Breast Implants: Q&A

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Need Recommendation About Breast Implants? (photo)

Dear Doctors, I am 22, 5'2", 100 lb, Asian lady with 32A going 32C. Please suggest implant style, placement, and incision to match my preferences: 1) as a martial art student, I do pushups and chest exercises (under-glandular placement?); 2) I would like to reduce the risk of problems with breast feeding in the future (inframammary incision?); 3) I like firm and perky look (how large should implants be and how much to overfill?) Thank you for your time and valuable advice!

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14 Doctor Answers | Asked by emptiness

Doctor Answers (14)
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Breast Augmentation

Given your preferences, I'd likely suggest a dual plane augmentation with an infra-mammary crease approach. In terms of size selection, 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... more

Implant size and Cup size

At size 32 A, each 100 cc of implant will correspond to 1 cup size change. To go to a 32 C, you will need approximately a 200 cc implant. I prefer silicone gel implants because they feel and look the most natural. I also prefer implants placed in the retro-pectoral position since they have less capsular contractures and better stability. I would recommend inframammary incision since it is technically easier to do rather than the circumareola incision and you don't... more

Implant size

In my opinion, small women should have small implants. Large implants in a petite woman can stretch out and thin the breasts and cause real damage. They also look bad. I'm glad you are considering the things you like to do now (exercise) and what you want to do in the future (be a mother). Make sure your plastic surgeon measures you carefully and shows you some examples of similar patients. For patients like you, I usually recommend a gel... more

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Breast augmentation options

Ther are many options which would work well in your case. I would definitely place the implants u dee the muscle. It will not interfere with your physical activity. Either periareoar or inframammary incision would be fine. You should be able to recast feed in either case. I would leave the choice of incision entirely up to you. One of the other choices to make is saline versus silicone. I usually recommend saline, but there are pros and cons of each... more

Breast Implant Size

Thanks for all your questions. You are petite and the elements of your proportion need to be taken into account. An in person exam is required to determine exact dimension and the use of 3D imaging (Vectra) helps you see the actual results. If I were to guess a size for you it would be in the upper 200 early 300 CC moderate profile silicone gels. I still would recommend a subpectoral placement unless you are very concerned about the animation distortion. I do think an inframammary incision... more

Need Recommendation About Breast Implants?

With all your limitations your choices are great. as for size I might consider 350 to 400 cc HP implants.

Breast implant questions

All your quesstions are excellent. However, an exam in person helps determine what approach and what implant choices are best for you. Good luck.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

New choices for Better breast augmentation result

While there is no "best" way to perform breast augmentation, your questions bring up some great points. First, In an athletic patient, it is probably best to use a subglandular position, but this probably has the tradeoff of higher capsular contracture rate (hardening). Incision should not matter because it appears your areola may be large enough for an appropriate size implant to go through that approach, and if done correctly, you should still be able to breast feed. There are... more

Three good questions about breast augmentation

Thanks for the questions - they are excellent things to consider and they show that you're being very responsible about your decisions. I've done many subglandular and subpectoral implants on thin patients, both athletic and nonathletic. There are a number of things to consider, and ultimately no singular correct answer. The best decision will take into account how natural (how round vs how gentle-sloped) of an upper breast you are comfortable with having, and what... more

Implant placement/type

Every choice available to you involves some degree of trade-off. There is no "right" answer. Your best bet is to get opinions from experienced breast surgeons who will explain the trade-offs to you and allow you to make the choice that is right for you. I would avoid saline in any case as with your tiny frame and thin tissue ripples will be an issue! Good luck!!!

Marcel Daniels, MD

12 reviews

Long Beach Plastic Surgeon

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