What Shape Implant is Best to Correct Mild Constricted Breasts with Symmetry? (photo)

asked 5 months ago by Need help choosing in Winchester, TN
Latest answer by Steven Wallach, MD
Question viewed 481 times
Tags: constricted, natural appearance, recommendation, shape, symmetrical, tear drop

Hello! I have constricted breasts and luckily they are symmetrical. I just need to know if I have to have a teardrop shaped implant to correct this for a natural looking breast. I don't want saline so it is between already available silicone and the new Gummy bear implant awaiting approval. I really do not want that grapefruit look and I don't want to do anything with my nipples,surgically. The natural perfect breast is what I am after. What would you suggest?

10 answers to What Shape Implant is Best to Correct Mild Constricted Breasts with Symmetry? (photo)

Breast lift and augmentation

You do have very tight lowr poles but you could benefit froma lift and an augmentation. I am not a fan of tear drop shaped implants and I usually use round implants.. Good luck.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast augmentation together with breast lift

Your posted photos show a constricted or shortened lower half of the breasts-nipple to breast crease distance. This makes your nipples point downward in the first posted photo. I think you are mistaken to believe that this can be corrected by a tear drop implant which is basically bigger on the lower than the upper half even though it may sound like a good idea that would allow you to have less surgery on the breasts themselves. It is better to splay the lower half of the breast tissue using... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Breast Implants

Your overriding issue as you mentioned is the constricted component to your breasts. It would be helpful to place a large index card under each breast to gauge your nipple location compared to the breast crease, and to determine what percentage of your breast tissue is below the breast crease. If you visit various websites, you would not be able to tell the type of implant, gel or saline and high or medium profile, by looking at the patient (try ours for example). ... more

Joe Gryskiewicz, MD
Minneapolis Plastic Surgeon

Natural appearance after breast augmentation for constricted bases

Thank you for your question and including pictures. If "the natural perfect breast" is what you are after and what you expect from surgery, then you will likely be unhappy. Based on the photos you include, a smooth or textured round silicone implant in the subglandular plane with radial release of the inferior pole and and a circumareolar approach to adjust the nipples is what would be necessary to give the closest resemblence to a natural look. I read that you don't want... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Constricted Breasts

I have been very happy with the results we get in patients with your anatomy with a round smooth implant, either saline or silicone, the patient's choice, placed with a dual plane technique and a circumareolar or Benelli mastopexy. After about 2-3 months for the tissues to soften the patients get a very natural, nonsurgical look. You mention you don't want anything done to your nipples and I'm not sure what that means, but without relocating the nipple/areola complex through a... more

Ronald V. DeMars, MD
Portland Plastic Surgeon

Natural Breast Augmentation Results

You will need mastopexy as well as augmentation to get the results you desire. No implant shape alone can take up the excess loose skin and lift the nipples. In a case like yours, I anticipate that vertical mastopexy and a sub pectoral oval silicone implant will give a nice result.

John Squires, MD
Denver Plastic Surgeon

What shaped implant

I do not normally use shaped implants except in reconstructive cases post mastectomy. I think a bilateral mastopexy, with round implants will work well with some internal scoring to release some of the constricted breast tissue.

Rick Rosen, MD
Norwalk Plastic Surgeon

The natural, perfect breast

Natural breasts are rarely perfect nor are they always symmetric. The breast after surgery is rarely perfect either. Judging by your photos alone you appear to have a mild degree of breast ptosis perhaps to a greater degree than the constricted breast issue. In either case, for adequate correction of this problem a procedure combining the placement of a breast implant together with a breast-lift procedure would be ideal. The breast augmentation... more

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon

Constricted Breasts?

Thank you for the question and pictures. I am not a fan of “teardrop shaped implants”; I'm concerned that in the event of any rotation of the implant the breast shape will change necessitating further surgery. I generally recommend round implants for most patients. Based on your pictures you do have some breast ptosis ( drooping) and may benefit from some degree of breast lifting. This will involve incisions around the areola. Not having this done will... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Implants will not give you the results that you expect

Thank you for the pictures. Your have asymmetry, moderate ptosis and mild tubular breasts. I do not think you expectations can be achieved by the implants. You will need lift and volume.