Hi, I am a 33 yr old, 5'2" 140 lbs (medium frame) I currently wear a size 5-7 pant and small-medium top. I had gastric bypass surgery almost 5 years ago. I lost 85 lbs. Lucky for me, the only part of my body that had extra skin, after the weight loss was my breast. Before surgery I was a 38D and now a 34B with extra tissue. Thankfully, after five years post op from the by pass I have regained some of my breast mass, and do not need a lift.
I have had several consults with board certified plastic surgeons. However, I am nervous about the whole "650cc" for breast implants. Are they too big? I am scheduled for surgery on Feb 6th. I have tried on the gel implants with a tight shirt, and have visited my surgeon a few times to do this. I seem to like the larger look, but I am also concerned with the long term outcome.
January 5, 2010
Answer: 650 cc is a very large implant Looking great after a gastric bypass is a true blessing. The last thing I like to see happen is when patients want a very very large implant after losing the weight since their breasts deflate and sag. If someone's breast are maintained in a good position and don't deflate much despite massive weight loss, that's a good sign that they have retained pretty good tissue elasticity and have a better capacity to retain an implant long term than those that completely deflate and sag. That being said, the implants that are often seeked out are very very large implants such as a 650cc implant for example. In the mastectomy population we put in expanders first then put in implants this size and larger routinely. They don't sag over time but they have the capacity to form good scars and strong supportive elements to an implant. In the case of the massive weight loss population all bets are off. Each case must be taken into account individually by a board certified plastic surgeon prior to jumping to conclusions based on sheer cc's. Best wishes, DoctorMeade
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January 5, 2010
Answer: 650 cc is a very large implant Looking great after a gastric bypass is a true blessing. The last thing I like to see happen is when patients want a very very large implant after losing the weight since their breasts deflate and sag. If someone's breast are maintained in a good position and don't deflate much despite massive weight loss, that's a good sign that they have retained pretty good tissue elasticity and have a better capacity to retain an implant long term than those that completely deflate and sag. That being said, the implants that are often seeked out are very very large implants such as a 650cc implant for example. In the mastectomy population we put in expanders first then put in implants this size and larger routinely. They don't sag over time but they have the capacity to form good scars and strong supportive elements to an implant. In the case of the massive weight loss population all bets are off. Each case must be taken into account individually by a board certified plastic surgeon prior to jumping to conclusions based on sheer cc's. Best wishes, DoctorMeade
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January 3, 2010
Answer: Breat Implants and Massive Weight Losst That is a large implant, but I would like to know how you came up with the size implant. I generally like to fit the implant to the patient, not the other way around. Meaning I would like to do some measurements and determine how big you want to be by having you perform the rice test: http://www.feplasticsurgery.com/journal/orange-county-breast-augmentation-sizing/66/. Then I sit down with the patient and go thru their implants size and profile options.
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January 3, 2010
Answer: Breat Implants and Massive Weight Losst That is a large implant, but I would like to know how you came up with the size implant. I generally like to fit the implant to the patient, not the other way around. Meaning I would like to do some measurements and determine how big you want to be by having you perform the rice test: http://www.feplasticsurgery.com/journal/orange-county-breast-augmentation-sizing/66/. Then I sit down with the patient and go thru their implants size and profile options.
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January 3, 2010
Answer: Staged mastopexy and augmentation after massive weight loss Congratulations on your weight loss! It sounds as if you are contemplating placing a very large implant to "take up" the excess skin. I would caution you that this approach can create very large, droopy breasts that sit low on your chest. Massive weight loss patients have unique concerns and I would not consider a one-stage augmentation-mastopexy for you. I would recommend a staged approach. This would optimize both safety and cosmesis. The first stage would be a breast lift. If you have excess skin and fat over your lateral chest, "spiral flaps" can be created to "auto augment" your breasts. This may avoid the need for implants. If you are not satisfied with your size, implants can be placed at a second stage. Discuss your goals with a board certified plastic surgeon who is familiar with body contouring post bariatric surgery. Good Luck!
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January 3, 2010
Answer: Staged mastopexy and augmentation after massive weight loss Congratulations on your weight loss! It sounds as if you are contemplating placing a very large implant to "take up" the excess skin. I would caution you that this approach can create very large, droopy breasts that sit low on your chest. Massive weight loss patients have unique concerns and I would not consider a one-stage augmentation-mastopexy for you. I would recommend a staged approach. This would optimize both safety and cosmesis. The first stage would be a breast lift. If you have excess skin and fat over your lateral chest, "spiral flaps" can be created to "auto augment" your breasts. This may avoid the need for implants. If you are not satisfied with your size, implants can be placed at a second stage. Discuss your goals with a board certified plastic surgeon who is familiar with body contouring post bariatric surgery. Good Luck!
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