Hello, I'm 39. 5'6" 137 lbs. Breastfed 2 kids? I am very active, I weight lift and play hard physical contact sports. I want to go from a 34B to a D-DD. PS recommend 415. Subglandular. I liked the 500cc in the seizers tho. I'm just afraid of subglandular in respect to capsule contraction and bottoming out. I also don't want my boobs to look funny when I move. So my question is: Is 500cc subglandular the right choice. Thank you for taking the time to answer my question.
Answer: Is 500cc subglandular the right choice? I appreciate your question. The size of implant best for you is dictated by your chest wall measurements. Once we determine that we can choose the profile based on what you want or need to achieve. If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Other than that, you should choose the implant based on volume, not on the dimensions of the implant. Silicone will give you a fullness at the top (upper pole fullness). Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion. Anatomic gummy bear implants might be a good choice to give you volume. These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak. During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery. Best of luck! Dr. Schwartz
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Answer: Is 500cc subglandular the right choice? I appreciate your question. The size of implant best for you is dictated by your chest wall measurements. Once we determine that we can choose the profile based on what you want or need to achieve. If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Other than that, you should choose the implant based on volume, not on the dimensions of the implant. Silicone will give you a fullness at the top (upper pole fullness). Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion. Anatomic gummy bear implants might be a good choice to give you volume. These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak. During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery. Best of luck! Dr. Schwartz
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October 20, 2015
Answer: Implant size If you are athletic, I think the 500 cc implants you will find to be much too large. If you really want to minimize the risk of capsular contracture you should go with sal e implants inder the muscle. They rarely encapsulate.
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October 20, 2015
Answer: Implant size If you are athletic, I think the 500 cc implants you will find to be much too large. If you really want to minimize the risk of capsular contracture you should go with sal e implants inder the muscle. They rarely encapsulate.
Helpful
October 14, 2015
Answer: Breast Augmentation choices Hello 2babycakes,Thank you for your questions and photos.You appear to be a excellent candidate for breast enhancement.Many factors should be considered by you and your Plastic Surgeon prior to your surgery. Each choice has its unique consequences (not bad or good).The final choice will be based on your desires, your anatomy and your Plastic Surgeons experience/preferences.General overview:IMPLANTS 1) normal saline fill vs silicone gel fill2) profile: low profile to high profile3) shape: form stable vs roundPLACEMENT OF IMPLANTS1) sub pectoral, dual plane2) supra pectoralsACCESS INCISION1) periarolar2) inframammary3) axillaryBREAST MOUND1) symmetrical 2) equal size3) breast fold locationNIPPLE/AREOLAR POSTION1) normal 2) high3) low4) symmetrical SKIN QUALITY1) stretch marks2) thin skin3) elasticityI suggest you meet again with your Plastic Surgeon or make several additional consultations until you are satisfied with your choices. Please make sure your Plastic Surgeon is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best,
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October 14, 2015
Answer: Breast Augmentation choices Hello 2babycakes,Thank you for your questions and photos.You appear to be a excellent candidate for breast enhancement.Many factors should be considered by you and your Plastic Surgeon prior to your surgery. Each choice has its unique consequences (not bad or good).The final choice will be based on your desires, your anatomy and your Plastic Surgeons experience/preferences.General overview:IMPLANTS 1) normal saline fill vs silicone gel fill2) profile: low profile to high profile3) shape: form stable vs roundPLACEMENT OF IMPLANTS1) sub pectoral, dual plane2) supra pectoralsACCESS INCISION1) periarolar2) inframammary3) axillaryBREAST MOUND1) symmetrical 2) equal size3) breast fold locationNIPPLE/AREOLAR POSTION1) normal 2) high3) low4) symmetrical SKIN QUALITY1) stretch marks2) thin skin3) elasticityI suggest you meet again with your Plastic Surgeon or make several additional consultations until you are satisfied with your choices. Please make sure your Plastic Surgeon is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best,
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October 13, 2015
Answer: Sometimes subglandular works well If your surgeon is recommending cohesive (or highly cohesive) shaped gel implants, subglandular may be a good choice. The issues you raise, specifically high activity and weight lifting as activities which could be adversely affected by submuscular placement, are quite valid. The shaped gel implants have much less rippling and retain a god appearance over the years. Your activities should return to normal quite quickly with little muscle weakness. As long as you have enough breast tissue to hide the edges of the implant, you should do well. Please remember that the determinants to good shaped implant selection are based more on the dimensions of the native breast than on the volume alone. These textured implants have shown a consistently lower rate of contracture than the smooth ones. Unfortunately, that rate is not zero. Best of luck.
Helpful
October 13, 2015
Answer: Sometimes subglandular works well If your surgeon is recommending cohesive (or highly cohesive) shaped gel implants, subglandular may be a good choice. The issues you raise, specifically high activity and weight lifting as activities which could be adversely affected by submuscular placement, are quite valid. The shaped gel implants have much less rippling and retain a god appearance over the years. Your activities should return to normal quite quickly with little muscle weakness. As long as you have enough breast tissue to hide the edges of the implant, you should do well. Please remember that the determinants to good shaped implant selection are based more on the dimensions of the native breast than on the volume alone. These textured implants have shown a consistently lower rate of contracture than the smooth ones. Unfortunately, that rate is not zero. Best of luck.
Helpful
October 13, 2015
Answer: Is 500cc subglandular the right choice? The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: Your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant. There are no manufacturers' standards for cup sizing in the bra industry. The cups of a 34 D-DD and a 38 D-DD are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer. Nor is there a direct correlation between implant shape or size and cup size. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
Helpful
October 13, 2015
Answer: Is 500cc subglandular the right choice? The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: Your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant. There are no manufacturers' standards for cup sizing in the bra industry. The cups of a 34 D-DD and a 38 D-DD are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer. Nor is there a direct correlation between implant shape or size and cup size. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
Helpful