuscular was the proper implant location, but with the very little amount of tissue you have to "cover" your implants, saline, IMHO, is a poor choice because of higher chance of... more
+1

Breast implant sizing

It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired... more
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Deflated skin brassiere and chest wall anomalies = difficult revision

Be explicit with your revisional PS consultant about your aesthetic expectations, lifestyle, wardrobe etc.  Disclose what has been done, so it doesn't happen again. I've had patients, like you who opt for a) capsulorrhaphy = effacement of the outer +/- lower aspects of the pocket, either with suture but more recently with Strattice as an inferolateral sling; b) revisional mastopexy; c) textured silicone gel implants, with a foot print that matches your natural chest... more

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+1

Get Rid of Those Saline Implants!

The cohesive memory gel implants will feel and look much better!   Without an exam I can not say if 550 cc's will be just right for you.   How long ago was your surgery?  Looks like you may have Mondor's Good Luck!  DrGrantStevens   Dr Grant Stevens   Marina Plastic Surgery    Marina del Rey , California     310-   827 - 2653
+1

Converting to silicone implants should help

Based on your photos, your skin appears quite thin and a silicone implant would be less prone to rippling or wrinkling.  Converting to subglandular will decrease the movement you are experiencing with excercise. I feel that 550cc may be too large for your skin, but this is difficult to determine without examining you. It is also difficult to evaluate you without seeing your photos with the implants in place. I recommend consulting with one or more board certified plastic surgeons to... more
+1

Breast implant choices

It would be helpful to see your post-op photos and perform an exam.  Breasts are always a bit asymmetric and no two will look exactly the same.  
+1

Breast implants in a deflated breast

Sometimes breast augmentation requires compromise,and you will find that there is no one perfect breast implant. The breast lift and submuscular saline implant was not a bad plan, and the feel of the breast implant will be dictated by the amount of tissue to cover, and how well the implant blends with and marries the natural breast tissue. If the submuscular position was a problem for you, consider a subglandular gel, though understand that the more cohesive the gel such as memory gel, the... more
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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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