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Would This Be Appropriate for Me? (photo)

I'm 5'1 weighing in at 123 And currently a small C. I've had three kids. Ill be having a lollipop lift on both breast and 400cc high profile saline implants under the muscle. From what I've read that going under the muscle results in losing a cup size.

Doctor Answers 10

The right size for you...

There are many variables in recommending implant size/type. I base my implant recommendation on patients' body (chest height, chest width, existing breast tissue) as well as their desired look. I usually do not talk about cup size. As you know, cup size varies with brand and styles of bra. I would go for the desired look. Review before and after photos and see what kind of look that you want.
Implants come in different types (silicone, saline), shape (round, anatomic), and profiles and volume. As you increase the profile of implant, you will get a larger implant.
More meaningful recommendation can be made based on direct examination and in-person consultation.
Please visit with a board-certified plastic surgeon.
Best regards.

Houston Plastic Surgeon
4.5 out of 5 stars 50 reviews

4185 Technology Forest Blvd.
The Woodlands, TX 77831

Lift and under muscle breast implants appear appropriate for you

Thank you for your question and photograph. A combination breast lift and sub-muscular breast augmentation is a good option based on your photographs.

Do not worry about breast implants looking one size smaller when placed under the muscle. Over time as the breast implant settles into the pocket the size of your final result should be the same as it would be if you have had Sub-glandular augmentation.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 65 reviews

195 Commonwealth Avenue
Boston, MA 02116

Under The Muscle Breast Implants Do Noyt Cause Appreciable Loss In Size

You do not lose a cup size by placing breast implants under the muscle. There may be very slight lose of size but the benefits of decreased risk of infection, capsular contracture and better upper pole aesthetics far outweight any size loss considersations.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.5 out of 5 stars 53 reviews

Indiana University Health North Hospital
Carmel, IN 46032

Implants under the muscle

You lose about 10% of the volume of the implant under the muscle but certainly not a cup size.  Unders are better than overs too.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.5 out of 5 stars 57 reviews

1135 116th Ave. NE
Bellevue, WA 98004

Breast Augmentation Beneath the Muscle

I do not think the muscle decreases the size since the muscle is released and the implant partially sits beneath the muscle.  I believe placement beneath the muscle is beneficial in giving you better upper pole aesthetics and decreasing the risk for capsular contracture.

Dr. ES

Earl Stephenson, Jr., MD, DDS, FACS
Atlanta Plastic Surgeon
5.0 out of 5 stars 19 reviews

2220 Wisteria Drive
Snellville, GA 30078

Implants and a lift

It certainly looks like you could use a lift as well as implants. As for the right volume it is hard to say without knowing your goals or examining you.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

No, you should not lose a cup size

Going under the muscle does make the implants look a full cup size smaller.   Usually it makes them look about 35 to 40 cc's smaller.  If you are worried about being smaller, than consider 425 cc implants.  However, my guess is that 400 ccs will be a good size for you.  

Best regards,

Dr. Smith

Lane Smith, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 52 reviews

8871 West Sahara Avenue
Las Vegas, NV 89117

Lift and high profile implants 400 cc

Without exact measurements of your breasts, as well as an assessment of the tissue dynamics including elasticity, there is no way to tell if 400 cc are appropriate for you. I am not a high profile fan anyway, because of the well documented issues with breast atrophy and chest wall deformities.

Also, just be forewarned, that potentially, the scars from the lift may not heal as well if you do the lift at the same time because of the increased tension on the closure from the implants. I offer staged as well as simulateous lift and implants, but offer the patient the pros and cons of each so that they can make the best judgment for themselves.

Mark D. Epstein, MD
Stony Brook Plastic Surgeon
5.0 out of 5 stars 188 reviews

2500 Route 347
Stony Brook, NY 11790

400 cc Implants and Size Concerns

   There is some blunting of the implant volume by going under the muscle.  This will vary from individual to individual but this may reduce the apparent volume by 50 cc or so but not one cup size.  In general, 400 cc should increase the size of an average woman's breasts by 2 cup sizes.  The skin removed during the lift results in a negligible change in size.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 336 reviews

435 North Roxbury Drive
Beverly Hills, CA 90210

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.