I currently have 425cc filled to 450cc high profile saline implants that are almost 2 years old. I am having to have surgery for capsular contracture (right implant). I decided to switch from HP saline to silicone as I want a fuller breast on the bottom, rather than the upper pole. Plastic surgeon said 560cc Mentor Xtra Mod plus would be a good fit, as I don’t want to completely give up all cleavage. Will the Xtra give me the fuller bottom breast? Or should I go with regular mentor implant?
March 5, 2020
Answer: Implant size and type Dear sarahalderete, breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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March 5, 2020
Answer: Implant size and type Dear sarahalderete, breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
March 5, 2020
Answer: Switching implants Thank you for your question and photo. Yes switching the implant style and profile will help but you also need pocket reconstruction and release of scar tissue on both breasts to achieve a better aesthetic result. Make sure you are going to a board certified plastic surgeon who performs a lot of revision breast surgeries for this procedure. Best of luck to you.
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March 5, 2020
Answer: Switching implants Thank you for your question and photo. Yes switching the implant style and profile will help but you also need pocket reconstruction and release of scar tissue on both breasts to achieve a better aesthetic result. Make sure you are going to a board certified plastic surgeon who performs a lot of revision breast surgeries for this procedure. Best of luck to you.
Helpful 1 person found this helpful