Breast augmentation 101
If the foot print of the breast is properly sized to match the foot print of the implant, then in 6 months the implants will settle and create a look that can be very natural. Certain breast measurements taken in the office will help to determine the proper size of the implant to match your anatomy. This implies that 45% of the volume of the implant is above the equator of the breast and 55% is below. As far as rippling is concerned, baseline soft tissue coverage determines this. If the amount of soft tissue is less than ideal thereby increasing the risk of rippling, then consideration for submuscular or dual plane placement should be entertained. As far as armpit incision versus crease, there is strong evidence to suggest that the crease incision may be superior for many reasons. I would strongly consider being seen by a board certified plastic surgeon who specializes in cosmetic breast procedures.
Dr. Ravi Somayazula
Clearly convey your goals with your plastic surgeon to get the results you desire.
Thank you for your question and photos. The importance of clearly conveying the results you hope to achieve to your plastic surgeon before breast augmentation cannot be understated. Your plastic surgeon cannot tell you if your expectations are realistic or deliver results you’ll be happy with if he or she doesn’t truly understand what you want. With that said, your anatomy can limit what kind of change or improvement can be achieved, but your plastic surgeon can discuss this with you after an examination. If your main goals are to have soft-feeling breasts with no visible rippling, you will likely want to choose silicone implants which feel more like natural breast tissue and are less likely to be visible through the skin. Depending on the thickness and quality of your breast skin and tissue, you may be more prone to having visible implants. Discuss this with your plastic surgeon. For some women, fat transfer around the breast implants can be an ideal way to further camouflage and conceal them. Incision placement will also depend on your anatomy and can be discussed during your consultation.
Breast Augmentation Questions
You need to have a few consultations with ABPS certified/ASAPS member surgeons to understand the risks, benefits, and limitations of breast augmentation and breast implants.
Best of luck!
Breast implants are not light weight
Thank you for your question and helpful photos.
I'm afraid breast implant manufacturers have yet to figure out how to make them lighter in weight. As you may already know, breast implants are heavy and do become displaced after time in the body. I have found that implants stay in place longer when they are small and completely behind the muscle for support. Once the muscle is cut (dual plane technique) or they are placed above the muscle, implants have a tendency to displace laterally which causes 'the unnatural looking gap in the middle'. Ripples are usually common in women who are extremely thin or have no natural breast tissue to cover the implant.
I hope this helps.
Best wishes and kind regards,
It looks like you will likely get a great result
augmentation. I think you would benefit from a breast augmentation with
dual plane technique with the Natrelle or Inspira silicone gel implants. In my dual plane technique, generally the upper 2/3 of
your implant is under the muscle but lower third of your implant is
above the muscle. I believe this helps to achieve a natural tear-drop
shaped breast in many different body types.
In terms of picking the right implants to
goals, generally speaking, I consider two
factors when selecting implants for my patients:
1. Dimensional planning
2. Gel Implant Sizing system
planning – The measurements of your chest wall are taken. Also, the
breast dimensions including the height, width, and current dimensions of
each breast form the basis of dimensional planning. Based on these
measurements, the implant size is recommended. This will give you a
unique breast implant that is suited for your body frame. However, there
are some limitations of what size we can recommend. For instance, some
implants may just be too big for a narrow chest wall. Your surgeon can
review this with you during the consultation.
Gel Implant Sizing
system – During the preliminary breast implant consultation, you will
be provided with an option to “try on” a variety of implant shapes and
sizes. You can also visualize the possible outcomes of your surgery
which helps you to get that perfect size to give you the shape that you
longed for. This way your preferences are known and you can then pick a
range of implants that will “fit” just right to give a soft natural
fuller look. Hope this helps.
What are the side view options for breast implants?
Thank you for sharing your question and photographs. I would recommend looking at the Allergan 410 anatomic implants to best meet your needs and achieve your desired results. This implant uses a more cohesive silicone gel cutting down on the risk of rippling and wrinkling while preserving the tear drop fall that you are interested in. Since pocket creation is critical to placement I would favor using a breast crease incision for your augmentation. Hope this helps and be sure to see a board certified plastic surgeon.
Thanks for your question. A silicone gel implant (Memory Gel) is your best bet in my opinion. The Memory Shape implant has a firmer feel and I'm not sure you would be as happy. You have a great shape and would not need a lot of volume to get the result you are after. Using an IMF incision rather than an axillary approach is a much better approach. I think you would really benefit from consulting with someone who has the Vectra 3D system to show simulations. Find a Board Certified Plastic Surgeon in your area who is an ASAPS member. The Smart Beauty Guide is an excellent resource. Best of Luck!
Side boob options with a BA
You appear to have a very nice breast shape and volume for a good result. I would recommend a silicone implant to reduce the appearance of rippling and feel more natural. I would also recommend a breast fold incision vs a axillary incision. The inframammary crease scar heals well, technically safer to perform, and gives consistent longterm results. I've seen too many axillary scars that have scarred poorly, or more often have implant malposition issues because of the technical challenges of the technique. If you insist in axillary incision, then find a surgeon who does them all day, every day, for the best result. I don't do axillary augmentations for the reasons above, and many more.
Please make an in-person consultation
with a ABPS board certified PS to evaluate you and discuss your options.
Hope that helps and best wishes!
ABPS Board Certified
The implants you want don't exist
To clarify my above statement, you are asking too much of the implants and plus you say contradictory things. For example, you say you want an implant that doesn't ripple (everyone does). However, it is important to realize that anything that has fluid motion and is soft will possibly ripple. So, even the best silicone implants have a chance of rippling. Only solid things don't ripple. You may not necessarily see the ripples, but you will possibly feel them. You say you want a "tear drop fall", but then say you want "perky breasts". Perky breasts indicate you want upper breast fullness which goes against a "tear drop fall" (which in my opinion looks like an older woman's breasts). All the photos you have shown of your desired look have round implants with a slight bit of "sagginess" (which looks very natural, but this is created by the woman's skin envelope and not the implant). You also state that you want to go through the underarm. This is another reason why you should opt for round implants. Putting anatomic(or "tear-drop shaped") implants through the underarm is technically challenging and their is high chance that the axis of the 2 implants won't be the same so one will look crooked.
Try Gummy Bear Implants
It sounds like you know exactly what you are looking for and that is a great start for this process. I would suggest looking into the gummy bear implant. Woman at my practice have been loving the natural looking shape and feel of the implants. They are also fold and ripple resistant and leak proof. The link below will take you to a blog post from our office all about the gummy bear implant. Good luck!