Elizabeth Kiwanuka, MD, PhD

Choosing an implant that slightly exceeds your breast base width (BWD) can help achieve the curvy, filled-out appearance you’re aiming for. Here are some important points to consider regarding your choice:

Width and Frame Coverage: Selecting a 360cc moderate implant with a width of 12.75 cm when your BWD is 12.5 cm is a good approach. Implants that are wider than your BWD can enhance your side profile and provide the fullness you desire. This can help create that curvy look you’re aiming for.

Consideration of Projection: While width is crucial for achieving the right coverage, the projection of the implant also plays a role in how it will look on your frame. Moderate projection can help maintain a natural contour while still offering some side fullness.

Potential for Side Boob: If having some side boob is important to you, choosing an implant that fits your frame can help achieve that look. However, it’s essential to work closely with your surgeon to ensure that the implant’s placement aligns with your desired aesthetic.

Consultation and Fit: During your consultation, discuss your goals with your surgeon and bring any visual references. Trying on sizers can give you a better idea of how the chosen implant will fit your frame and achieve the desired appearance.

Individual Anatomy: Remember that each person’s anatomy is different, and factors like skin elasticity and natural breast tissue will influence how the implants settle and look after surgery. Your surgeon will consider these aspects when recommending the best option for you.

By carefully selecting your implants and working closely with your surgeon, you can achieve the curvy figure you desire while ensuring a comfortable fit.

It's great that you're taking the time to evaluate your options for achieving your desired breast appearance. Here are some considerations to help you decide between a breast lift, implants, or a combination of both:

Assessing Your Goals: If your primary concern is volume and achieving a fuller, rounder look, breast implants alone may provide the enhancement you’re looking for. However, if you also want to address sagging or a loss of shape, a breast lift might be necessary to reposition the breasts and improve their overall contour.

Combination Approach: Many patients find that a combination of both implants and a lift provides the best results. The lift can help reshape and elevate your breasts, while the implants add volume and fullness. This approach often leads to a more youthful and aesthetically pleasing appearance.

Consultation with a Surgeon: It's essential to consult with a board-certified plastic surgeon who can evaluate your breast anatomy, discuss your goals, and recommend the best course of action. They can provide insight into whether a lift, implants, or both will help you achieve the desired results.

Consider Size and Projection: When discussing implants, consider what size and projection align with your vision for fullness. This will help the surgeon recommend the appropriate type and size of implants to use in conjunction with a lift, if needed.

Personal Comfort: Ultimately, the decision should reflect your comfort and aesthetic goals. Ensure you communicate openly with your surgeon about your desires and concerns, as they can guide you through the options available to achieve the look you want.

By working closely with a qualified surgeon, you can develop a tailored plan that meets your specific needs and helps you achieve your desired breast shape and volume.

Choosing between Motiva round implants and Ergonomix implants for breast augmentation is an important decision, especially when aiming for a natural appearance. Here are some considerations to help guide your choice:

Motiva Round Implants: Round implants tend to provide fullness in the upper pole of the breast, which can enhance projection and volume. While they can look natural, they may not mimic the natural slope of the breast as well as shaped implants. If you’re aiming for a more pronounced look while still achieving some natural fullness, round implants may be a suitable option.

Motiva Ergonomix Implants: Ergonomix implants are designed to mimic the natural shape of the breast. They have a more tapered appearance that allows for a gentle slope, providing a more natural contour. If your priority is achieving a subtle, natural look, Ergonomix implants may be the better choice.

Body Proportions: Consider how each type of implant will complement your natural body proportions. The shape of your breast tissue, chest width, and overall body silhouette will influence how the implants appear post-surgery.

Consultation with Your Surgeon: Discuss your specific goals and preferences with your surgeon. They can provide insights based on your individual anatomy and help you visualize how each type of implant might look on your body. Their experience can be invaluable in making the right choice for your desired outcome.

Try Sizers: If possible, try on sizers of both implant types during your consultation. This can give you a better idea of how each will look and feel, helping you make a more informed decision.

Ultimately, the choice between Motiva round and Ergonomix implants should align with your aesthetic goals and what you feel will best enhance your natural appearance.

It's not uncommon to experience changes in nipple sensitivity after breast augmentation, and it can take time for sensations to return. Here are some key points to consider regarding your situation:

Healing Timeline: After breast surgery, it can take several months for sensitivity to return. Some patients may notice improvements in sensation within a few weeks, while for others, it may take up to a year or more.

Nerve Recovery: Nerve endings can be temporarily disrupted during surgery, leading to decreased sensitivity. As healing progresses, the nerves may regenerate, and sensation can gradually improve.

Individual Variation: Everyone’s body responds differently to surgery. Factors such as the surgical technique used, the type of implants, and individual healing processes can all influence the timeline for regaining sensitivity.

Consult Your Surgeon: If you have concerns about the lack of sensitivity in your nipples, it's important to discuss this with your surgeon. They can evaluate your healing progress and provide insight on what to expect moving forward.

Patience is Key: While it's understandable to feel anxious about this issue, many patients find that sensation gradually returns over time. Staying positive and giving your body the time it needs to heal is essential.

If you have further concerns or if the lack of sensitivity continues beyond a reasonable timeframe, your surgeon may have additional recommendations or treatments to discuss.

It's completely normal to feel anxious about your upcoming surgery, especially regarding the implant size. Here are some important points to keep in mind as you approach your breast augmentation:

Understanding Size Perception: While 200cc might seem small to some, it's essential to remember that each individual's body responds differently to implants. Factors such as your body composition, chest width, and existing breast tissue will all play a role in how the implants ultimately look.

Goals for a Low B Cup: If your goal is to achieve a low B cup, the 200cc moderate plus profile may still align with that vision, especially considering that you are currently a 28AA. It’s worth remembering that swelling will also play a role in the final appearance, and it’s common for breasts to settle and soften over time.

Communication with Your Surgeon: If you still have concerns about the size, consider reaching out to your surgeon for reassurance. They can provide insights based on their experience and help you feel more confident about your choice. They may also offer insights on how the implants will fit with your body type.

Final Results and Patience: It’s important to give your body time to adjust post-surgery. Many patients experience changes in size and shape as they heal, and the final result can take several weeks or even months to fully develop.

Trust the Process: While it’s natural to second-guess your decisions, trust in the planning and discussions you’ve had with your surgeon. You've made a thoughtful choice based on your goals, and it’s important to stay positive about the upcoming surgery.

No matter the size, the most important thing is that you feel comfortable and confident in your choice. You’re embarking on a journey to enhance your appearance, and embracing the process can lead to a satisfying outcome.