Breast Augmentation with Mini Ultimate Breast Lift(TM)
you have not told us your bra size. If
you are 32 or 34 each 100 cc’s of implant corresponds to 1 cup size
change. If you are 36 or 38 each 200
cc’s of implant corresponds to 1 cup size change. From this, you can compute the volume
required to achieve your desired goal.
Your breasts are deformed and flat laterally. You will need the pocket enlarged inferiorly
or implants raised higher. I recommend a
new technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. Aligning the areola, breast tissue and
implant over the bony prominence of the chest wall maximizes anterior
projection with a minimal size implant.
Small round textured silicone gel implants placed retro-pectoral look
and feel more natural, are more stable, less likely to ripple or have
complications needing revision. Implant
profile is irrelevant in the retro-pectoral position since the muscle
compresses it. 22% of women who undergo
breast augmentation alone require revision within 2 years because they are
dissatisfied with the result.
Gary Horndeski, M.D.
What to know about going with larger implants
First, in general larger implants are more likely to cause problems in the long-term. If your base diameter is 12 cm, then any increase in size would need to be high profile, which is more of a round fake look. The photos appear to show some constriction on the bottom of the breasts so you should ask about how that contour might be improved. There are no simple answers about what type of implant and size is best, only trade-offs.
Selecting breast implant size / style
I believe in the dimensional planning approach to breast augmentation, which matches implant diameter to your chest wall. Considering three different profiles of round implants, as you move up in projection (moderate plus to high to ultra high) you increase the final breast size, but also increase upper pole roundness at the same time; moderate plus profile implants will generally look more natural than ultra high profile implants. Determining the best implant size and profile for you should involve extensive discussion with an experienced board-certified plastic surgeon, taking into account your chest wall dimensions and desired outcome (remember that bra size is dependent on bra manufacturer). For some women this means accepting either a smaller final breast size or some additional upper pole roundness.
Your "wish pick - size & shape" is a photo of Kate Upton, who has large, natural breasts (no implants); therefore, the ability to achieve her size and shape would depend upon your chest wall dimensions and the sizes and profiles of implants appropriate for you.
Which surgeon or which implant size/profile should I choose? Totally different opinions.
Thank you for the question and pictures. Despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.
Generally speaking, the best online advice I can give to ladies who are considering revisionary 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're 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 which operation and/or 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. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase.
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.
Based on your current photographs, adjustment of your breast implant pockets may be an important part of the revisionary breast surgery as well. I hope this, and the attached link, helps.