Which silicone implant will give me the best results? (Photo)
Doctor Answers (12)
Implants alone are inadequate
Gary Horndeski, M.D.
You have significant asymmetry to start
In breast augmentation I have chosen to spend time reviewing photographs with patients to fully understand their expectation of size and shape. Many times this simply raises more questions. I will make measurements and use the implant guides to allow the patient to understand exactly the sizes that are reasonable for their body type and measurements.
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Moderate profile plus breast implants best for widely separated breasts
Advice may be well and tensioned but does not have the benefit of examining you. Having said that I concur with other surgeons that wider base to moderate profile plus breast implants would be my choice and someone who had widely separated breasts.
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Which silicone implant will give me the best results?
Thank you for the question and picture. Base on your photograph, you are starting at a great place and should have a very nice outcome with breast augmentation surgery. However, despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery.
I hope this, and the attached link, helps.
Which implant is best
I do agree with your surgeon, a 325 cc implant will give you the volume you're seeking.
Implant style and size
I always measure the breast width diameter when considering implant selection. Based on this and your desired volume, a variety of implants will "fit".
Maximizing your diameter will decrease your projection. As your nipple must be centralized over the implant (and breast mound), a wider diameter may give you more cleavage and ensure better centralization of the nipple areolar complex. A wider implant will give less projection though.
All this depends on the width of the implant that will fit your breast.
Talk to your board certified plastic surgeon. They will help you decide.
One missing measurement is breast width. One of several keys to a natural appearance is to use an implant with about the same diameter as the breast is wide. The smaller moderate plus is wider than the larger HP, and that could factor into your decision.
I expect you will have a nice result with either choice. All the best.
Proper Implant Selection
Breast base width is one of the most important measurements, but decisions regarding implant selection are also based upon breast size and shape, tissue compliance, and the desired appearance. In most circumstances it is very important to respect the dimensions of the breast (esp. with a subpectoral augmentation) and the skin envelope tissue compliance to achieve a natural result and reduce post-operative morbidity.
In general, the width of the breast implant should not exceed the base width of the breast by more than a few millimeters. A subglandular or subfascial augmentation may allow you to choose a slightly larger diameter implant, and may help you achieve more narrow cleavage. In a subpectoral augmentation, the medial extent of the pocket is defined by the origins of the pectoralis major muscle; these origins need to be respected and left intact. Therefore, trying to narrow cleavage is difficult with a subpectoral implant location, and the distance between the breasts remains unchanged. The risks and the benefits of these pocket locations need to be considered carefully when making decisions regarding the final result you desire, and can be discussed with your surgeon in detail.
Implant profile also plays a role in the final breast shape. I think moderate profile implants tend to produce a more natural result because they are less spherical in shape. High profile implants tend to produce a shape that is more round and has more projection, but not necessarily more upper pole fullness. In women with narrow chests moderate profile implants sizes are sometimes limited, and higher volume options are available if high profile implants are selected instead. If using implants in a subglandular position to narrow cleavage, then high profile implants should be avoided and moderate profile or anatomic implants are better options.
You should consult with a board-certified plastic surgeon who is experienced with breast augmentation. The consult should allow you the opportunity to describe your desires for breast size, shape, and implant type. A thorough exam should be performed. You should understand all the differences between saline and silicone gel breast implants. The risks and benefits of the proposed operation, as well as the estimated outcome should be discussed in detail. The first step to a good result is a trusting and open relationship with your surgeon. Different surgeons will have different recommendations, so more than one consultation may be beneficial for you.
Best wishes. Ken Dembny
Be Careful With High and Moderate Profle Implants Especially With Wide Separation Between Breasts!
All the best,
Rian A. Maercks M.D.