I am 7 months post op, and went for my pre-op revision yesterday. I am looking to have a much fuller look with more projection. When I spoke with my PS about this, he told me that he didn't think he could put 750 in. When I asked why he said he doesn't think he can stitch me back up... So he said he would try but more than likely I would end up with 600-650 maybe 700. He said he would play with the sizers while in surgery. I am not to happy about this! How can I get him to put in what I want? And is this possible? Also, will I achieve the look I am going for with anywhere from 600-750 hp silicone's verses the 390 overfilled 425 saline mod profile I have? Thanks a bunch.
Answer: Increasing size of implant
This is a common issue. You want a certain size and your Plastic Surgeon is concerned that the size implant you have chosen will be too large. I think that if your PS is willing to test out the size you want during surgery with sizers, then you should trust his professional opinion. However, if you are adamant that you want a certain size implant, then you may want to consult with another board certified plastic surgeon.
It is our job to put the patient's safety first and to minimize the risk of complications.
Helpful 2 people found this helpful
Answer: Increasing size of implant
This is a common issue. You want a certain size and your Plastic Surgeon is concerned that the size implant you have chosen will be too large. I think that if your PS is willing to test out the size you want during surgery with sizers, then you should trust his professional opinion. However, if you are adamant that you want a certain size implant, then you may want to consult with another board certified plastic surgeon.
It is our job to put the patient's safety first and to minimize the risk of complications.
Helpful 2 people found this helpful
Answer: 425 Moderate Profile to 600-750 High Profile Increasing your current implant #size may cause additional #sagging. Also, increasing implant size requires adjusting the #pocket and often a #breast lift may be necessary; to better #support the new implant. Additionally, a mesh for further #support may be helpful depending on the #implant size and skin #elasticity. Your doctor may not recommend a size increase due to the added weight which may stretch the skin.The type and shape of the #implant will also determine the final result and the right implant for the revision is contingent on shape of body and your desired outcome. Perhaps, you may benefit from a different type of breast #implant with more volume.Typically, it's best to wait 6 to 12 months depending on the reason for #revision. Matters such as sagging or drooping and size change will not improve with time. If you do decide to go smaller, please keep in mind a Breast #Lift may be necessary to #tighten loose skin.As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, communication and asking questions of your surgeon and the staff are key. Another element to a satisfying result of your #augmentation is realistic #expectations.
Helpful 1 person found this helpful
Answer: 425 Moderate Profile to 600-750 High Profile Increasing your current implant #size may cause additional #sagging. Also, increasing implant size requires adjusting the #pocket and often a #breast lift may be necessary; to better #support the new implant. Additionally, a mesh for further #support may be helpful depending on the #implant size and skin #elasticity. Your doctor may not recommend a size increase due to the added weight which may stretch the skin.The type and shape of the #implant will also determine the final result and the right implant for the revision is contingent on shape of body and your desired outcome. Perhaps, you may benefit from a different type of breast #implant with more volume.Typically, it's best to wait 6 to 12 months depending on the reason for #revision. Matters such as sagging or drooping and size change will not improve with time. If you do decide to go smaller, please keep in mind a Breast #Lift may be necessary to #tighten loose skin.As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, communication and asking questions of your surgeon and the staff are key. Another element to a satisfying result of your #augmentation is realistic #expectations.
Helpful 1 person found this helpful
June 17, 2016
Answer: Breast Implant , Safety, and Revisionary Breast Surgery?
Every good plastic surgeon has one priority on his/her mind: safety. If your plastic surgeon feels that the use of a specific size/volume of breast implant would compromise the safety of the operation ( for example, not be able to “stitch you back up”) then as a patient you have 2 options. The first would be to respect his/her professional opinion; the second would be to seek a 2nd opinion consultation with a well experienced board-certified plastic surgeon.
