Breast Augmentation Silicone Implants - should I have chosen bigger implants for more cleavage? (Photos)

Please thank your surgeon for your spectacular result. Skin elasticity dramatically impaired after significant weight loss. Larger implants would stretch skin more and gravitationally drop lower becoming physically burdensome and encroaching on your waist and making you look heavier. Your result is perfect for two months, very nice proportion.

Dear Keniahleah,

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

Bigger implants will not solve your problem with cleavage. You needed a better breast lift. The lollipop technique as you can see only moved the nipple-areola complex higher but did nothing for your breast. Your breasts are still widely separated and you have poor cleavage. What's happening is your implants are falling down and out. At this time, I recommend you undergo plication of the pockets inferiorly and laterally and extend the pockets medially to get the implants higher and more medial on the chest wall.

Best Wishes,

Gary Horndeski, M.D.

You have an excellent result. A revision is not necessary. If you switch to larger implants it could cause problems in the future.

Cleavage is determined by your breast anatomy- how far apart your breasts are will not change with augmentation.

The middle areas may appear fuller with implants, especially when pressed together in a bra, but larger implants will not necessarily give more cleavage. They will give more upper fullness and size overall.

You have an excellent result, it is common for patients to be concerned early after surgery. Let them finish healing, typically 6-12 months, then reassess with your/a plastic surgeon if you still want larger implants.

Based on your nicely series opposed photos your present for 50 cc size is acceptable but if you desire larger implants with possibly more cleavage, I would go up to 575 to 650 cc mode plus or high profile. Expect fees to arrange from 5000 $8000. Best of virtual consultant with.

Each plastic surgeon has their own way of guiding patients through the implant selection process. some providers do this better than others.
Trying on implants by putting them in your bra is not accurate because the implant is sitting in front of your breast, not behind your pectoralis muscle.
The final outcome tends to be much smaller than the perceived size from trying a temporary implant in the bra.
I’m not sure if that’s how your plastic surgeon does it.
Some plastic surgeons ask the patient to make the final decision other surgeons will make the final decision based on input from the patient.
My preferred method is to work with before and after pictures of previous patients who had similar body characteristics.
I ask patients to bring in examples of what they feel our ideal outcomes.
Once I have a good understanding of what the patient is hoping to achieve I bring those pictures with me to the operating room to use as reference.
During surgery, I use temporary sizes to determine what size and shape implant will give the desired outcome.I typically have a full selection of implants available to me during surgery.
No method is ideal, but this has been the most successful in getting consistent outcomes that represent what the patient is hoping to achieve.
That said, anytime excessively large implants are used the chance of having undesirable outcomes, complications and need for revision surgery will always go up.
If you’re happy with your provider, then follow up with him or her.
If you want a proper second opinion consultation I suggest you schedule that as an in person consultation with other plastic surgeons in your community.
For second opinion consultations come prepared bringing with you a complete set of proper before and after pictures And a copy of your operative report.
Best,
Mats Hagstrom MD