I am wanting very fake looking implants, what should I get?

Question

I had surgery almost two years ago and have 400cc gummy bear high profile silicone implants. Once they settled they look very natural. I want bigger, round, very fake looking implants and miss how mine looked with the swelling. What size and type should I get to get that very fake “stripper” look?

Tom J. Pousti, MD · Answer

Thank you for the question.  Much of the final outcome achieved with breast augmentation surgery depends on the patient's anatomic starting point.  In some ways, it may be more challenging to achieve an "fake look" when patients start out with a significant amount of native breast tissue.  Having said that, it is usually possible with careful dissection of breast implant pocket (I generally prefer the sub muscular pocket for most patients, including patients who are looking for a larger or more fake look)  and careful selection of appropriate breast implant type/size/profile to achieve the "fake" look.

Adjustment of the breast implant capsules (capsulorraphy) may be a very important part of the procedure as well.  The adjustment of the breast implant capsules may keep the breast implants higher on the chest wall and prevent displacement when patients lie down.

Generally speaking, patients attempting to achieve the "fake" look often benefit from the use of  higher profile silicone gel breast implants or overfilled saline filled breast implants.

The best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “fake look” or "D or DD cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes.

Mathew A. Plant, MD, FRCSC · Answer

If you want a very fake look then you’ll need to go with higher projection than high profile will give you. I’d suggest using Allergan extra full profile, or for even more projection Mentor ultra high profile. The only way to know for sure is to book a consultation with a board certified plastic surgeon near you to see what your options are. Best of luck!

Edward J. Domanskis, MD (in memoriam) · Answer

The fake breast look can be achieved in several ways, depending on what you want your eventual size to be. If you want to have less than 1400cc XL breasts, then I do 800cc saline implants(largest shell size available in US) and overfill them. If you want to be largerr than that, then I recommend my XL custom tissue expanders which can be filled to much larger sizes. At same time you may need some type of uplift. I recommend that you visit my site esp for XL breast implants for further explanation of different alternatives. My specialty for many years has been XL breast implants. I also recommend that you go to a plastic surgeon that has extensive experience in these sizes to get the best results for problems can occur and more frequently. I also do revisional surgery on XL patients. I offer SKYPE/FACETIME/What'sUp consultations which can be arranged through my XL patient coordinator(Rachelleatsurgery-plastic.com).

I am wanting very fake looking implants, what should I get?

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I am wanting very fake looking implants, what should I get?

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.