I'm scheduled for a consult with a surgeon next month but in the mean time, I would like to get as much an idea as possible about what I'll be looking to have done. I've included photos of my breasts and also of breasts that I find appealing. My goal is not to have round globes in the center of my chest. I would like a bit of natural slope but with much more fullness. I don't want to go huge but big enough (specific, right?) Thank you for any input!
Answer: Breast augmentation vs. breast lift I believe that you could get a good
Helpful 1 person found this helpful
Answer: Breast augmentation vs. breast lift I believe that you could get a good
Helpful 1 person found this helpful
Answer: Pseudoptosis It appears that you have a degree of pseudoptosis and breast implants or autologous fat grafting are possibilities. Please consult with a board certified plastic surgeon that can give you all of your options.Good luck.
Helpful
Answer: Pseudoptosis It appears that you have a degree of pseudoptosis and breast implants or autologous fat grafting are possibilities. Please consult with a board certified plastic surgeon that can give you all of your options.Good luck.
Helpful
February 25, 2016
Answer: Augmentation or Augmentation Lift Hello,Your breasts do demonstrate at least pseudoptosis, and perhaps more; only physical examination will be able to determine that. In my hands, I prefer to lift the breasts in these borderline situations, as I know that it won't be long that the implants just settle into the soft tissue envelope making for increased pseudoptosis with little upper pole fullness. Unfortunately, so often we focus on a photograph of a patient and her results, and we don't realize that this is literally a snapshot in time. What we don't realize is that result is always in evolution; what looked good then doesn't look so good in a few months or years. I urge my patients to look towards the future too, to eliminate the need for repetitive reoperations and complications. In this vain, I encourage lifts when necessary, the use of inframammary incisions for implant insertion, proper implant sizing based on anatomic measurements, and the use of textured, anatomically shaped, highly cohesive, form stable silicone gel implants. Best of luck!
Helpful
February 25, 2016
Answer: Augmentation or Augmentation Lift Hello,Your breasts do demonstrate at least pseudoptosis, and perhaps more; only physical examination will be able to determine that. In my hands, I prefer to lift the breasts in these borderline situations, as I know that it won't be long that the implants just settle into the soft tissue envelope making for increased pseudoptosis with little upper pole fullness. Unfortunately, so often we focus on a photograph of a patient and her results, and we don't realize that this is literally a snapshot in time. What we don't realize is that result is always in evolution; what looked good then doesn't look so good in a few months or years. I urge my patients to look towards the future too, to eliminate the need for repetitive reoperations and complications. In this vain, I encourage lifts when necessary, the use of inframammary incisions for implant insertion, proper implant sizing based on anatomic measurements, and the use of textured, anatomically shaped, highly cohesive, form stable silicone gel implants. Best of luck!
Helpful
February 24, 2016
Answer: Breast Enhancement: Information Dear Ms. Newboobhopeful,Thank you for yourphotos and questions. Unfortunately without a examination I can advise you in general terms, however I hope you will find them helpful.Based solely on your photos I don't think you of pseudoptosis.My responses are the following:I. SIZEMy responses are the following1)size of breasts is a personal choice. 2)using the formula 1oz. = 30cc ....take 8 and 1/3 oz of rice = 250 cc or 10 oz. = 300 cc and place in a nylon stocking to create your own "sizers". Then place in a full bodied non padded bra and try on some form fitting clothes.Caveat: The bigger you go the faster you will potentially again sag.II. SHAPE1)the reason your breast hang/sag is that your current "skin bra"is larger than your breast tissue.2)there are three main types of breast lifting proceduresa) periareolar (doughnut scar)b)vertical (lollipop scar) a combination of both a & bc)inverted t (anchor scar) a combination of a,b & cBased on the limited photos of you most likely will need option 2-c (the anchor scar mastopexy) to achieve the upper pole fullness you desire.3)implant selection/profile of implant:a)for the same volume the higher the profile the narrower the base width.and thus the rounder the implant with the higher projection.b)there are slight difference in projection between a moderate to high profile implant. However the ultra high profile breast implant is definitely the "roundest"implant available. c)ideally the base width of the breast should equal the base width of the implant. Would need your breast width measurements to pick the best implant, thus