It would be impossible to any surgeon to reliably tell you what size implant you would need without examining you. And, truth be told, it is not the VOLUME of the implant that is critical, but the SIZE, SHAPE, and PLACEMENT of the implant. FIrst, size not volume. You can have two implants of exactly the same VOLUME, but be entirely different sizes and shapes: Implants can be round, tall, flat, "anatomic," form stable, narrow, broad, etc. A saline implant is also very different from a silicon implant, and that probably has more effect on your outcome that simply the volume of the implant.It really comes down to the size and shape of your chest and breasts and what your cosmetic goals are.That said, I would think that at only 5'2" and 102 pounds, a 425-cc implants sounds a little excessive, though I tend to shoot for a result that is subtle and natural. Judging from your height, weight, and pictures, the 13-cm base width sounds wide. And the implant should really be a bit small than your actually breast width/chest wall, so that it doesn't extend past the lateral limits of your chest wall (in which case is will "show"). If 13 cm is really the actual base width of the implant, then 425 cc would be about right for a moderate or high -profile round breast implant. Moderate and high profile would give you a result that really stands out (literally). Yes, probably a DD.If your breasts are larger than your actual chestwall, then the other thing you may wish to consider is a silicone implant that is "anatomical" in shape, rather than round This would give you the volume and height to match your breasts without being excessively wide and extending past the lateral limits of your chest wall. The results can be subtler and more natural.
First off, congratulations on the baby! He or she is going to be the very fulfillment of your life on Earth, and I want to wish you many, many years of happy parenting. Also, enjoy every moment of parenting, even the dirty diapers and shoulder accidents. The years go very, very quickly, and there WILL be a day in the not-too-distant future when you will miss the diaper changes and naps with Baby!At 21 years of age and only 2 months post partum, the skin of your abdomen and pelvis are still quite resilient, and a good amount of that excess skin will contract and the stretch marks improve. Tretinoin definitely helps. Laser therapy would also likely help. The one thing I would caution you about though is the safety of tretinoin if you are still breast feeding. Please ask your obstetrician and pediatrician about this.If after a year, your stretch marks are still bothering you, you would be an excellent candidate for a tummy tuck. But this is obviously an invasive procedure, and it will leave you with a permeant scar that extends a good ways across your abdomen-pelvis (below the panty line).
There are operations that can be done for your condition, Mr. Callahan! You appear to have a condition called hemifacial microsomia. That is just medical lingo for "half a face grew smaller." There are definitely tried and true surgeries that are performed for a wide range of severities of hemifacial microsomia, but they all require surgery. When hemifacial microsomia manifests itself in orbital (eye) asymmetry, the surgery is particularly invasive, requiring the surgeon to cut the bones around the eye socket ("the orbit") and move the whole thing up, down, inward, or outward.This type of surgery should be done only at a couple of very specialized medical centers in the world. In the United States, some of the leading institutions would be New York University, UCLA, University of Pittsburg, and University of Texas Southwestern.Short of surgery, your asymmetries could probably be camouflaged somewhat by using some injectable fillers.
The main considerations for returning to work after breast augmentation are:1. risk of stirring up internal bleeding2. risk of moving the implant3. risk of stressing the surgical incision/closure and causing it to come apart4. discomfortSo the main impediment to returning to work is the physical movement of the chest wall and arms, so it really depends on what type of work you do. For a sedentary job that doesn't require reaching, twisting, stooping, or using your arms, some patients return to work in as little as 3-4 days.
Great questions krizdeen! It would be impossible to any surgeon to reliably tell you what size implant you would need without examining you. And, truth be told, it is not the VOLUME of the implant that is critical, but the SIZE, SHAPE, and PLACEMENT of the implant. FIrst, size not volume. You can have two implants of exactly the same VOLUME, but be entirely different sizes and shapes: Implants can be round, tall, flat, "anatomic," form stable, narrow, broad, etc. A saline implant is also very different from a silicon implant, and that probably has more effect on your outcome that simply the volume of the implant. It really comes down to the size and shape of your chest and breasts and what your cosmetic goals are.Breast augmentation is one of the most commonly performed and satisfying procedures we perform as board-certified Plastic & Reconstructive Surgeons, and we can really obtain a wide range of outcomes depending on what your goals are and what types of implants you desire.
