I lost 100+ lbs, had abdominoplasty and now want an implant for fullness and to correct my stretched out tubular breasts. I would think I am a rare tubular breast exception (due to the weightloss) that has more than enough tissue to do a subglandular placement. I would like expert advice.
Answer: Will I have a "double bubble" issue w/submuscular placement? Which placement or treatment will be best for my tuberous breast? Hello and Great Question. I appreciate the time you are spending researching this procedure. My name is Dr. Matthew J. Nykiel. I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Cosmetic Breast Augmentation Specialist.
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Answer: Will I have a "double bubble" issue w/submuscular placement? Which placement or treatment will be best for my tuberous breast? Hello and Great Question. I appreciate the time you are spending researching this procedure. My name is Dr. Matthew J. Nykiel. I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Cosmetic Breast Augmentation Specialist.
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January 31, 2019
Answer: Best treatment is The Bellesoma No Vertical Scar Lift Your breasts are not tuberous but ptotic. With massive weight loss, augmentation will not solve your problem and you need a breast lift. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices and half are removed by 9.5 years. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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January 31, 2019
Answer: Best treatment is The Bellesoma No Vertical Scar Lift Your breasts are not tuberous but ptotic. With massive weight loss, augmentation will not solve your problem and you need a breast lift. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices and half are removed by 9.5 years. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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January 31, 2019
Answer: Tuberous Breast Deformity Looking at your photos I am not certain that you have tuberous breast deformity, or if you do it is very mild.Although it is difficult to tell by photos, I would say that you would be a good candidate for breast augmentation with a lift. The type of lift you would need would likely be a full/anchor lift but again and exam can help determine exactly what you would need.Implants placed behind the muscle is pretty much standard these days given all the issue that can happen when the implants are placed in front of the muscle. When we say behind the muscle what we are really saying is that it is placed in a dual plane (lower part is behind the breast tissue and upper 2/3 is behind the muscle.Hope that helps.
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January 31, 2019
Answer: Tuberous Breast Deformity Looking at your photos I am not certain that you have tuberous breast deformity, or if you do it is very mild.Although it is difficult to tell by photos, I would say that you would be a good candidate for breast augmentation with a lift. The type of lift you would need would likely be a full/anchor lift but again and exam can help determine exactly what you would need.Implants placed behind the muscle is pretty much standard these days given all the issue that can happen when the implants are placed in front of the muscle. When we say behind the muscle what we are really saying is that it is placed in a dual plane (lower part is behind the breast tissue and upper 2/3 is behind the muscle.Hope that helps.
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January 31, 2019
Answer: Tuberous breasts Dear SunshineBaby904,I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.
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January 31, 2019
Answer: Tuberous breasts Dear SunshineBaby904,I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.
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Answer: Implants after weigh loss Thank you for your photos and questions. Based off your photos you should be able to have subglandular implants, granted an inperson exam will tell for sure. I would also recommend an areolar reduction and breast lift to match a perkier, fuller breast. Best Wishes!Dr Jamie Moenster, DO, FACOS, FACS
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Answer: Implants after weigh loss Thank you for your photos and questions. Based off your photos you should be able to have subglandular implants, granted an inperson exam will tell for sure. I would also recommend an areolar reduction and breast lift to match a perkier, fuller breast. Best Wishes!Dr Jamie Moenster, DO, FACOS, FACS
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