Make sure you do not “push” your plastic surgeon in trying to use a breast implant that is too large for your friend; doing so will increase the risk of complications and the likelihood of further surgery will be necessary.
I hope this helps.
Helpful 2 people found this helpful
June 17, 2016
Answer: Breast Implant , Safety, and Revisionary Breast Surgery?
Every good plastic surgeon has one priority on his/her mind: safety. If your plastic surgeon feels that the use of a specific size/volume of breast implant would compromise the safety of the operation ( for example, not be able to “stitch you back up”) then as a patient you have 2 options. The first would be to respect his/her professional opinion; the second would be to seek a 2nd opinion consultation with a well experienced board-certified plastic surgeon.
Make sure you do not “push” your plastic surgeon in trying to use a breast implant that is too large for your friend; doing so will increase the risk of complications and the likelihood of further surgery will be necessary.
I hope this helps.
Helpful 2 people found this helpful
November 19, 2012
Answer: Implant Size Increase
Part of a surgeons job is to do what is, in their opinion, best for the patient. Unfortunately, sometimes the right thing for a surgeon to do isn't always what a patient thinks they want. The body has limitations. It is likely that your surgeon is recommending what he/she feels is the best to achieve a good outcome for you now and in the long-term. Best Wishes!
Helpful
November 19, 2012
Answer: Implant Size Increase
Part of a surgeons job is to do what is, in their opinion, best for the patient. Unfortunately, sometimes the right thing for a surgeon to do isn't always what a patient thinks they want. The body has limitations. It is likely that your surgeon is recommending what he/she feels is the best to achieve a good outcome for you now and in the long-term. Best Wishes!
Helpful
November 12, 2012
Answer: How much larger can I go?
Thank you for your question and for providing the photos. It is impossible to make any definitive choices based on photos alone, but I can offer some thoughts. There are some limits regarding the maximal implant size that your body can fit. The issues that determine this include the overlying skin and soft tissue, and the width of your chest and breast. When the limits of either of these two factos are exceeded, the results can be unnatural and distorted.
It is also important to think in 3 dimensions when thinking about breast implant selection. Your current breast implants have a width of 13cm with 4.5 cm of projection. Changing to a high profile silicone implant will give you more projection, but also more width. The 750cc high profile implant has a width of 15.1 cm and a projection of 5.9 cm. This is a significant increase in width, which could lead to excess superior fullness and nipples located at the lower portion of the breast. In addition, your skin has to have enough elasticity and excess to accommodate the extra projection that you are hoping for.
I would suggest continued dialog with your plastic surgeon. If you are uncomfortable with his recommendations, then sometimes a second opinion can be helpful. Keep in mind that there are some limits, and that the ultimate goal should be breasts that are beautiful and not just big.
Best of luck with your breasts.
Jeff Rockmore
Helpful
November 12, 2012
Answer: How much larger can I go?
Thank you for your question and for providing the photos. It is impossible to make any definitive choices based on photos alone, but I can offer some thoughts. There are some limits regarding the maximal implant size that your body can fit. The issues that determine this include the overlying skin and soft tissue, and the width of your chest and breast. When the limits of either of these two factos are exceeded, the results can be unnatural and distorted.
It is also important to think in 3 dimensions when thinking about breast implant selection. Your current breast implants have a width of 13cm with 4.5 cm of projection. Changing to a high profile silicone implant will give you more projection, but also more width. The 750cc high profile implant has a width of 15.1 cm and a projection of 5.9 cm. This is a significant increase in width, which could lead to excess superior fullness and nipples located at the lower portion of the breast. In addition, your skin has to have enough elasticity and excess to accommodate the extra projection that you are hoping for.
I would suggest continued dialog with your plastic surgeon. If you are uncomfortable with his recommendations, then sometimes a second opinion can be helpful. Keep in mind that there are some limits, and that the ultimate goal should be breasts that are beautiful and not just big.
Best of luck with your breasts.
Jeff Rockmore
Helpful