im 26years old, 4'11 and 95 lb, ive gone to a few different consults and each gives me a different BWD 11-13 huge differents. i have sagged breast from having 3 kids and im a 32a-b(i wear a 32b but its very deflated). i know i can do an BA without the lift, all my consults said so, but i dont know what size to go or the best place for incision considering i sag.i want to go 400-425 will that be too big? and where the best place to cut?
What Insision and Size Would Be Best for my Moderate Saggy Breast? (photo)
Doctor Answers (15)
Implant Selection Process
In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics. Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Breast lift and implants
I agree that you could either go with a lift and implant or implant alone. You are certainly borderline as far as that is concerned. However, I would use something around 350 cc's in your case. Larger implants will cause your breasts to sag faster and then you will definitely need the lift.
Choosing Breast Implant Size
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Breast Implant Sizing #breastimplants
You propose lots of questions. So size and decision for incision are based on many things. For you with moderate sagging I wold prefer the breast fold incision so that I can manipulate the muscle relative to the breast tissue if need be to allow the implant to sit in the best possible position behind the breast tissue. With moderate sagging often times we use a technique described by Dr. John Tebbets called the dual plane technique. To do that you really do need to have a breast fold incision. I use this technique for those borderline patients that I don't think need a lift, but do need a little additional manipulation of the breast tissue to allow it to be in better harmony with the implant itself. Size is totally dictated by your base diameter.Once you know that number then you personally have to try on the 3 different profiles and decide which look you would like. My guess is your base diameter is pretty low like 11 cm or even 10 cm. At the size implant you desire, this would put you into a high profile implant category most likely. These are details you have to discuss with your surgeon well before you hit the operating room.
Breast implant size
The footprint of your breast is important, whether to use a high profile implant or moderate profile. Next decision saline or silicone implant. With either one a sizer implant could be tried in surgery and if a 400 cc implant stretches the tissues too much then a size smaller would be appropriate. For saline implants a circumareolar incision works well and inframammary incisions for gel implants. If there is asymmetry then saline implants work well for a correction.Talk to your plastic surgeon about your options, and be sure he or she is board certified.
What Insision and Size Would Be Best for my Moderate Saggy Breast?
Size/shape/texture of implant are all personal decisions as is the location of the incision. Mhy personal choice for you based only on limited info is HP 450 to 500 cc using infra mammary incision under the muscle//
There are several variables in determining implant size. When recommending implant size for my patients, I consider the followings: 1) patients' anatomy (height, weight, chest width, chest height, amount of breast tissue) and 2) patients' desired look/goal. Without knowing your chest measurement and breast tissue amount, I cannot give you any recommendation. You should visit with board-certified plastic surgeon who will examine you. Try implant sizers to get a rough estimate of the size you may want. As you know, bra/cup size will vary depending on the brand. Good luck with you.
Dr. Sugene Kim
Size of implant for a moderate saggy breast
HI , thanks for sharing your doubts with this comunity, you present a mild degree of breast saggying combinetd with hypotrophy , i will need to mesaure your breast becuase it seems a pesutoposis , you will need and implant under the muscel 375-400-425 will be good choice depeding on your likes in terms of breast size , if you need a lift will be a periareolar incision but if it is only pseudoptosis wich means that the ptosis is not real just an ilusio because the distance between the nipple to upper point of sternum varies between 20 to 22 cm , then there is no need to do a breast lift
only with augmentation you can have excelent results , ask to your PS how much is your distance
Picking a breast implant
You do appear to have a mild degree of breast sagging but your breasts are deflated and the addition of an implant should give you some youthful uplift to your breasts. An implant in the 400 cc range would give you a nice result. It is likely, since your measurements show you to be a petite woman, you base diameter is more like 11 to 11.5. You may need to use a high profile implant. One easy way to tell is have the plastic surgeon give you the implant that you desire to use and place it over your breast. It should match your breast base diameter and not hang off of the lateral side.