i was a 34 b pre op and now have 380 cc saline under the muscle TUBA , my right implant is sitting too high still a year later. Im getting a capsulectomy and putting in 550-600 saline since i want bigger . I'm worried i will still have a problem with my right breast? my new ps said the original pocket was probably not placed correctly since it was TUBA .. I'm having this incision through the crease. I'm worried the implants will be too big for my chest and it'll sit high again, or worse, both!
February 17, 2014
Answer: What is too big ? All of aesthetic plastic surgery is balance between body shape and body structures. The TUBA technique is great, but when there is an unsaticfactory result, an open approach is almost always necessary. To see a significant change in breast size usually means a 25-30%increase in volume from the prior implant. So....you would need an implant volume of approximately 475 cc to show a meaningful enlargement. That size may be too large. Talk to your PS for the best opinion.I wish you well !
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February 17, 2014
Answer: What is too big ? All of aesthetic plastic surgery is balance between body shape and body structures. The TUBA technique is great, but when there is an unsaticfactory result, an open approach is almost always necessary. To see a significant change in breast size usually means a 25-30%increase in volume from the prior implant. So....you would need an implant volume of approximately 475 cc to show a meaningful enlargement. That size may be too large. Talk to your PS for the best opinion.I wish you well !
Helpful
February 17, 2014
Answer: Correcting A TUBA mistake Choosing an implant, both size and fill, can be daunting. It is almost impossible to fully wrap your head around what the decision means before making it. Many surgeons use a 3-D system called VECTRA which can help you envision approximately what your results will look like with different style and size implants. I have the discussion with patients who want bigger implants that they have to accept an increased risk of trouble down the line. A 600 or more CC implant is fairly heavy. In a woman without a lot of breast tissue, it will push out on the breast tissue to thin it and pull down on your chest skin putting you at risk for the implant falling lower or stretching your skin out. In a large breasted woman to begin with, a 600 cc implant is sometimes necessary to note a significant change. As with most things, the surgery has to be built around you and your body to get your best results. If you are not sure of your decision, have the discussion with your surgeon. I am sure he or she would love the opportunity to help guide your decision.Best,Dr. Pyle
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February 17, 2014
Answer: Correcting A TUBA mistake Choosing an implant, both size and fill, can be daunting. It is almost impossible to fully wrap your head around what the decision means before making it. Many surgeons use a 3-D system called VECTRA which can help you envision approximately what your results will look like with different style and size implants. I have the discussion with patients who want bigger implants that they have to accept an increased risk of trouble down the line. A 600 or more CC implant is fairly heavy. In a woman without a lot of breast tissue, it will push out on the breast tissue to thin it and pull down on your chest skin putting you at risk for the implant falling lower or stretching your skin out. In a large breasted woman to begin with, a 600 cc implant is sometimes necessary to note a significant change. As with most things, the surgery has to be built around you and your body to get your best results. If you are not sure of your decision, have the discussion with your surgeon. I am sure he or she would love the opportunity to help guide your decision.Best,Dr. Pyle
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