I am 38 years old, 5'8", 127 lbs. I'd like to look more feminine/ less boyish in clothing; to have the fuller breasts prior to breastfeeding for 4 years. One PS measured my BWD at 11.5 and 12, recommended Mentor 300 MP or 325 HP. He emphasized that a taller woman can (should?) carry a larger implant on her frame. The other PS had my BWD at 12.3 (both) and recommended Mentor 275 MC or 300 MP. What size and profile would you recommend? Also, what should I do about differing BWD measurements?
June 1, 2015
Answer: 275 implant I never mention size. I am an experience enough to know what would look nice for you. I use dozers at the time of surgery and put in appropriate size depending on what cup size you wish to be. I am more visual and artistic then numbers
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June 1, 2015
Answer: 275 implant I never mention size. I am an experience enough to know what would look nice for you. I use dozers at the time of surgery and put in appropriate size depending on what cup size you wish to be. I am more visual and artistic then numbers
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June 1, 2015
Answer: Achieving a Natural Look in Breast Augmentation Requires A Different Process Than The Norm : Subfascial Anatomically Shaped Your thoughts and concerns are very insightful and important. Keep in mind that most breast augmentations look like breast augmentations. The "augmented look" is very well tolerated in the public, on celebrities etc. The typical breast augmentation is what the public calls "under the muscle" and doctors call "dual-plane." Essentially the inferior and some of the lower midline attachments of the pectoralis major muscle are cut and the implant's top and central portion are under the muscle, the remainder of the implant is in a subglandular plane. The central origination of the pectoralis major muscle assures that the implants are pushed away from midline. The medial cleavage of natural breasts is thus not achievable and surgeons compensate by planning a "base width" of the breast several centimeters from midline. They then compensate for the reduced width by selecting moderate and high profile implants that are narrow to fit this space. This means that in a patient like you, your already narrowed and slightly separated form will be amplified. Variations in base width measurement depend on how it is measured. In my practice, I use a technique called "Cold-Subfascial Breast AugmentationR" that allows me to plan a breast augmentations according to an "ideal" basewidth instead of one constrained by the limits of the pectoralis major muscle. Thus my measurements are likely to be 1-3cm wider than another surgeons. My goal is to get a breast that has a soft start just next to midline and has a gently rounded shape projection just lateral of the chest wall for a beautiful natural silhouette. This technique utilizes the strong tissue called fascia that overlies the pectoralis major muscle to not only shape the implant further but to also support the implant like an internal support bra. The result is a softly draped feminine form free of the animation deformities and "down and out" appearance that is so common in breast augmentation. I would strongly recommend an implant that fills the height and width of your IDEAL breast footprint, not the submuscular space. I would most likely recommend and Allergan 410FM anatomically shaped form stable implant. I hope this helps!All the best,Rian A. Maercks M.D.
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June 1, 2015
Answer: Achieving a Natural Look in Breast Augmentation Requires A Different Process Than The Norm : Subfascial Anatomically Shaped Your thoughts and concerns are very insightful and important. Keep in mind that most breast augmentations look like breast augmentations. The "augmented look" is very well tolerated in the public, on celebrities etc. The typical breast augmentation is what the public calls "under the muscle" and doctors call "dual-plane." Essentially the inferior and some of the lower midline attachments of the pectoralis major muscle are cut and the implant's top and central portion are under the muscle, the remainder of the implant is in a subglandular plane. The central origination of the pectoralis major muscle assures that the implants are pushed away from midline. The medial cleavage of natural breasts is thus not achievable and surgeons compensate by planning a "base width" of the breast several centimeters from midline. They then compensate for the reduced width by selecting moderate and high profile implants that are narrow to fit this space. This means that in a patient like you, your already narrowed and slightly separated form will be amplified. Variations in base width measurement depend on how it is measured. In my practice, I use a technique called "Cold-Subfascial Breast AugmentationR" that allows me to plan a breast augmentations according to an "ideal" basewidth instead of one constrained by the limits of the pectoralis major muscle. Thus my measurements are likely to be 1-3cm wider than another surgeons. My goal is to get a breast that has a soft start just next to midline and has a gently rounded shape projection just lateral of the chest wall for a beautiful natural silhouette. This technique utilizes the strong tissue called fascia that overlies the pectoralis major muscle to not only shape the implant further but to also support the implant like an internal support bra. The result is a softly draped feminine form free of the animation deformities and "down and out" appearance that is so common in breast augmentation. I would strongly recommend an implant that fills the height and width of your IDEAL breast footprint, not the submuscular space. I would most likely recommend and Allergan 410FM anatomically shaped form stable implant. I hope this helps!All the best,Rian A. Maercks M.D.
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