Breast augmentation and lift, some advices:
Thank you very much for enquire.
After having analyzed all the information and photos provided to us, I realize that you have very sagging and small breasts. In this regard, you need volume (implants) and projection (the lift): Breast Augmentation w/Breast Lift.
I recommend you to use microtexturized highly cohesive silicon implant ("gummy bear" implants), with high projection, and 450ml will be excelent on you, to fill the breasts properly.
Finally, to perform the breast lift I recommend a Periareolar Round Block Breast Lift ("Benelli mastopexy"), which has an unnoticed scar around the areola, and if we see (in the surgery) that we can't obtain adecuate projection just with the Benelli Lift, we have to perform a "Lollipop breast lift".
Dr. Emmanuel Mallol Cotes.-
Hello and thank you for your question. The size of the implant is based on your desired
breast size/shape, your chest wall measurements, and soft tissue
quality. This decision should be based on a detailed discussion
with equal input from both you and your surgeon. Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
The best way to choose implants is to be seen in person and be properly evaluated. Best of luck......
#breastaugmentation #plasticsurgery #breastimplants
Thanks for your question. Since there is no way to say definitively over the internet which size would be optimal for you, take comfort in the fact that the surgeon uses your unique measurements and is able to provide you with a general range. In many cases the board certified plastic surgeon can best be your guide as they’ve met with you in person and heard your aesthetic goals. You may consider doing 3-D imaging; however with nearly all the breast cases we’ve performed, we’ve found patients enjoy doing a live “try on” session where they actually can “try on” the implant in a non-padded bra in our office. This does not give an exact measurement of outcome, rather it gives a nice idea of what to expect. For patients who desire a more natural look we like to recommend the shaped implant. For patients who desire a more full, voluptuous look we recommend a higher profile implant (like Inspira). Remember that all breasts have at least some amount of asymmetry (we like to say they’re like sisters and not twins). An in-person consult is the best way to discuss your questions. Be sure to find a surgeon with the following credentials: *Board Certified by the American Board of Plastic Surgery -- The gold star symbol *A member of the ASPS (American Society of Plastic Surgeons) -- The circle symbol *A member of the ASAPS (American Society of Aesthetic Plastic Surgeons) -- the Queen Nefertitti symbol with a Triangle Feel free to contact our office, it would be our pleasure to answer your questions in person. My very best, Brian Coan, MD, FACS CARE Plastic Surgery
The right size for you
It is very difficult to determine the best lift you will need (recommended based on your photos) or the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 300 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. The same process goes for just filling in the upper part of your breast without becoming much larger. Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below including silicone vs saline implants
Thank you for your question and photos. You are on a good position on one hand because the basic configuration of your breast is good but you need better fullness and shape. It is very important that you seek the opinion of a surgeon with a lot of experience with a situation like yours and I recommend someone worth at least 10 to 15 years of practice after residency. This gives you the best chance of achieving an excellent results which should be likely.Hope this helps. Leland Deane MD FACS Manhattan, Garden City, Babylon NY
The photos are a little confusing. Are any of them your photos? Are all of them your photos? Consultation with an American Board of Plastic Surgery board certified plastic surgeon will help you determine your options to achieve your goal result. Good luck!
You need an imaging software to make a determination about what size implants are optimal
Your photos are a good start but are not thorough enough to make a determination about what size implants would suite you best. The foot print or the "base diameter" of the breast is the basic building block of breast augmentation. Once this is determined then selection for a suitable sized implant can begin. An imaging system such as Vectra or Crisalix is VERY helpful for guiding you through the selection process. Once the photos are taken, you can "try on" an implant and see how your body frame would look with that specific implant. Planning at this stage can also take into account whether or not a lift is needed or if an implant alone will help you achieve your goals.
Hello and thank
you for your questions. Remember, it is best to see a Board Certified Plastic Surgeon who can
in person examine you, take key measurements and go over with you your specific
aesthetic goals. Bringing several photos of your "ideal" look can be
helpful as well. During the consultation is a review and discussion about
several things including the need for a breast lift with or without an
implant, incision location, implant placement, implant size, shape, type as
well as the expected recovery period. I take personal care of all my patients
to ensure optimum results. There are several key differences and some
similarities in the types and shapes of breast implants. It is best to see and
feel in person the different sizes, shapes and textures of the various implants
during a consultation with a Board Certified Plastic Surgeon. Best of luck.
Benjamin J. Cousins M.D.
Board Certified Plastic Surgeon
A number of anatomic reference points determine the "right" size implant for a particular patient. However, there is some leeway to push that size bigger or smaller. In order to get a qualified, expert opinion on your surgical options and expectations visit a plastic surgeon certified by the American Board of Plastic Surgery.
Best of luck,
Keith M. Blechman, MD
New York, NY