34 years old, 5’4” 135lb breastfed kids, 36D prior to pregnancy and still a deflated 36D due to tissue not fitting in a smaller cup. I am seeking an augmentation without lift, as I don’t want scarring. My goal isn’t necessarily to gain size but fill in my breast pocket for volume and a natural result. My surgeon suggested a 405-440cc smooth silicone mod plus x over the muscle. Does this seem like an appropriate size to fill and lift my breast? Or will I wind up with giant/fake look?
April 27, 2022
Answer: Breast surgery Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. It may seem like a good idea to put implants on top of the muscle in order to fill up the skin envelope and avoid the lift. In reality, this is the worst thing you can do. Invariably the skin will stretch and you will have much bigger implants and now require a much larger lift. Imagine this, you are already drooping and now you are putting a larger weight in your breast after you disconnect the breast tissue from the chest wall. What do you think will happen? I have seen this situation go wrong so many times that I actually wrote a paper titled "Poor Practice". On my breast revision gallery, you can see the heading termed "long-term changes associated with implants and placed on top of the muscle". The good news is that with an augmentation and a lift, you can have an excellent long-term result. Best wishes to you.
Helpful 1 person found this helpful
April 27, 2022
Answer: Breast surgery Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. It may seem like a good idea to put implants on top of the muscle in order to fill up the skin envelope and avoid the lift. In reality, this is the worst thing you can do. Invariably the skin will stretch and you will have much bigger implants and now require a much larger lift. Imagine this, you are already drooping and now you are putting a larger weight in your breast after you disconnect the breast tissue from the chest wall. What do you think will happen? I have seen this situation go wrong so many times that I actually wrote a paper titled "Poor Practice". On my breast revision gallery, you can see the heading termed "long-term changes associated with implants and placed on top of the muscle". The good news is that with an augmentation and a lift, you can have an excellent long-term result. Best wishes to you.
Helpful 1 person found this helpful
April 27, 2022
Answer: Surgeon suggested 405-440cc silicone over the muscle, does this seem like an appropriate size to fill and lift my breast? Thank you for sharing your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend continuing to discuss your concerns with your plastic surgeon or seek additional consultations to ensure that the implants you decide upon are the right ones to meet your expectations. Best wishes!
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April 27, 2022
Answer: Surgeon suggested 405-440cc silicone over the muscle, does this seem like an appropriate size to fill and lift my breast? Thank you for sharing your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend continuing to discuss your concerns with your plastic surgeon or seek additional consultations to ensure that the implants you decide upon are the right ones to meet your expectations. Best wishes!
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