Breast Augmentation: Q&A
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300cc Overfilled to 350-370cc Natrelle Saline HP SubFacial Breast Implant? (photo)
29 yr old, 125lbs, 0 kids, workout frequently. Had my Pre-Op appointment this morning. my doctor stated the best for my measurements is 300CC overfilled to 350+ Saline HP SubFacial Implants. I want to look like the post-op photo i found below which i did show him and he said it will be very closely similar. What are your thoughts on HP subfacial saline implants? I am nervous they will droop bad not being under the muscle and/or too much rippeling for subfacial.
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17 Doctor Answers |
Asked by
TheHoos
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Saline implants and long term issues.
I've never really been impressed with the claims of subfacial implant placement. In essence, it's simply a subglandular placement of the implant. For saline implants, subpectoral or dual plane is typically advised to reduce rippling. However, if there is plenty of soft tissue coverage ( > 2cm in the upper pole) then subglandular placement rarely leads to visible upper pole rippling. Drooping of the breast has a lot more to do with the skin tone and the size of the implants than the pocket...
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Sizing Questions with Breast Augmentation
In general, one cup size increase occurs with 200 cc to 250 cc. Therefore, a 350 cc increase would be about 1.5 cups. Other than these general ideas, the best thing to do is to try the volumes on to get a sense of how large these are. Kenneth Hughes, MD Hughesplasticsurgery Los Angeles, CA
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Which size?
Thanks for this question and photos. The sizes mentioned are within the ballpark to achieve a solid augmentation. The bigger you go, then the less likely it will look natural. The final cup is better determined after examination and seeing your natural shape by your plastic surgeon. Best wishes, Dr. Aldo.
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Consider Silicone
In your case, I would consider using silicone under the muscle instead of saline. You are thin and you stated that you like to work out frequently; hence, I think your concerns are reasonable. With any implant/ breast, some drooping with time/ age is inevitable. However, drooping would be minimized by going under the muscle. Be advised that with any breast implant future surgeries may be required (hopefully years down the road) as they do not last forever. As you age, if drooping occurs, you...
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Saline implants
It hink that a gel implant is better than saline all things being equal.If you have saline the majority of the time I will go under the muscle to hide rippling superiorly.But I would not worry about drooping if they are not under the muscle.
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Saline Implants SubFacial #breastimplants
In my practice you are the kind of patient that I would likely place sub-muscular implants and use silicone. I think they are more natural feeling and there are many reasons why I like the sub-muscular dual plane the best. Rippling is less with implants below the muscle. In the pocket you describe I have seen implants drop much faster over time. The chance of rippling is higher above the muscle and with saline. At the end of the day if you trust your surgeon and you have conveyed your goals...
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Silicone Gel Implants under the M
There is NO reason that you shouldn't have silicone gel implants...they look and feel more natural, don't ripple as often and are less prone to rupture. The implants should be placed under the muscle, probably using the dual-plane technique. 100% of the Breast augmentations I show on my website were done with implants under the muscle...
You should not have Subfascial placement of the implants because it is essentially the same as subglandular (under the breast tissue) and...
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Saline Implants Subfacial
I also have been unimpressed with the claims of subfacial implants. Even if placed subfacial, the tissue is exceedingly thin and offers minimal benefit. You will certainly hear different opinions and I'm not saying that it is wrong but rather a surgeons preference. I prefer dual plane submuscular placement. I would recommend considering another opinion if you have any doubts or concerns. You would need to be examined to be any more specific on answering your...
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Boca Raton Plastic Surgeon
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Implants
I dont like the high profile look. I dont think it looks very natural. I also dont usually place subglandular or subfascial implant because the submuscular implants seem to do better long term.
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Breast implants
Although your size choice is in the ballpark, I usually like to place saline implants under the muscle to minimize rippling. If you want to have the implant in the subglandular or subfascial location, then a silicone implant might be a consideration.
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High profile above muscle implant placement
It looks like the implant size and shape chosen should be able for you to achieve the volume that you wanted. There are two main concerns with using saline high profile implant on thin woman and going above muscle. First is the rippling. Most of the time the rippling becomes more pronounced after 1 to 2 years of your surgery, not right away. It's usually at lower part of your breasts. However, when the implant is above the muscle you are more likely to get rippling even at upper part,...
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Choice of Breast Implants Placement
Hello.
Thank you for sharing you photos along with your post.
Different surgeons prefer to deliver certain results in different methods. However, with the anatomical features your photos show it seems that you could benefit the most from a subpectoral placement of the implants rather than the subfacial.
As for the choice of saline vs silicone implants, it would have to be a personal preference.
As a footnote, gel implants tend to provide patients with a more natural look and...
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Subfascial Breast Augmentation
Hello,
The claims that subfascial augmentation is 'as good as' partial subpectoral augmentation are unfounded. There is no evidence to suggest such claims. When performed by a highly experienced and qualified surgeon, partial subpectoral augmentation will have little downtime or discomfort (I don't prescribe narcotics for pain, only Motrin), as well as a very low rate of complications, especially rippling and capsular contracture (when appropriate sized implants are...
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Submuscular breast implants vs. subglandular or subfascial breast implants
Implants that are not placed under the muscle tend to droop faster and more. there are many other advantages of submuscular placement of breast implants including implants staying softer, and less chance of noticing ripples.
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Subfascial overfilled saline
In general, a subpectoral pocket is preferred unless there are certain other circumstances going on. In your picture I do not see any reason not to go subpectoral instead of subfascial. Choosing saline versus silicone is completely your choice, but if you choose saline, I would especially prefer subpectoral rather than subfascial to minimize rippling, give the softest most natural looking result, and improve mammogram visualization. Finally, I'm not sure which implant you have chosen becasue...
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Best Breast Implant Size/Profile for Me?
The most important decision you make is selection of plastic surgeon, not a specific breast implant size/profile. You will find that each plastic surgeon you discuss your concerns with may have a different approach and/or advice. Hopefully you have done your due diligence and feel comfortable that your plastic surgeon is well experienced in achieving the types of outcome you are striving for.
In my practice, given your body type and goals, I would probably suggest the use of...
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Saline HP SubFacial Breast Implant
Given your concerns (rippling) I would more likely suggest silicone implants under the muscle. Saline implants have more ripples, and implants above the muscle have more ripples. Different surgeons have different preferences and most develop those preferences based upon what works well for them.
When I use saline implants I try to keep within the manufacturers guidlelines for fill volume. When these are overfilled sometimes they develop "scalloping" or multiple folds in the edges....
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