I personally chose the profile based on the patients chest measurements (a high profile on a wide chest may not result in the cleavage desired and conversely a low profile on a narrow chest may result in implant in the outer chest/arm area)d) on occasion to achieve the "round look" I will select a normal saline filled breast implant and overfill to achieve a more rounder appearance. However, the breasts may feel more firm.CLEAVAGEIs mostly determined by your anatomy.It can be improved by:1) with accurate placement of the implants, if aggressive surgery to increase cleavage a condition called Synmastia could occur (uni breast or breast loaf deformity)2) post operative massage.MODEL PHOTOSSelect several nude photos of your ideal breasts and bring with you to your appointments.I advise you make several consultative appointments with several experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally member s of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600
Helpful
February 24, 2016
Answer: Breast Enhancement: Information Dear Ms. Newboobhopeful,Thank you for yourphotos and questions. Unfortunately without a examination I can advise you in general terms, however I hope you will find them helpful.Based solely on your photos I don't think you of pseudoptosis.My responses are the following:I. SIZEMy responses are the following1)size of breasts is a personal choice. 2)using the formula 1oz. = 30cc ....take 8 and 1/3 oz of rice = 250 cc or 10 oz. = 300 cc and place in a nylon stocking to create your own "sizers". Then place in a full bodied non padded bra and try on some form fitting clothes.Caveat: The bigger you go the faster you will potentially again sag.II. SHAPE1)the reason your breast hang/sag is that your current "skin bra"is larger than your breast tissue.2)there are three main types of breast lifting proceduresa) periareolar (doughnut scar)b)vertical (lollipop scar) a combination of both a & bc)inverted t (anchor scar) a combination of a,b & cBased on the limited photos of you most likely will need option 2-c (the anchor scar mastopexy) to achieve the upper pole fullness you desire.3)implant selection/profile of implant:a)for the same volume the higher the profile the narrower the base width.and thus the rounder the implant with the higher projection.b)there are slight difference in projection between a moderate to high profile implant. However the ultra high profile breast implant is definitely the "roundest"implant available. c)ideally the base width of the breast should equal the base width of the implant. Would need your breast width measurements to pick the best implant, thus I personally chose the profile based on the patients chest measurements (a high profile on a wide chest may not result in the cleavage desired and conversely a low profile on a narrow chest may result in implant in the outer chest/arm area)d) on occasion to achieve the "round look" I will select a normal saline filled breast implant and overfill to achieve a more rounder appearance. However, the breasts may feel more firm.CLEAVAGEIs mostly determined by your anatomy.It can be improved by:1) with accurate placement of the implants, if aggressive surgery to increase cleavage a condition called Synmastia could occur (uni breast or breast loaf deformity)2) post operative massage.MODEL PHOTOSSelect several nude photos of your ideal breasts and bring with you to your appointments.I advise you make several consultative appointments with several experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally member s of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600
Helpful
February 24, 2016
Answer: Lift or just augmentation? It appears that your nipples are above the level the crease below your breasts. I'm not sure that you would benefit from a lift. Of course an in person examination is required for definitive recommendations.If you're unsure about having a lift, it's important to understand it can always be done during a second procedure. There may be some additional cost if you have a second procedure, but separating the procedures gives you the opportunity to see how you look after just an augmentation. Many patients will be happy with just an augmentation alone, and they won't have the extra scars from the breast lift.
Helpful 1 person found this helpful
February 24, 2016
Answer: Lift or just augmentation? It appears that your nipples are above the level the crease below your breasts. I'm not sure that you would benefit from a lift. Of course an in person examination is required for definitive recommendations.If you're unsure about having a lift, it's important to understand it can always be done during a second procedure. There may be some additional cost if you have a second procedure, but separating the procedures gives you the opportunity to see how you look after just an augmentation. Many patients will be happy with just an augmentation alone, and they won't have the extra scars from the breast lift.
Helpful 1 person found this helpful
