I went to 2 diff dr for consults about breast augmentation and im confuse now,,both gave me diff opinion lets see if you can make get the best for me or help im 31 yrs ,height 5' 3" , weight 127 , CUP 34A , BWD 13.0 , MOTHER OF 2 girls and i want to be like D or full D THE first dr said the best for me are silicon with 450 cc over the muscle ,Areola Incision and the second dr said silicon 500cc under the muscle ,Areola Incision.what you think over or under muscle for me and why?
December 11, 2017
Answer: A to DD
OK- I think you need to take a step back. I'm concerned that you are looking for something that isn't completely obtainable for you and may disappoint you. Now I don't have the luxury of having had a conversation with you but, as a Plastic Surgeon who has performed over 4000 cosmetic breast procedures over 18 years I have become pretty good at learning what will make patients happy and what will make them miserable. First of all, given your frame and height, I don't think even a 500cc implant will bring you to the size you discuss. Second, understanding the risks/benefits of over/under muscle surgery and silicone/saline implants, I think it would be wrong to push you to an over the muscle placement. I do think that for you, with such a large implant for your frame, at least 90% of what you see as your breasts will actually be implants...that said, if your breast will be 90% implant then the implant itself better have properties that are soft and believable...so a silicone implant is likely your better choice. Placing that large an implant under your muscle will be extreme making you look very tight and you will likely have ongoing discomfort. Your current shape is perfect for an under muscle implant which can give you a great result that looks and feels believable...but may not bring you up more than to the full C's. Down the line, changing these implants to something larger under the muscle becomes much easier. To bring you to the DD's will likely require an implant in the 650-750 range and you'd be forced to place it over the muscle which, as I said, I believe would be a mistake for you.
You can't ignore the body you're starting with. You are not Mrs. Potatohead where your choice of breasts are simply stuck on- the surgeon needs to work with what you're starting with and, in your case I'd think you're hoping to look wonderful...not silly. I hope this is a help. Good Luck! Scott Newman, MD FACS
Helpful 7 people found this helpful
December 11, 2017
Answer: A to DD
OK- I think you need to take a step back. I'm concerned that you are looking for something that isn't completely obtainable for you and may disappoint you. Now I don't have the luxury of having had a conversation with you but, as a Plastic Surgeon who has performed over 4000 cosmetic breast procedures over 18 years I have become pretty good at learning what will make patients happy and what will make them miserable. First of all, given your frame and height, I don't think even a 500cc implant will bring you to the size you discuss. Second, understanding the risks/benefits of over/under muscle surgery and silicone/saline implants, I think it would be wrong to push you to an over the muscle placement. I do think that for you, with such a large implant for your frame, at least 90% of what you see as your breasts will actually be implants...that said, if your breast will be 90% implant then the implant itself better have properties that are soft and believable...so a silicone implant is likely your better choice. Placing that large an implant under your muscle will be extreme making you look very tight and you will likely have ongoing discomfort. Your current shape is perfect for an under muscle implant which can give you a great result that looks and feels believable...but may not bring you up more than to the full C's. Down the line, changing these implants to something larger under the muscle becomes much easier. To bring you to the DD's will likely require an implant in the 650-750 range and you'd be forced to place it over the muscle which, as I said, I believe would be a mistake for you.
You can't ignore the body you're starting with. You are not Mrs. Potatohead where your choice of breasts are simply stuck on- the surgeon needs to work with what you're starting with and, in your case I'd think you're hoping to look wonderful...not silly. I hope this is a help. Good Luck! Scott Newman, MD FACS
Helpful 7 people found this helpful
September 2, 2011
Answer: You're looking at way to big an implant
Based on your photos, you are getting very poor advice if someone is suggesting 450-500cc implants for you. It is implausible in most women that your accurate measurement is 13 cm wide , and the devices you're talking about would substancially exceed your true breast border. The single most consistent factor in reoperative breast surgeries involving breast implants from the FDA has to do with oversized implants, such as you're considering. Most implants in that range resemble those devices used for breast cancer reconstructive surgery where you're building the volume from scratch off the chest wall and do not work well for best results in breast augmentation or mastopexy-augmentation procedures as they overwhelm the tensile strength of the skin over time.
Helpful
September 2, 2011
Answer: You're looking at way to big an implant
Based on your photos, you are getting very poor advice if someone is suggesting 450-500cc implants for you. It is implausible in most women that your accurate measurement is 13 cm wide , and the devices you're talking about would substancially exceed your true breast border. The single most consistent factor in reoperative breast surgeries involving breast implants from the FDA has to do with oversized implants, such as you're considering. Most implants in that range resemble those devices used for breast cancer reconstructive surgery where you're building the volume from scratch off the chest wall and do not work well for best results in breast augmentation or mastopexy-augmentation procedures as they overwhelm the tensile strength of the skin over time.
Helpful