It is important for me to get the diameter correct, to avoid either the uniboob effect (too close to each other) or the ball-in-sock (too far from each other) When I measure my entire breast width, side to side, it comes to 12cm, but when I measure over the nipple, it comes to 11cm. Which is correct? See pic. If 12cm then the 350cc makes sense to me. But if 11cm, then the 340 makes more sense, not only to fit my chest size better, but also to avoid chances of rippling. Weight 120. Height 5,5.
May 15, 2020
Answer: Thoughtful Self Analysis I'm very impressed with your attempt at biodimensional analysis on yourself, however studies show that any given measurement is dependent on the person doing the measuring. So, it's best to have a surgeon who relies on this technique for accurate measurements leading to proper implant selection. Further, there is more to these measurements than just width of the breast, and the addition of measuring the 'nipple to fold distance on stretch' tell a much more complete story of your soft tissue dimensions AND dynamics. Your nipple distance is high above both the bottom of your breasts as well as the inframammary fold (which I can't see but can estimate its position), and your breasts have a flattened appearance with substantial tissue 'hanging' below the fold. This indicates that you might have soft tissue laxity and poor elasticity, putting you at risk for implant migration and dropout; a physical examination would be needed to confirm this presumption. With this in mind, I caution against any implant that is more than moderate plus in profile, as high and extra-high profile implants have the greatest propensity to drop out and become ball-in-sock in appearance (their more spherical shape enhancing that effect too!). I also caution against an implant that is too large, which I realize is all relative to not only your body dimensions but also tissue dynamics. Choosing textured implants will absolutely not secure your implant from dropping out. The 'Velcro effect' will not happen at all with Mentor's Siltex, is rare with Sientra's proprietary texture, and only occurred in Natrelle's Biocell a quarter of the time. As a side note, Biocell is off the market around the world due to it's high risk of lymphoma (1/2000). The other manufacturer's textured devices are safer, but not risk free of lymphoma, with rates of 1/70,000 and 1/80,000 for Sientra and Mentor, respectively. The use of textured implants inevitably means you are choosing an implant with a thicker shell, which can transmit implant wrinkling more effectively to the surface, leading to more likely palpable or visible irregularities. Unfortunately, Mentor silicone gel is the lowest cohesive gel on the market, which although makes it soft, puts you at higher risk for implant wrinkling as well. To summarize, my recommendation is a moderate or moderate plus profile implant with a smooth shell, and either moderate or slightly higher gel cohesivity. You are NOT at risk for symmastia (uniboob) or unnaturally close cleavage. My personal preference is the Sientra luxe line with either their HSC or HSC+ gel cohesivity, which compares to Natrelle's intermediate gel cohesivity known as 'responsive'. With regards to implant dropout, what you do after the surgery is just as important as what the surgeon does during the surgery to ensure implant placement and position. A snug bra that's not too tight should be worn extensively for three months in patient's like you, and all chest exercise should be put on hold for the same period of time.
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May 15, 2020
Answer: Thoughtful Self Analysis I'm very impressed with your attempt at biodimensional analysis on yourself, however studies show that any given measurement is dependent on the person doing the measuring. So, it's best to have a surgeon who relies on this technique for accurate measurements leading to proper implant selection. Further, there is more to these measurements than just width of the breast, and the addition of measuring the 'nipple to fold distance on stretch' tell a much more complete story of your soft tissue dimensions AND dynamics. Your nipple distance is high above both the bottom of your breasts as well as the inframammary fold (which I can't see but can estimate its position), and your breasts have a flattened appearance with substantial tissue 'hanging' below the fold. This indicates that you might have soft tissue laxity and poor elasticity, putting you at risk for implant migration and dropout; a physical examination would be needed to confirm this presumption. With this in mind, I caution against any implant that is more than moderate plus in profile, as high and extra-high profile implants have the greatest propensity to drop out and become ball-in-sock in appearance (their more spherical shape enhancing that effect too!). I also caution against an implant that is too large, which I realize is all relative to not only your body dimensions but also tissue dynamics. Choosing textured implants will absolutely not secure your implant from dropping out. The 'Velcro effect' will not happen at all with Mentor's Siltex, is rare with Sientra's proprietary texture, and only occurred in Natrelle's Biocell a quarter of the time. As a side note, Biocell is off the market around the world due to it's high risk of lymphoma (1/2000). The other manufacturer's textured devices are safer, but not risk free of lymphoma, with rates of 1/70,000 and 1/80,000 for Sientra and Mentor, respectively. The use of textured implants inevitably means you are choosing an implant with a thicker shell, which can transmit implant wrinkling more effectively to the surface, leading to more likely palpable or visible irregularities. Unfortunately, Mentor silicone gel is the lowest cohesive gel on the market, which although makes it soft, puts you at higher risk for implant wrinkling as well. To summarize, my recommendation is a moderate or moderate plus profile implant with a smooth shell, and either moderate or slightly higher gel cohesivity. You are NOT at risk for symmastia (uniboob) or unnaturally close cleavage. My personal preference is the Sientra luxe line with either their HSC or HSC+ gel cohesivity, which compares to Natrelle's intermediate gel cohesivity known as 'responsive'. With regards to implant dropout, what you do after the surgery is just as important as what the surgeon does during the surgery to ensure implant placement and position. A snug bra that's not too tight should be worn extensively for three months in patient's like you, and all chest exercise should be put on hold for the same period of time.
Helpful
May 15, 2020
Answer: 3-d simulation Thank you for your question.I think that the best way for you to visualize different sizes and profiles of breast implants on your breasts is to have a 3-d simulation. I routinely perform this with every breast augmentation patient in order to properly choose the implant size and projection. Best of luck!
Helpful
May 15, 2020
Answer: 3-d simulation Thank you for your question.I think that the best way for you to visualize different sizes and profiles of breast implants on your breasts is to have a 3-d simulation. I routinely perform this with every breast augmentation patient in order to properly choose the implant size and projection. Best of luck!
Helpful
