5 ft 1 half in 105 llbs. Double aa cup preop wanted them bigger but doc said it's a little slower process with me since I had very little skin to work with. Was told about space existing post op didn't think it would be that big. I have a great deal of side booby as well. I'm sad that I wish they were bigger but do u see a revision needed in my future? 375 cc in right and 400 cc in left if I go bigger would they be farther apart and MORE side boob? I'm soon confused and sad.
Answer: Wide sternum Preop pics would be very beneficialPictures taken by someone else without your shirt off and with your arms at your side will also help tell whether there is some lateral displacement due to some contraction of your chest holding the cameraAre your breasts hard to the touch--do the implants move around nicely--soft to the touch?Significant medial dissection (over the sternum/breast bone) is fraught with problems and has the potential to create a much more difficult problem to correct, so better done with care, careful dissection. Lower profile implants might make the 'peaks' and 'valleys' look less prominent, if that is an option, based on your breast dimensions.I would recommend discussing with your surgeon and talking thru the options.Best.
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Answer: Wide sternum Preop pics would be very beneficialPictures taken by someone else without your shirt off and with your arms at your side will also help tell whether there is some lateral displacement due to some contraction of your chest holding the cameraAre your breasts hard to the touch--do the implants move around nicely--soft to the touch?Significant medial dissection (over the sternum/breast bone) is fraught with problems and has the potential to create a much more difficult problem to correct, so better done with care, careful dissection. Lower profile implants might make the 'peaks' and 'valleys' look less prominent, if that is an option, based on your breast dimensions.I would recommend discussing with your surgeon and talking thru the options.Best.
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Answer: Revision? I think your question is whether or not revision surgery would bring your breasts closer together and give you more cleavage? Remember that the implant has to be centered behind your nipple so you are limited by your anatomy. Which doesn't mean that revision surgery couldn't improve your results. Schedule an appointment to speak with your surgeon to discuss your options and then you can decide whether or not it is worth it to you. Best, Dr. Nazarian
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Answer: Revision? I think your question is whether or not revision surgery would bring your breasts closer together and give you more cleavage? Remember that the implant has to be centered behind your nipple so you are limited by your anatomy. Which doesn't mean that revision surgery couldn't improve your results. Schedule an appointment to speak with your surgeon to discuss your options and then you can decide whether or not it is worth it to you. Best, Dr. Nazarian
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November 3, 2015
Answer: Breasts far apart after augmentation Thanks for the post. We are somewhat limited here without pictures of your preoperative anatomy. As you correctly stated, you do have a long intermammary distance or gap between your breasts. In creating the pocket for the implant, it might be possible to elevate tissue medially to place the implants closer together. This would run the risk however of distorting your anatomy by (a) displacing your nipples laterally (in other words, they would not be as centered on the implant as they should be and look like they were pointing more to the sides) and (b) increasing your risk of symmastia (where the two breasts essentially become one joined at the middle).Discussing your concerns with your plastic surgeon is a starting point. You can have a discussion about revision options moving forward. Good luck!
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November 3, 2015
Answer: Breasts far apart after augmentation Thanks for the post. We are somewhat limited here without pictures of your preoperative anatomy. As you correctly stated, you do have a long intermammary distance or gap between your breasts. In creating the pocket for the implant, it might be possible to elevate tissue medially to place the implants closer together. This would run the risk however of distorting your anatomy by (a) displacing your nipples laterally (in other words, they would not be as centered on the implant as they should be and look like they were pointing more to the sides) and (b) increasing your risk of symmastia (where the two breasts essentially become one joined at the middle).Discussing your concerns with your plastic surgeon is a starting point. You can have a discussion about revision options moving forward. Good luck!
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November 3, 2015
Answer: Wide sternum You have two issues: a wide sternum and nipples that are very lateral. It is important to keep the implant more or less centered under your nipple or it will cause your nipple to point even more to the side which won't look good. Therefore, simply moving your existing implant more centrally and suturing down the lateral pocket won't make you happy. Your cleavage will look closer and better but trust me your nipple position will bother you a lot! However, if you pick a larger and wider implant I am confident the cleavage can be moved in with some basic, safe muscle dissection and your nipple position will remain the same. That procedure is fairly straightforward. I hope this information helps!Thomas Taylor, MD, FACSPasadena, CA
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November 3, 2015
Answer: Wide sternum You have two issues: a wide sternum and nipples that are very lateral. It is important to keep the implant more or less centered under your nipple or it will cause your nipple to point even more to the side which won't look good. Therefore, simply moving your existing implant more centrally and suturing down the lateral pocket won't make you happy. Your cleavage will look closer and better but trust me your nipple position will bother you a lot! However, if you pick a larger and wider implant I am confident the cleavage can be moved in with some basic, safe muscle dissection and your nipple position will remain the same. That procedure is fairly straightforward. I hope this information helps!Thomas Taylor, MD, FACSPasadena, CA
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November 2, 2015
Answer: Breast augmentation Your breasts are widely spaced. If you want your breasts slightly close together, fat grafting to the medial poles of the breasts could help. If your implants are revised to larger, wider implants, you may have more fullness on the outside of your breasts. It could be that limited medial (inner part of the breast) dissection was done. In a revision, the surgeon could determine in surgery if this could help you or not.
Helpful
November 2, 2015
Answer: Breast augmentation Your breasts are widely spaced. If you want your breasts slightly close together, fat grafting to the medial poles of the breasts could help. If your implants are revised to larger, wider implants, you may have more fullness on the outside of your breasts. It could be that limited medial (inner part of the breast) dissection was done. In a revision, the surgeon could determine in surgery if this could help you or not.
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