Breast Augmentation: Q&A

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I Need Advice for Breast Augmentation? (photo)

I have seen ps who is very well respected but i am unsure of the advice given due to what i have read. I am 5ft 5in 110 pounds. I breast fed two children my bust dropped from d/d to c cup i don't think they are saggy i do feel they have lost there volume, size. The upper pole being the biggest concern. My ps said he would advise over muscle anatomical 255cc. I want to look natural but want volume and for the implant not to be visible or rippling. Base width diameter is 14.

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14 Doctor Answers | Asked by ladylethendy

Doctor Answers (14)
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Advice for Breast Augmentation?

I concur that your breasts do not sag, and abreast lift does not need consideration. The chosen implant size will probably give you a bit more than a cup size of increase, though there are no uniform definitions of cup size. Most surgeons in this country prefer placing the implants under the pectoral muscle. The advantages include: Less chance of capsular contracture Less chance of palpable (and visible) rippling. Less chance of visibility of the upper... more

Breast Augmentation Advice

Hello, There is no good reason to place the implants in a subglandular (over the muscle) position, and there are many compelling reasons to place the implants in the subpectoral position. In the subpectoral position, you will enjoy the benefit of decreasing your risk of capsular contracture, rippling, glandular ptosis (hanging of the breast tissue), and significant atrophy (loss of breast tissue thickness). Additionally, it is the preferred position for mammograms.... more

I Need Advice for Breast Augmentation?

I would consider a slightly larger implant in fact under muscle Sientra texture round base silicone would look great

Breast Augmentation Advice

It is important that you become familiar with all of your surgical options and learn the advantages and disadvantages of each. Specifically, you need to think about the reasons for placing an implant above or below the muscle, the issues related to round and shaped (anatomical) implants, the implications of your chest measurement with respect to your implant size and the pros and cons of saline and silicone implants. These topics should be thoroughly reviewed during your... more

Advice for breast augmentation

As you can see from the responses on this site, there is no consensis as to the 'best' breast augmentation for you. You should know that experience has taught us that a smooth round moderate profile submuscular breast augmentation, moderate volume, 350cc and less, gives wonderful results with the fewest problems. Tried and true, this works very well for most who seek breast implants.

Implant issues

I usually prefer to place implants under the muscle for better upper pole coverage. I do not like anatomic or textured because the texture does not allow the implants to "jiggle" or move naturally. They get held up. Anatomics can turn as well. Go for a second opinion if you are unsure. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Gummy bear implants for over the muscle augmentation and less rippling

I agree that over the muscle placement has some advantages as long as the surgeon puts them in the subfascial plane and not the subglandular plane. If you want upper pole fullness, then round implants would achieve that better than the anatomics. The main benefit of over the muscle placement is relates to women who like to do chest workouts (including yoga, Pilates, etc). If you go under the muscle and work out your pectoral muscles, your breasts will move and... more

I Need Advice for Breast Augmentation? (photo)

Plastic surgery is an interesting specialty as there are often many ways to approach a problem. This can be confusing to the patient who receives a different opinion from each of the five surgeons they consult. In your case, however, I would absolutely recommend you have your implants placed under the muscle. You will receive a more natural look, it will be easier to undergo mammograms in the future and you will have a lower risk of capsular contracture. I suggest you seek... more

Breast implant choices after children

I would tend to agree with part of what you have been told already. It appears that you have quite a bit of breast tissue to cover an implant an keep it from showing in the long term, although the best way to determine this is with an examination, not a picture. An over-the-muscle approach in your case will fill out your upper pole and give you more projection of your breasts, achieving a "mini-lift" of sorts. I would use a round silicone implant, not an anatomic one...you... more

You have few options

The placement of the implants above the muscle is easier for the surgeon to perform and easier for the patient to recover,but will cause more breast tissue thinning and rippling in few years. You can get great result with silicone gel implants under the muscle. The other option is fat grafting if want only one cup bigger.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Round Implant Will Give More Upper Pole Fullness

I do not use anatomical implants, but I think a round implant will give you a better result, especially since you are concerned about loss of upper pole fullness. I would also place the implant below the muscle which will make it less visible and less likely to show rippling.

Over Muscle or Under Muscle: That is the Question

The "under the muscle" approach is preferred for the vast number of patients I see in consultation. The below muscle approach allows for a natural look with the best feel, look, and health for the breast. Capsular contracture or scar tissue formation is less under the muscle. The implants are less palpable and visible under the muscle. The cleavage is more attractive under the muscle for many patients. Finally, if you ever remove your... more

Implant size selection to achieve your goals

I consider two factors when selecting implants for my patients: 1.Dimensional planning 2.Gel Implant Sizing system Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your... more

Hello

It looks like you have plenty of breast tissue to have a either saline or silicone. You do not need a lift you do not have sag. Under the muscle is the recommendation from our practice that would give you, the more natural look you are looking for. In our practice we tell our patients that 200 cc -225 cc equal about one cup size, keep that in mind when sizing.