What is recommended size for me? (photos)
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Doctor Answers 13
Breast Augmentation - Size Selection
Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.
What size breast implants to choose?
I do hope you are also having a breast lift because I don't believe you will be happy with larger lower breasts. The problem with placing implants in an already low breast is that your breasts become abdominal breasts not breasts on your chest where they belong. If like so many women I've seen, you've chosen to go the implant route to avoid all the scarring associated with breast lifts, you do have another choice. The Bellesoma method was developed using engineering principles to reshape, re-position and provide long term stability to a woman's breast without the extra cost, risks/complications and maintenance associated with breast implants. The vertical incision has also been completely eliminated offering a better esthetic result. I've attached an example so you can see what can be done with this technology.
Hello and thank you for posting pictures along with your question. The first thing that I notice from the pictures is that your nipple position appears to be a little low. I agree with many of my colleagues who have written below recommending that you may want to consider having a lift. The only way that determination can be made for sure is through an in person evaluation in which an evaluation of the breast and its land marks can be made, measurements taken and a discussion had on your expectations of results. Hopefully your plastic surgeon is board certified and has done and feels comfortable with augmentations and lifts at the same time. I think you should revisit with your plastic surgeon and see what their thoughts are on you needing a lift and for them to explain the different aesthetic results if you were to have an augmentation alone vs a lift alone, vs an augmentation plus a lift. I hope this helps!
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Mastopexy and implants
Thank you for your inquiry and for providing photos. In my opinion you are a candidate for a mastopexy. (implants can be combined if you desire added volume)
A Mastopexy aims at relocating the areola and nipple in the proper position and tightens the breast tissue while removing the excess loose skin. With important ptosis, the procedure will leave a scar that has the shape of a boat anchor: around the areola, on the breast and below the breast. More moderate ptosis can be treated with a periareolar incision only or with a periareolar and vertical incisions.
Be sure to see a board certified plastic surgeon for optimal results.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
What is recommended size for me?
Thank you for the question. Based on your photographs, it appears to me that you will likely benefit from breast lifting surgery as well. Keep in mind, that your arms are elevated in the photographs potentially changing position of your breasts on your chest wall.
In regards to optimal breast implant size/profile, online consultants will not be able to provide you with specific enough advice to be truly helpful. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical.
***Given your concerns, I would suggest that you schedule additional time to spend with your plastic surgeon communicating your goals, preferably prior to the date of surgery.
Generally speaking, the best online advice I can give to ladies who are considering 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 are 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 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. For example, I have found that the use of words such as “natural” or "D or DD cup” or "looks good for me" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
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, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes.
What is recommended breast implant size for me?
Thank you for your question and photo. Your breast implant size will be based on a measurement of the base width of your breast which your surgeon should measure. You do have mammary ptosis or sagging and based on your photo you should discuss with your surgeon the possibility of having a breast lift in addition to implants. To understand possible risks of having implants without a lift please read the following link:
Best Breast Implant Size
A good exam and measurements are important parts of determining the best breast implant size for you. So is trying on implant sizers in the presence of your surgeon and a trusted companion. Combining what you want with what the surgeon thinks your skin can safely hold is the best way to ensure a nice result !
Picking the right implant size to achieve your goals
Dear Molan82: Based on your photos alone, it appears you have some sagging or ptosis. You would likely benefit from a breast lift with your augmentation. In terms of picking the right implant size to achieve your goals, generally speaking, I consider two factors when selecting implants for my patients:
1. Dimensional planning
2. Gel Implant Sizing system
Dimensional 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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.