Would This Be Appropriate for Me? (photo)

I'm 5'1 weighing in at 123 And currently a small C. I've had three kids. Ill be having a lollipop lift on both breast and 400cc high profile saline implants under the muscle. From what I've read that going under the muscle results in losing a cup size.

Doctor Answers 11


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Placing implants under the muscle does not result in loss of volume.  The volume is the same.  The trade off is wider cleavage and a "jumping breast deformity". Silicone over the muscle eliminates these trade offs. If you have a lot of breast tissue and tight cleavage before surgery, the difference is minimal. But if you have a wide cleavage to start with and small breasts, it may not be prudent to go under the muscle.

West Palm Beach Plastic Surgeon
4.4 out of 5 stars 11 reviews

The right size for you...

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There are many variables in recommending implant size/type. I base my implant recommendation on patients' body (chest height, chest width, existing breast tissue) as well as their desired look. I usually do not talk about cup size. As you know, cup size varies with brand and styles of bra. I would go for the desired look. Review before and after photos and see what kind of look that you want.
Implants come in different types (silicone, saline), shape (round, anatomic), and profiles and volume. As you increase the profile of implant, you will get a larger implant.
More meaningful recommendation can be made based on direct examination and in-person consultation.
Please visit with a board-certified plastic surgeon.
Best regards.

Lift and under muscle breast implants appear appropriate for you

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Thank you for your question and photograph. A combination breast lift and sub-muscular breast augmentation is a good option based on your photographs.

Do not worry about breast implants looking one size smaller when placed under the muscle. Over time as the breast implant settles into the pocket the size of your final result should be the same as it would be if you have had Sub-glandular augmentation.

Under The Muscle Breast Implants Do Noyt Cause Appreciable Loss In Size

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You do not lose a cup size by placing breast implants under the muscle. There may be very slight lose of size but the benefits of decreased risk of infection, capsular contracture and better upper pole aesthetics far outweight any size loss considersations.

Implants under the muscle

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You lose about 10% of the volume of the implant under the muscle but certainly not a cup size.  Unders are better than overs too.

Breast Augmentation Beneath the Muscle

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I do not think the muscle decreases the size since the muscle is released and the implant partially sits beneath the muscle.  I believe placement beneath the muscle is beneficial in giving you better upper pole aesthetics and decreasing the risk for capsular contracture.

Dr. ES

Good Plan

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The plan you describes seems well thought out.  Submuscular placement is the best long term shape.  All the best.

George Bitar, MD
Fairfax Plastic Surgeon
4.6 out of 5 stars 59 reviews

Implants and a lift

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It certainly looks like you could use a lift as well as implants. As for the right volume it is hard to say without knowing your goals or examining you.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

No, you should not lose a cup size

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Going under the muscle does make the implants look a full cup size smaller.   Usually it makes them look about 35 to 40 cc's smaller.  If you are worried about being smaller, than consider 425 cc implants.  However, my guess is that 400 ccs will be a good size for you.  

Best regards,

Dr. Smith

Lane Smith, MD
Las Vegas Plastic Surgeon
4.6 out of 5 stars 98 reviews

Lift and high profile implants 400 cc

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Without exact measurements of your breasts, as well as an assessment of the tissue dynamics including elasticity, there is no way to tell if 400 cc are appropriate for you. I am not a high profile fan anyway, because of the well documented issues with breast atrophy and chest wall deformities.

Also, just be forewarned, that potentially, the scars from the lift may not heal as well if you do the lift at the same time because of the increased tension on the closure from the implants. I offer staged as well as simulateous lift and implants, but offer the patient the pros and cons of each so that they can make the best judgment for themselves.

Mark D. Epstein, MD
Stony Brook Plastic Surgeon
4.9 out of 5 stars 244 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.