How accurate is the program Crisalix 3D to see what breast augmentation would look like?

Question

I had my BA consult today, and a new "Virtual "Assistant" is used in the office to predict outcome of augmentation based on sizing. I also tried on sizers as well. I've come out rather confused because when I seen me on the imaging with the modest size I want to go ( 275 cc's mod + profile DR says), it looks really projected on the 3D imaging... and my breasts look kind of odd in the after picture, like further apart than expected. Thoughts?

Ted Eisenberg, DO, FACOS, FAACS · Answer

I believe that 3D imaging is helpful, but what you can't tell from a 3D image is the position of the implant (subglandular or sumuscular) or if the recommended cc's will give you the exact result that you are visualizing.In my practice, I show women before and after pictures of actual patients with similar chest measurements, height, weight and starting volume to them; it's as if they are looking at themselves in a magic mirror of the future. When a women decides what she wants, I know exactly what size implant to order to better achieve that look because the cc's are recorded on every picture.Your plastic surgeon's experience will be even more important than imaging in helping you determine implant size.

Elisa A. Burgess, MD · Answer

The newest updates for the 3D scanner for this Crisalix imaging program are amazing. I think it is increasingly more accurate with the topographical scanner. There are also virtual reality goggles so you can see yourself trying on different implant styles and sizes. I think the results are what one might see at around 3 months. There are no guarantees but it sure is fun. The giggles from the gals wearing the virtual reality goggles has been fun too.

Sheila S. Nazarian, MD · Answer

3D imaging is really more of a tool to give you an idea. Sadly, nothing can accurately predict your outcome. This is where the skill and expertise of the surgeon really comes into play. Best, Dr. Nazarian

William Andrade, MD · Answer

Thanks for your question.  3D imaging is meant to be a teaching tool rather than an exact representation of how you will look after surgery.  There is no perfect way to predict breast size or shape.

Steven Wallach, MD · Answer

I think that like any tool it is used as a guide and should not be thought of as an exact expected outcome.  Good luck.

Tom J. Pousti, MD · Answer

Thank you for the question. Although useful as rough guidelines and as communication tools, ALL the modalities currently used to predict what breast implant size/profile will best achieve a patient's goals with breast augmentation are not very accurate, in my opinion. The use of the rice test, sizers placed beneath a patient's bra, goal pictures, computer imaging technology… are all useful, but not necessarily as accurate as one would hope.In my opinion, nothing will replace careful verbal preoperative communication with your plastic surgeon, preferably in front of a full-length mirror along with the use of as many "communication" tools” listed above.In my practice, I use all of the above modalities and then use intraoperative temporary sizers to help determine the best breast implant size/profile to achieve a patient's specific goals as closely as possible. For this reason, I think it is helpful to have the entire range of breast implant  sizes/profiles available in the operating room.Achieving realistic expectations prior to proceeding to the operating room is also an important part of the preoperative communication process. Patients should be aware that the results of their breast augmentation will not necessarily match exactly what they are visualizing with anyone of the above-mentioned communication tools.Given your questions and concerns,  I would suggest that you schedule additional time to spend with your plastic surgeon. This additional time spent will be helpful in the communication process and in alleviating some of your anxiety.Best wishes; hopefully you will be very pleased with the outcome of the planned procedure.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry. Results may vary. Exact end results and cup sizes are usually quite difficult to calculate as everyone has a different starting point.
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

William J. Welsh, MD (retired) · Answer

Thank you for your question.Imaged changes cannot always mimic real life.3D imaging is meant to be a teaching tool rather than an exact representation of how you will look after surgery.  There is no perfect way to predict breast size or shape.\Best wishes and luck on your cosmetic endeavors.

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