I'm 5'7" and 135 pounds (BMI is 21.1). I am fit but not especially muscular (I have fat). My ribs are not easily visible on my chest (below collar bone/above-between breasts) but are easily palpable. I consistently wear a 34B. Midway between the tops of my shoulders and my nipples, I have over 1 inch of "tissue pinch" above each breast. I desire subglandular implants, about 350 cc. I want to look natural, but looking a little "questionable" isn't a big deal to me. Palpability is not an issue.
Answer: Natural breast augmentation A natural breast augmentation is one of the more common consultations I see. It sounds like you have enough tissue to safely place the implant in the subglandular plane, which will result in a very natural appearance given the right implant is picked for you. The other alternative is to use a shaped, or anatomic, breast implant. These result in an incredibly natural look with a nice tapered upper slope to the breast, and a full rounded convexity to the bottom portion of the breast. The benefit of these implants is that they will give you the most natural look possible, and you keep the benefits of placing the implant under the muscle, namely, lower risk of capsular contracture and visible rippling.
Helpful
Answer: Natural breast augmentation A natural breast augmentation is one of the more common consultations I see. It sounds like you have enough tissue to safely place the implant in the subglandular plane, which will result in a very natural appearance given the right implant is picked for you. The other alternative is to use a shaped, or anatomic, breast implant. These result in an incredibly natural look with a nice tapered upper slope to the breast, and a full rounded convexity to the bottom portion of the breast. The benefit of these implants is that they will give you the most natural look possible, and you keep the benefits of placing the implant under the muscle, namely, lower risk of capsular contracture and visible rippling.
Helpful
February 15, 2014
Answer: Options for natural breast augmentation Hi. There are many choices to make with breast augmenation, most of which have advantages and disadvantages. In terms of position if you have a pinch thickness of 1 inch on your upper chest wall then you should achieve a natural result with subglandular implants.The size of the implant depends on what size you want to be after the operation, and if you chose an implant larger than your current breast there is a greater likelihood you will be able to see and feel the implants. If you chose large implants >350-400cc then you will achieve a more natural result with shaped (tear-drop) implants compared to round implants. It comes down to what shape/look you want from the operation. The best things is to ask your surgeon to show you photos with similar body frame and similar size implants to the ones you are thinking of to get a realisitic idea of what to expect. Try to find someone with a Vectra 3D imaging machine in your area to simulate your breast augmenation result (see the link below) - in a recent article (Oct 2013) of Plastic& Reconstructive Surgery Journal (Plast. Reconstr. Surg.132: 810, 2013.), the main Plastic Surgery Journal worldwide, the 3D imaging VECTRA machine was found to be beneficial for patients considering breast augmentation surgery. The article concluded that patients prefer a center that offers three-dimensional imaging technology; they feel that the simulation is very accurate and helps them greatly in choosing the implant; and that if they could go back in time, they would choose the same implant again. All the best with your decision. Regards Dr Charles Cope
Helpful
February 15, 2014
Answer: Options for natural breast augmentation Hi. There are many choices to make with breast augmenation, most of which have advantages and disadvantages. In terms of position if you have a pinch thickness of 1 inch on your upper chest wall then you should achieve a natural result with subglandular implants.The size of the implant depends on what size you want to be after the operation, and if you chose an implant larger than your current breast there is a greater likelihood you will be able to see and feel the implants. If you chose large implants >350-400cc then you will achieve a more natural result with shaped (tear-drop) implants compared to round implants. It comes down to what shape/look you want from the operation. The best things is to ask your surgeon to show you photos with similar body frame and similar size implants to the ones you are thinking of to get a realisitic idea of what to expect. Try to find someone with a Vectra 3D imaging machine in your area to simulate your breast augmenation result (see the link below) - in a recent article (Oct 2013) of Plastic& Reconstructive Surgery Journal (Plast. Reconstr. Surg.132: 810, 2013.), the main Plastic Surgery Journal worldwide, the 3D imaging VECTRA machine was found to be beneficial for patients considering breast augmentation surgery. The article concluded that patients prefer a center that offers three-dimensional imaging technology; they feel that the simulation is very accurate and helps them greatly in choosing the implant; and that if they could go back in time, they would choose the same implant again. All the best with your decision. Regards Dr Charles Cope
Helpful
February 15, 2014
Answer: Can I achieve a good, natural-looking result with subglandular implants? In general, I place the implants under the muscle as there is more camouflage and a more natural transition. In addition, most patients undergoing breast augmentation do not have a great deal of tissue. Thus, there is the need for an implant. There are a few who may be candidates for this procedure, but an exam would be necessary for evaluation.Kenneth Hughes, MDLos Angeles, CA
Helpful
February 15, 2014
Answer: Can I achieve a good, natural-looking result with subglandular implants? In general, I place the implants under the muscle as there is more camouflage and a more natural transition. In addition, most patients undergoing breast augmentation do not have a great deal of tissue. Thus, there is the need for an implant. There are a few who may be candidates for this procedure, but an exam would be necessary for evaluation.Kenneth Hughes, MDLos Angeles, CA
Helpful
February 17, 2014
Answer: Subglandular Hello, thank you for your question. I personally don't like sub glandular implants, because, even if they look fine at first they will always, in time develop that round curve that basically paints your implant on your upper chest. The coverage provided by the muscle will always aid you to have a full cleavage with a smooth transition to volume. On top of that, under the muscle implants have a much lower capsular contracture rate. Good luck with your surgery
Helpful
February 17, 2014
Answer: Subglandular Hello, thank you for your question. I personally don't like sub glandular implants, because, even if they look fine at first they will always, in time develop that round curve that basically paints your implant on your upper chest. The coverage provided by the muscle will always aid you to have a full cleavage with a smooth transition to volume. On top of that, under the muscle implants have a much lower capsular contracture rate. Good luck with your surgery
Helpful
Answer: Breast Thank you for the question. To best help you, a physical examination or picture evaluation is required in order to determine which procedure or technique would be best for our case.Dr. Campos
Helpful
Answer: Breast Thank you for the question. To best help you, a physical examination or picture evaluation is required in order to determine which procedure or technique would be best for our case.Dr. Campos
Helpful