I’m 5’1, 114lbs, and about an A cup. I have breast fed one child. I’m currently scheduling consultations with surgeons to hopefully achieve something similar to the wish photos posted. I would like a full, but natural look. I tried on the 400cc size and liked them. I was told I could do a 350cc moderate profile but I’m too narrow for 400cc moderate profile. It is to my understanding that Allergan Natrelle implants come in a greater variety of widths than Mentor. Which would be better?
Answer: Breast Implants / Breast Augmentation Surgery / Breast Enlargement -- Implant Location, Incision Location, Silicone Gel Breast I You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants). My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery. I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen
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Answer: Breast Implants / Breast Augmentation Surgery / Breast Enlargement -- Implant Location, Incision Location, Silicone Gel Breast I You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants). My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery. I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen
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May 25, 2019
Answer: Debating final implant size and manufacturer Hello, good results can be achieved with either Mentor or Allergan implants. If your surgeon has measured your breasts and recommended limits on the implant volume or width, their advice will be far more important than any recommendations you will receive on this platform based on a photo. Proper measurements are very important when determining which implants will best fit a person's breasts.
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May 25, 2019
Answer: Debating final implant size and manufacturer Hello, good results can be achieved with either Mentor or Allergan implants. If your surgeon has measured your breasts and recommended limits on the implant volume or width, their advice will be far more important than any recommendations you will receive on this platform based on a photo. Proper measurements are very important when determining which implants will best fit a person's breasts.
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May 23, 2019
Answer: Allergan vs. Mentor Ultimately, there is no "best implant." There are 3 major implant manufacturers (Mentor/Allergan/Sientra) whose products are FDA approved for use in the US. They all have similar product lines with minor variations throughout (although Allergan Natrelle line does have a greater variety of offerings). Every surgeon will have his/her own preference but with regards to safety and product performance the differences are minimal. With regards to your specific question, I would not struggle over a 50 cc differential (which is slightly more than a shot glass) as this is unlikely to make a significant difference in final outcome. If the 350 cc device does not deliver the volume you seek, you may choose to move upwards in profile, as this will deliver greater volume at the same BWD. As always, discuss your concerns with a board certified plastic surgeon (ABPS).Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Top 100 RealSelf Hall of Fame
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May 23, 2019
Answer: Allergan vs. Mentor Ultimately, there is no "best implant." There are 3 major implant manufacturers (Mentor/Allergan/Sientra) whose products are FDA approved for use in the US. They all have similar product lines with minor variations throughout (although Allergan Natrelle line does have a greater variety of offerings). Every surgeon will have his/her own preference but with regards to safety and product performance the differences are minimal. With regards to your specific question, I would not struggle over a 50 cc differential (which is slightly more than a shot glass) as this is unlikely to make a significant difference in final outcome. If the 350 cc device does not deliver the volume you seek, you may choose to move upwards in profile, as this will deliver greater volume at the same BWD. As always, discuss your concerns with a board certified plastic surgeon (ABPS).Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Top 100 RealSelf Hall of Fame
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May 22, 2019
Answer: Would Allergan Natrelle or Mentor be better? Thank you for the question. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery (assuming a well executed procedure).All of the FDA approved breast implant manufacturers provide good products. Personally, I think that careful selection of plastic surgeon and careful communication goals are the two most important "factors" when it comes to achieving the desired outcome with breast augmentation surgery. The specific breast implant manufacturer and even type of breast implant are far less important factors, in my opinion. 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 are looking for. ***Ask to see lots of examples of his/her work. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining 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 may mean different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”. 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 generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions. I hope this helps. Best wishes for an outcome that you will be very pleased with.
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May 22, 2019
Answer: Would Allergan Natrelle or Mentor be better? Thank you for the question. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery (assuming a well executed procedure).All of the FDA approved breast implant manufacturers provide good products. Personally, I think that careful selection of plastic surgeon and careful communication goals are the two most important "factors" when it comes to achieving the desired outcome with breast augmentation surgery. The specific breast implant manufacturer and even type of breast implant are far less important factors, in my opinion. 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 are looking for. ***Ask to see lots of examples of his/her work. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining 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 may mean different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”. 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 generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions. I hope this helps. Best wishes for an outcome that you will be very pleased with.
Helpful
May 27, 2019
Answer: Selecting the right implant Both Mentor and Allergen can provide the results you are looking for, ultimately choosing the right size will depend on your actual measurements. To answer your question about size and how many cc’s you should get based on the size you want to achieve, first you need to take into account what's known as your base width diameter. Imagine lying on your back and drawing a circle around your breast. If you were to draw a line across that circle, it will be a given length. Your plastic surgeon will measure this length, which is called ‘’base width diameter’’ or BWD for short. For women, the base width diameter can go from 9.5 cm to 16.5 cm, or 3.75 to 6.5 inches. As you can see, there is a very wide range. For example, a 300 cc implant on a woman with a BWD of 10 cm is very different than 300 cc for a woman with a BWD of 15 cm. On one it may be enough volume, and for the other it may be much less than the desired result. As far as the placement of the implants, placing them under your muscles - this is still the most popular technique for a variety of reasons, one of the biggest advantages is that it prevents rippling and it also hides the implant better. It is probably still recommended to replace the implants under the muscle, but a discussion of your goals during the consultation will help determine the final position. I hope that answers your question on size. It’s great that you’re doing this research. I always say that the best patients are informed patients. Thank you for reading and best of luck on your journey!
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May 27, 2019
Answer: Selecting the right implant Both Mentor and Allergen can provide the results you are looking for, ultimately choosing the right size will depend on your actual measurements. To answer your question about size and how many cc’s you should get based on the size you want to achieve, first you need to take into account what's known as your base width diameter. Imagine lying on your back and drawing a circle around your breast. If you were to draw a line across that circle, it will be a given length. Your plastic surgeon will measure this length, which is called ‘’base width diameter’’ or BWD for short. For women, the base width diameter can go from 9.5 cm to 16.5 cm, or 3.75 to 6.5 inches. As you can see, there is a very wide range. For example, a 300 cc implant on a woman with a BWD of 10 cm is very different than 300 cc for a woman with a BWD of 15 cm. On one it may be enough volume, and for the other it may be much less than the desired result. As far as the placement of the implants, placing them under your muscles - this is still the most popular technique for a variety of reasons, one of the biggest advantages is that it prevents rippling and it also hides the implant better. It is probably still recommended to replace the implants under the muscle, but a discussion of your goals during the consultation will help determine the final position. I hope that answers your question on size. It’s great that you’re doing this research. I always say that the best patients are informed patients. Thank you for reading and best of luck on your journey!
Helpful 3 people found this helpful