I’m female, 42, 5’7 and around 60kg. I had breast implants in front of the muscle back in 2001. I can’t remember the cc or type of implant. They were trouble free up until a few years ago when the left one developed capsular contracture. I would really like them replaced to become much larger and wondered how big I could go realistically in the UK ( where I’m from). Also I need the ability to breastfeed in the future and wondered whether fat transfer is unadvisable for that in combination.
Answer: Explant with Bellesoma Method In your photographs, you can see your breasts are hanging quite low on the chest wall and make you look heavy. 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 can be performed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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Answer: Explant with Bellesoma Method In your photographs, you can see your breasts are hanging quite low on the chest wall and make you look heavy. 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 can be performed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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August 25, 2022
Answer: Implant size Dear K_Latte, breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
August 25, 2022
Answer: Implant size Dear K_Latte, breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
Answer: Size is a personal choice within reason Ultimately you will be the decision making person when it comes to the size of your implants. There is a very large range of sizes available. On top of your height and weight there are other anatomical landmarks that need to be taken into consideration when deciding on the size, the shape and the type of the implant. That is something that could be discussed at length on consultation with your surgeon
Helpful 1 person found this helpful
Answer: Size is a personal choice within reason Ultimately you will be the decision making person when it comes to the size of your implants. There is a very large range of sizes available. On top of your height and weight there are other anatomical landmarks that need to be taken into consideration when deciding on the size, the shape and the type of the implant. That is something that could be discussed at length on consultation with your surgeon
Helpful 1 person found this helpful