Scoliosis has altered my rib cage and I just want more symmetric full breasts. I'm most worried about the ending result on my nipple asymmetry (16cm and 17cm from center). Will the larger size (R) extend my lower pole enough to help level my nipples out? Do I need different profile implants? After my first consultation and waiting for my second, I'm looking for more opinions. Will I inevitably need a corrective surgery to bring up my right nipple after augmentation? Thank you!
May 2, 2018
Answer: Pectus Excavatum and breast implants The bony structure of the chest definitely plays a role in breast enhancement procedures. Sometimes we will even perform procedures to change/alter the ribs or sternum of the chest wall to enhance the overall appearance. Based on the photographs submitted here is what I see: Pectus Excavatum (sunken in breast bone) in the lower 1/2The right shoulder is higher than the leftThe left breast is larger than the rightThe left nipple sits about 1 cm lower than the rightHigh inframammary creases, bilaterallySmall, A cup, breast sizeSmall areolasWide cleavage areaA thorough physical examination with photographs and measurements would be needed for the most accurate evaluation. Also, your expectations and the surgeon's skill and experience will need to be considered when formulating a surgical plan. Should we address the Pectus deformity? and how? Do you want the left nipple elevated or left alone? What size implants and subsequent postoperative breast size is best for you? You certainly would benefit from breast implant surgery; I would place the implants under the muscle and recommend silicone implants, the remainder of the questions would need to be answered during a consultation. I agree with 2nd and even 3rd opinions before undergoing any surgical procedure. Good Luck!
Helpful
May 2, 2018
Answer: Pectus Excavatum and breast implants The bony structure of the chest definitely plays a role in breast enhancement procedures. Sometimes we will even perform procedures to change/alter the ribs or sternum of the chest wall to enhance the overall appearance. Based on the photographs submitted here is what I see: Pectus Excavatum (sunken in breast bone) in the lower 1/2The right shoulder is higher than the leftThe left breast is larger than the rightThe left nipple sits about 1 cm lower than the rightHigh inframammary creases, bilaterallySmall, A cup, breast sizeSmall areolasWide cleavage areaA thorough physical examination with photographs and measurements would be needed for the most accurate evaluation. Also, your expectations and the surgeon's skill and experience will need to be considered when formulating a surgical plan. Should we address the Pectus deformity? and how? Do you want the left nipple elevated or left alone? What size implants and subsequent postoperative breast size is best for you? You certainly would benefit from breast implant surgery; I would place the implants under the muscle and recommend silicone implants, the remainder of the questions would need to be answered during a consultation. I agree with 2nd and even 3rd opinions before undergoing any surgical procedure. Good Luck!
Helpful
May 2, 2018
Answer: Choose the right surgeon The only way a plastic surgeon can give you an accurate opinion if after an in person consultation/examination.By looking at your pictures, you have asymmetry not only on your breasts but also on you chest contour (ribs and sternum) and this is important because implants will not correct those differences.In patients with small differences in size, like yourself, I prefer to use the same size implant, if you use different size implant, after 2-3 years, usually you can see the difference in size, your tissues usually change with time, the implants do not.In most patients like you, a moderate profile implant is better, but again only after an in person consultation a decision for what type of implant is better, can be done.Be sure you elect a plastic surgeon member of the American Society for Aesthetic Plastic Surgery
Helpful
May 2, 2018
Answer: Choose the right surgeon The only way a plastic surgeon can give you an accurate opinion if after an in person consultation/examination.By looking at your pictures, you have asymmetry not only on your breasts but also on you chest contour (ribs and sternum) and this is important because implants will not correct those differences.In patients with small differences in size, like yourself, I prefer to use the same size implant, if you use different size implant, after 2-3 years, usually you can see the difference in size, your tissues usually change with time, the implants do not.In most patients like you, a moderate profile implant is better, but again only after an in person consultation a decision for what type of implant is better, can be done.Be sure you elect a plastic surgeon member of the American Society for Aesthetic Plastic Surgery
Helpful