Dual plane natrelle 425 implants? (Photo)

Judging by your photographs and your information this looks like a good surgical plan.When a patient presents with a small amount of breast ptosis (sag) a dual plane breast augmentation is a very effective technique to help avoid the need for a breast lift and still allow the implant to be placed under the muscle. When an implant is placed under the muscle and the overlying breast has some degree of sag the muscle will hold the implant back and not allow it to fill the loose tissue at the bottom of the breast The word dual means two and the word plane refers to the natural separation between two layers of tissue. In the breast there is a natural separation between the breast tissue and the underlying muscle. During a dual plane augmentation the breast tissue in the lower part of the breast is separated from the underlying muscle. The muscle is then released along its entire attachment at the bottom of the breast. The muscle then moves upward like a window shade toward the nipple. With the restriction of the muscle in the lower part of the breast removed the implant is then allowed to fill the loose sagging part of the lower breast. This is a very effective technique to help prevent the need for a breast lift in a patient with a small amount of sag and still have a benefits of an implant placed under the muscle.

425 cc implants are large, weigh approximately 1 lb
each and will descend inferiorly and laterally requiring revision.Your breasts are too low and the added weight
will require a lift.Many women refuse
lifts because of the ugly vertical scars associated with traditional
techniques.I recommend a new technique
called The Horndeski Method™.The breast
tissue is reshaped creating upper pole fullness, elevated higher on the chest
wall and more medial to increase your cleavage.Aligning the areola and breast tissue over the bony prominence of the
chest wall maximizes anterior projection without the use of implants.If you want implants, they can be placed
simultaneously.I always recommend small
round textured silicone gel implants placed retro-pectoral since they look and
feel more natural, are more stable, less likely to ripple or have complications
needing revision.Implant profile is
irrelevant in the retro-pectoral position since the muscle compresses it.22% of women who undergo breast augmentation
alone required revision within 2 years because they are dissatisfied with the
result.Frequent causes of
dissatisfaction are over augmentation and not performing a lift when
needed.Best Wishes,Gary Horndeski, M.D.

In cases of mild breast ptosis without adequate upper breast tissue I have also inserted implants in a dual plane pocket with good results.  Regarding the implant size, this would be chosen based on your breast dimensions and your preference after trying on sizers, looking at photos etc.  Presumably this was done during your consultation.  I hope you have a great result.