Would gummies be best option for me? Can you do two different sizes or would saline be better? (photos)
Doctor Answers 8
Slightly different breasts does not warrant different size implants
Breast Implant Revision/Breast Augmentation/Anatomic Gummy Bear Implants/ Silicone Implants/Breast Implant Revision Surgery
Please do not use "gummies." (the term) But choose cohesive silicone gel implants.
Sientra actually had the first FDA-approved form-stable, teardrop shaped, highly-cohesive silicone gel implants (before the 410s were approved), and the manufacturer decided to capitalize on the "catchy" moniker "gummy bear" implants, and decided to market all of its silicone gel (all cohesive) implants as "gummy bear" implants. So it depends on if you're talking about round or teardrop, smooth or textured, cohesive silicone gel implants from Sientra ("gummy bears"), style 410 teardrop-shaped textured cohesive silicone gel implants from Allergan ("gummy bears"), or Mentor smooth round cohesive silicone gel implants. ALL are cohesive, so all are "gummy bear" implants, and yet the term was originally used only to specify a certain "anatomic" teardrop-shaped more-cohesive form-stable silicone gel implant from one company. Stop the insanity!
This is too confusing, so I think we should all agree to stop using the term "gummy bear" and talk about what actually we mean, including our patients, who naturally are confused!
I have a whole section in my Comprehensive Guide to Breast Augmentation that answers many of your questions about the different types and styles of implants. Click on the web reference below for that information.
That being said, 85% of women and their plastic surgeons choose cohesive silicone gel implants, and the vast majority put them below the muscles to reduce capsular contracture. Smooth, round silicone implants are not rotationally sensitive (do not require precise placement like textured teardrop implants, which also don't drop much or move as naturally), drop to the side of your chest when reclining like naturally larger breasts, are teardrop-shaped when upright, and round when reclining (just like natural breasts), and are soft when you hug someone! Plus, they don't EVER leak or deflate like saline implants can do, don't ripple as much as saline implants do, and have the same lifetime replacement policy if there is ever a manufacturer's defect (super rare).
I do NOT recommend periodic MRI studies with silicone gel implants, though surgeons who like or recommend saline implants often "bring this up" as a scare tactic to dissuade patients from considering silicone. They are not needed since cohesive silicone gel implants cannot "leak." Rupture is extremely rare unless the implant is damaged by the surgeon on insertion, which IMHO is the single most common reason for implant "rupture."
Read my Comprehensive Guide, see one or more ABPS-certified plastic surgeons who do lots of breast surgery (ASAPS member), and you're on your way to a new you! BTW, two different implant sizes can account for any pre-existing asymmetry and improve your result. Best wishes! Dr. Tholen
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Would gummies be best option for me?
Using Differently-Sized Implants for Breast Asymmetry
Gummy silicone implants would be a nice option for you. Whether or not they are the best option for you depends on your personal preferences. I can appreciate the breast asymmetry that you have baseline. Adding a slightly larger silicone implant to the left side as compared to the right would likely help account for that volume asymmetry. That being said, when you add the same volume to each breast, the percent difference you had at baseline will decrease even if the absolute difference between the breast volumes does not change.
While a breast augmentation can not create breasts that are mirror images of each other, it certainly is a great time to try and account for some of the volume discrepancies that have have noticed for a long time.
Best of luck!
Would gummies be best option for me? Can you do two different sizes or would saline be better?
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, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical. 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 “very natural” or "full C cup" 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 for petite patients) helps. Best wishes for an outcome that you will be very pleased with.