I had a breast lift with augmentation last February 2017 and I knew right way I wish they were perkier. They continued to sag as the months went by so I spoke with my dr about a revision. I told him that I wanted them perkier up top (more upper pole). I showed him a wish photo (2nd photo) and he recommended 640cc but after doing a lot of research, I’ve been reading that anything in the 600 range would be too big for anyone’s frame. I’m 5’4, 145lbs. What are your thoughts?
January 4, 2019
Answer: Implant size and type Dear MOM.BOD.BE.GONE,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 Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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January 4, 2019
Answer: Implant size and type Dear MOM.BOD.BE.GONE,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 Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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June 27, 2019
Answer: Breast augmentation revision Hello, That would likely be too large, and, more importantly, too heavy of an implant for your tissues. As you stated, your current implant has already been descending with time. This is likely because your tissues are not able to resist the stretch from the weight of the implant. Increasing the size of the implant without reinforcing the support for the implant will only lead to the same problem. Implant support and possibly pocket selection will need to be addressed. Good luck. ABPS board certified plastic surgeon
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June 27, 2019
Answer: Breast augmentation revision Hello, That would likely be too large, and, more importantly, too heavy of an implant for your tissues. As you stated, your current implant has already been descending with time. This is likely because your tissues are not able to resist the stretch from the weight of the implant. Increasing the size of the implant without reinforcing the support for the implant will only lead to the same problem. Implant support and possibly pocket selection will need to be addressed. Good luck. ABPS board certified plastic surgeon
Helpful