since your implants never sag, it is your natural skin and breast tissue that may sag with time. the size of the implants will not make this more likely. In fact probably selecting a slightly larger implant may help minimize some sagging of your breast tissue. however, for the most part, your skin and breast tissue are not affected by the implants.

david berman md, frcsc

I am 40 and have small boobs (A cup). I am thinking of having augmentation to a C cup. I currently don’t have any sagging so I am curious - if I have bigger boobs would that lead to sagging in the future? I understand that the implant won’t sag but will the extra volume make the skin sag in the future?

Will going from an increase in breast volume (A to C cup) lead to sagging in the future?

Breast Augmentation

please realize that the difference between 300cc and 320 cc is almost imperceptible. remember one once of fluid spread over your entire breast area will only make a very tiny difference, and you are talking about 20cc which is less than the 30cc in one once!!! 
i personally would not use the low profile since you want more projection if you are doing a breast implant.
best of luck
david berman md, frcsc

I am 100 lbs, 5'2" with little/no breast tissue. My BWD is around 12.5-12.75 cm. My surgery is Jan 30th and my surgeon is recommending Sientra Smooth Round Low Plus Projection implants placed submuscular via the inframammary folds. I want this to look natural and not too large but I'm worried about going too small with 300cc. I also heard that when placed under the muscle the implant will look a little smaller so I'm wondering if I should go 320 cc to not have any regrets?

Which implant size would help me achieve a natural result? Stuck between 300 and 320 CC (photos)

i would wait a year to see how much it self corrects and I think it will continue to improve. you may have to accept that there will always be some difference between the 2 sides.

david berman md, frcsc

Dear Doctors, I had my gynecomastia surgery about 6 months ago and unfortunately on the right side my nipple doesn’t look the same. Actually it’s barely visible i was worried in the beginning and my doctor recommended to use HA filler but then he said we just need to wait longer. I am very concerned. Could you please share your professional opinion? Thank you!

Gynecomastia surgery 6 months ago - will my nipple look identical? (Photos)

Gynecomastia Surgery

your problem is NOT classic gynecomastia. you will not benefit from having tissue removed from your chest. you will need either a nipple reduction or reducing the tissue directly under the nipple-areolar complex. i do a lot of the latter surgeries and this can be performed in my office with local anesthetic and oral sedation (as opposed to general anesthesia in the main OR)
You will need the correct surgery to get the results you want.

david berman md frcsc

Hi there, Since high school, I've always had an issue where my nipples would be poking through every shirt I wear. The surgeon evaluated me today at the consult and said I was a very minor case, with about 5-10g worth of tissue on each side. Would this surgery help flatten my nipples? Or would this procedure be risky and cause more puffiness than what I currently have due to scar tissue buildup?

Would gynecomastia surgery help flatten my nipples or am I risking more puffiness due to scar tissue?

liposuction will be useless here. your problem is loose skin.
however, if you notice when you extend your arms fully above your head, then all of the loose skin will disappear. the problem is that if the surgeon removes this extra skin when. your arm is at your side, when you raise your arm above your head, you will either rip open the incision, or you will not be able to fully extend your arm. both very problematic.

david berman md, frcsc

1 yr post op, how do I deal with the fat under my arms? Would weight loss solve this or would surgery be the only way to deal None

1 yr post op, will weight loss aid in fat reduction of the under arm area or will this need to be surgically removed? (photos)

Liposuction

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