Implant selection on petite bony chested women (photo)
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Doctor Answers 11
Pick an implant that fits your breast
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Implant selection on petite bony chested women
Implant selection on petite bony chested women
Kenneth Hughes, MD
Los Angeles, CA
You should see a board certified plastic surgeon in your area to get a formal opinion through and in-person consultation.
Best of luck, Vincent Marin, MD
San Diego Plastic Surgeon
Natural Breast Augmentation Results
If you allow the surgeon to anatomically determine the best implant dimensions for you, you should achieve a relatively natural look with a 'sloped' upper pole of the breast. Form stable implants, AKA gummy bear implants, are able to give you the most predictable and natural upper poles.
If you become tied to a bra cup size, all bets are off. In a thin, small breasted woman like yourself, a disproportionately large implant will not look natural or have a gentle upper pole slope. This is especially true for high profile implants, which are so commonly used in women like yourself.
Although you mention a concave chest and express concern with final nipple position, your photos indicate normal looking anatomy, although one breast is larger than the other. A true physical exam will help determine if there are any potential anatomical issues that might affect the result of your surgery.
Visit a few highly regarded cosmetic breast surgeons who are both certified by the ABPS and members of the ASAPS. Be sure to express your true priority, i.e. natural looking breast shape vs. some goal bra size. I'm sure you can get a very nice result!
Best of luck!
- Benefits and risks: Silicone implants have a silicone rubber shell that is pre-filled with a certain amount of silicone gel, depending on your desired cup size. Every implant contains a patch covering the implant’s manufacturing port. Silicone implants offer a more natural look and feel, but may or may not be more prone to capsular contracture.
- Innovative cohesive gel: Cohesive silicone gel mimics the appearance and feel of real human fat, and thus provide the most natural result. The gel also maintains its shape, so if your breast implant tears or breaks, the gel won't leak out and the breast won't lose all its shape.
- Safety profile: In the early 1990s there was speculation that silicone breast implants were responsible for connective tissue diseases in certain patients. But after an extensive evaluation, the Institute of Medicine concluded that there was "no definitive evidence linking breast implants to cancer, neurological diseases, neurological problems or other systemic diseases." ISilicone breast implants have an excellent safety profile and have not been shown to increase your risk of breast cancer or systemic disease
Implant selection on petite bony chested women ?
The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, desired outcome, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant.
Keep in mind that following the exact advice from a surgeon on this or any other website who proposes to tell you what to do based on limited 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggestyou find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
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.