I currently have 500cc saline implants that are under the muscle and I am scheduled to have them exchanged for 700cc silicone implants this month. I want to go bigger and my surgeon has assured me that size “will be fine” but now I am reading all kinds of horror stories about implants that big. My worst fear being the dreaded “uni-boob”. I am 5’7 and 135 lbs. Does this size seem appropriate or am I begging for complications?
Answer: 700cc implants There are multiple reasons not to use 700cc prostheses. First, the 500cc implants have already "bottomed out" and 200cc more would stretch the tissue more. Second, the implants need more support and I would recommend placing Alloderm/Strattice as a sling acting as an internal bra at the lower aspect of the breast. This will give you the internal support needed for the implants.
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Answer: 700cc implants There are multiple reasons not to use 700cc prostheses. First, the 500cc implants have already "bottomed out" and 200cc more would stretch the tissue more. Second, the implants need more support and I would recommend placing Alloderm/Strattice as a sling acting as an internal bra at the lower aspect of the breast. This will give you the internal support needed for the implants.
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May 8, 2018
Answer: Alternative to large implants It
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May 8, 2018
Answer: Alternative to large implants It
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May 5, 2018
Answer: Implant size and type Dear kb82389,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
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May 5, 2018
Answer: Implant size and type Dear kb82389,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
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May 4, 2018
Answer: Appropriate breast implants for breast implant exchange? Thank you for the question. Keep in mind that sometimes adjustments of the surrounding breast implant capsules (e.g.capsulorraphy) is also necessary to achieve the desired outcome.
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May 4, 2018
Answer: Appropriate breast implants for breast implant exchange? Thank you for the question. Keep in mind that sometimes adjustments of the surrounding breast implant capsules (e.g.capsulorraphy) is also necessary to achieve the desired outcome.
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March 29, 2019
Answer: Breast revision Hello and thank you for your question. It appears that you have room for bigger implants than what you have. I am not sure what profile your current implants are, but if you change to a higher profile implant with slightly larger base width, you will probably be close to 700cc's. My main concern is that your breasts look very bottomed out as your distance from your nipple to your fold seems excessive. If you were my patient, I would upgrade you to larger implants and perform a smile mastopexy (where a crescent of tissue is removed from your inframammary fold) to give you the ultimate shape and a well-hidden scar within your crease. The point is that an experienced aesthetic breast surgeon will be comfortable with any sized implants when the pocket is made to securely fit your implant; the smile mastopexy may be necessary to ensure that your nipples are centered over the most projecting parts of your implants. I hope this helps and please make sure to seek the expertise of a board certified plastic surgeon with expertise in breast revision surgery.Sincerely,Dr. Sean Kelishadi
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March 29, 2019
Answer: Breast revision Hello and thank you for your question. It appears that you have room for bigger implants than what you have. I am not sure what profile your current implants are, but if you change to a higher profile implant with slightly larger base width, you will probably be close to 700cc's. My main concern is that your breasts look very bottomed out as your distance from your nipple to your fold seems excessive. If you were my patient, I would upgrade you to larger implants and perform a smile mastopexy (where a crescent of tissue is removed from your inframammary fold) to give you the ultimate shape and a well-hidden scar within your crease. The point is that an experienced aesthetic breast surgeon will be comfortable with any sized implants when the pocket is made to securely fit your implant; the smile mastopexy may be necessary to ensure that your nipples are centered over the most projecting parts of your implants. I hope this helps and please make sure to seek the expertise of a board certified plastic surgeon with expertise in breast revision surgery.Sincerely,Dr. Sean Kelishadi
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