I’m having 11 yr. saline implants 500cc that bottomed out from weight loss replaced w/ sientra (355) & there is a lot of revision/work that has to be done due to downsizing including the lift I was told. Can high profile look approp/good on me as I'm wanting upper cleavage & fullness on the bottom or would you advise me moderate plus due to my history of previous conical breasts ? Are HP not advised for patients with my previous shape ?
Answer: Implants I do not recommend going with 500 cc, but going much smaller. Your stretched and sagging skin will stretch and sag again from the weight of a heavy implant. I would also suggest going down in profile to fit your frame better.
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Answer: Implants I do not recommend going with 500 cc, but going much smaller. Your stretched and sagging skin will stretch and sag again from the weight of a heavy implant. I would also suggest going down in profile to fit your frame better.
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October 11, 2022
Answer: Explant with Bellesoma Method The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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October 11, 2022
Answer: Explant with Bellesoma Method The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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October 11, 2022
Answer: Revision I would not recommend a high profile breast implant as you do not truly need the projection and huge implant; you truly need a taller smaller implant. I would also recommend removing or deflating the saline implants prior to the surgery to allow your tissues to rest before the new implant and a breast lift.
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October 11, 2022
Answer: Revision I would not recommend a high profile breast implant as you do not truly need the projection and huge implant; you truly need a taller smaller implant. I would also recommend removing or deflating the saline implants prior to the surgery to allow your tissues to rest before the new implant and a breast lift.
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October 10, 2022
Answer: Implant Profile and breast shape Although you do not explicitly say this, I'm getting the feeling that you think HP implants will impart more upper pole fullness than moderate or low profile implants. This is incorrect, and is the most misunderstood aspect about implant profile. Implant profile will only do one thing reliably: project the breast tissue. High profile does that more than low profile. What then can give more upper pole fullness? The two things that do this well is implant size, and implant diameter. The diameter or width of the device will determine how high up the chest wall the top of the implant sits, and therefore how much augmentation occurs in the region. The reason you lack upper pole fullness is not because you don't have HP implants, it's because your implants have dropped out (which is more likely with HP implants, but can happen with any implant). As an aside, looking at photos can be deceiving, but it looks like one breast is larger that the other, and specifically one implant looks larger than the other. Only a physical exam would confirm this. Yours is a complex problem, and not for the casual breast implant surgeon. You need to really see a revision breast specialist. A thorough discussion about the situation with your current implants, your feelings of proportion, and a physical examination will help the surgeon make recommendations about implant selection. The surgery should entail a radical resizing of the implant pockets, the use of resorbable mesh to secure the new implants in place, and a formal breast lift.
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October 10, 2022
Answer: Implant Profile and breast shape Although you do not explicitly say this, I'm getting the feeling that you think HP implants will impart more upper pole fullness than moderate or low profile implants. This is incorrect, and is the most misunderstood aspect about implant profile. Implant profile will only do one thing reliably: project the breast tissue. High profile does that more than low profile. What then can give more upper pole fullness? The two things that do this well is implant size, and implant diameter. The diameter or width of the device will determine how high up the chest wall the top of the implant sits, and therefore how much augmentation occurs in the region. The reason you lack upper pole fullness is not because you don't have HP implants, it's because your implants have dropped out (which is more likely with HP implants, but can happen with any implant). As an aside, looking at photos can be deceiving, but it looks like one breast is larger that the other, and specifically one implant looks larger than the other. Only a physical exam would confirm this. Yours is a complex problem, and not for the casual breast implant surgeon. You need to really see a revision breast specialist. A thorough discussion about the situation with your current implants, your feelings of proportion, and a physical examination will help the surgeon make recommendations about implant selection. The surgery should entail a radical resizing of the implant pockets, the use of resorbable mesh to secure the new implants in place, and a formal breast lift.
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October 11, 2022
Answer: Implant revision Thank you for your question. A high profile implant will be fine. Your previous shape should not have an affect, as the shape of your breast has changed with previous surgery. As you will downsize your implant, your skin and the capsule will need to be tightened. Also, for someone that has previously bottomed out, an internal mesh support can be helpful for longer lasting results. Good luck
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October 11, 2022
Answer: Implant revision Thank you for your question. A high profile implant will be fine. Your previous shape should not have an affect, as the shape of your breast has changed with previous surgery. As you will downsize your implant, your skin and the capsule will need to be tightened. Also, for someone that has previously bottomed out, an internal mesh support can be helpful for longer lasting results. Good luck
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