Dual Plane Differences? (photos)

Thank you for your question. The difference among with photos  is the amount of the implant which will be beneath the breast gland.Theoretically as more of the breast implant is beneath the gland and lower on the chest the less  fullness above the nipple and areola.However practically speaking  after 3-4 months the implant descends in all 4 situations and there is little difference in all 4 long-term results.The new cohesive gel implants have a much reduced incidence of capsular contracture and Mentor now provides a warranty against capsular contracture.   As long as there is adequate breast tissue subglandular breast augmentation is a viable option.

Board Certified Plastic Surgeons experienced in multiple techniques are best to decide what works to create the most symmetric breast situation. Sometimes the decision about the amount of release is made during the surgery. A certain degree of release may be performed and the surgeon will ask the anesthesiologist to elevate the OR table back so that even though you are asleep, you are placed in more of a sitting position and the appearance of the breast can be visualized most realistically. This may be done a half a dozen times while making adjustments, especially when there is a lot of difference between one breast and the other. SO I would not try to pin down your doctor to a particular amount of muscle release. You may even need a breast lift to correct your asymmetry. There are really great short scar techniques available for you today. Lastly, the new shaped breast implants help to actually shape the breast. Using these implants, often less surgery on the breast tissue itself is needed to achieve the goal of a beautiful breast that matches the other side. I congratulate you on doing your homework, but don't box your doctor into only one particular way to improve the situation for you.

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns. Pictures would allow for a better evaluation of
your current situation. Please be so kind as to resubmit photos
from the side views of each side and from the front. Ideally, have someone else
take the photos so that you can rest your arms at your sides.

Having said that, please do not take personal the next point that I am trying to make.A lay person does not and will not be appreciate the YEARS of training and experience required to determine which surgical technique is required to achieve the best result for a breast augmentation. Furthermore, even if a person may think they have selected the right technique and tell the surgeon what needs to be done and how. What happens intraoperatively when the person is asleep and something inside of them warrants a modification to be made in the surgery to get them an optimal result? Should the surgery be stopped so they can participate in the decision? No, of course not. The plastic surgeon has YEARS of training and experience to make the correct decision then.  So if they have the experience then, then they certainly have it now. Let the plastic surgeon examine you and help you select the proper size and look you would like. Then let them worry about how to do it. You will have enough trouble being certain of which size you want. This is a difficult decision that only you should make.  So your two decisions are what size and which plastic surgeon. Then trust the plastic surgeon to focus on 'the how' to achieve your realistic goals.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Plastic Surgeon