I like the look of XL implants. Many people will describe it as the [RS bleep] star look. The cosmetic surgeon said 800 cc overs will give me the look I want. The board certified plastic surgeon said 625cc is as big as my frame will accommodate. I just don't think 625cc gel will give me the look I want. I have been saving for thisand do not want to regret going with the smaller/ safer option, even if it prevents a breast lift in the future. Will 625cc unders give me the look I desire? Thanks for your time.
Answer: Alignment instead of excessive large implants From your before photograph, it is obvious that you need a lift. Large implants will not achieve the look you desire, your nipples will be pointing downward and you will be dissatisfied. I recommend a new technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be placed. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. The best way to achieve the “porn star” like projection is by alignment, not excessive large implants that will displace. Best Wishes,Gary Horndeski, M.D.
Helpful 3 people found this helpful
Answer: Alignment instead of excessive large implants From your before photograph, it is obvious that you need a lift. Large implants will not achieve the look you desire, your nipples will be pointing downward and you will be dissatisfied. I recommend a new technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be placed. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. The best way to achieve the “porn star” like projection is by alignment, not excessive large implants that will displace. Best Wishes,Gary Horndeski, M.D.
Helpful 3 people found this helpful
February 8, 2014
Answer: Appropriate Implant Size Thank you for your photos. I understand that you desire a certain look but you will have serious issues in the future with 800 cc implants. You BC PS is given advice that will protect you long term. Dr. ES
Helpful
February 8, 2014
Answer: Appropriate Implant Size Thank you for your photos. I understand that you desire a certain look but you will have serious issues in the future with 800 cc implants. You BC PS is given advice that will protect you long term. Dr. ES
Helpful
February 8, 2014
Answer: Large Implants I wouldn't think that 625cc implants are going to get you anywhere near what you are showing as a desired after. Not sure that 800cc will either. Also, realize that by using such large implants your risk of complications is much higher. I would see board certified plastic surgeons and get a couple of opinions and then make your choice.
Helpful
February 8, 2014
Answer: Large Implants I wouldn't think that 625cc implants are going to get you anywhere near what you are showing as a desired after. Not sure that 800cc will either. Also, realize that by using such large implants your risk of complications is much higher. I would see board certified plastic surgeons and get a couple of opinions and then make your choice.
Helpful
February 7, 2014
Answer: Best Breast Implants for Me? Thank you for the question and pictures. Despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key. 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're looking for. Ask to see lots of examples of his/her work. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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 "porn star look" or "C or D cup" etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase. 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 hope this, and the attached link (dedicated to information rehgarding "XL" breast augmentation, helps.
Helpful
February 7, 2014
Answer: Best Breast Implants for Me? Thank you for the question and pictures. Despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key. 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're looking for. Ask to see lots of examples of his/her work. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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 "porn star look" or "C or D cup" etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase. 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 hope this, and the attached link (dedicated to information rehgarding "XL" breast augmentation, helps.
Helpful
Answer: Choosing Implant Size The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body. Consult in person with 3 experienced and expert board certified plastic surgeons to understand your options.
Helpful
Answer: Choosing Implant Size The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body. Consult in person with 3 experienced and expert board certified plastic surgeons to understand your options.
Helpful