Am I a candidate? I don't have a lot of breast tissue but would definitely prefer an over the muscle implant, and in an ideal world, through an axillary incision. I also like low profile. Is this right?
Answer: Implant size Dear naturalook, breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful 2 people found this helpful
Answer: Implant size Dear naturalook, breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful 2 people found this helpful
Answer: Breast Implants / Breast Augmentation Surgery / Breast Enlargement -- Implant Location, Incision Location, Silicone Gel Breast I You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants). My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery. I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen
Helpful
Answer: Breast Implants / Breast Augmentation Surgery / Breast Enlargement -- Implant Location, Incision Location, Silicone Gel Breast I You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants). My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery. I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen
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May 25, 2019
Answer: Low Profile Silicone Implants Over the Muscle The main reason breast implants are placed below the pectoral muscle is to offer much more protection against scar capsule contracture, which is the tightening of scar tissue around breast implants that hardens and distorts the breast. This problem is much more likely when implants are placed above the muscle. Therefore, I usually recommend against placement over the muscle. However, it is true that implant placement over the muscle will give more of a lift to the slightly saggy breast, which your photos show. In addition, due to your overall breast and chest size, I think a moderate profile implant might be best. But most importantly, your choice of implant position may depend on your acceptance of the increased risk of capsule contracture with placement over the muscle.
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May 25, 2019
Answer: Low Profile Silicone Implants Over the Muscle The main reason breast implants are placed below the pectoral muscle is to offer much more protection against scar capsule contracture, which is the tightening of scar tissue around breast implants that hardens and distorts the breast. This problem is much more likely when implants are placed above the muscle. Therefore, I usually recommend against placement over the muscle. However, it is true that implant placement over the muscle will give more of a lift to the slightly saggy breast, which your photos show. In addition, due to your overall breast and chest size, I think a moderate profile implant might be best. But most importantly, your choice of implant position may depend on your acceptance of the increased risk of capsule contracture with placement over the muscle.
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May 20, 2019
Answer: Breast Augmentation You have ptotis breasts with a wide base width. I would recommend a high profile device in a dual plane which is partially under the muscle for a nice result. A low profile implant would make your breasts look too wide in my opinion.
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May 20, 2019
Answer: Breast Augmentation You have ptotis breasts with a wide base width. I would recommend a high profile device in a dual plane which is partially under the muscle for a nice result. A low profile implant would make your breasts look too wide in my opinion.
Helpful
May 14, 2019
Answer: Breast augmentation Questions regarding which type, style, and shape of implant to use are best answered in consultation with a board-certified plastic surgeon who can examine you in person and review your options with you. That said, if you do not have a lot of tissue coverage, it is alway nice to recruit extra coverage from the chest muscle by placing the implant under the muscle. One of the other issues regarding above-the-muscle placement is that it increases the risk of developing a capsular contracture, the thick scar tissue capsule that can form around an implant thus making the breast feel firm or distorting the way it looks. Statistically, this is a bigger risk when implants are above the muscle than when it is below the muscle. You can decrease this risk somewhat by using saline implants (lower risk of capsular contracture) but, without the additional muscle coverage, you might feel rippling, which is the big issue with saline implants. If you are concerned about scarring, you might also consider the TUBA (trans-umbilical breast augmentation) procedure, a technique for inserting saline implants through an incision in the belly button. Bottom line: You should schedule a consultation with one or more board-certified plastic surgeons in order to obtain differing perspectives.
Helpful
May 14, 2019
Answer: Breast augmentation Questions regarding which type, style, and shape of implant to use are best answered in consultation with a board-certified plastic surgeon who can examine you in person and review your options with you. That said, if you do not have a lot of tissue coverage, it is alway nice to recruit extra coverage from the chest muscle by placing the implant under the muscle. One of the other issues regarding above-the-muscle placement is that it increases the risk of developing a capsular contracture, the thick scar tissue capsule that can form around an implant thus making the breast feel firm or distorting the way it looks. Statistically, this is a bigger risk when implants are above the muscle than when it is below the muscle. You can decrease this risk somewhat by using saline implants (lower risk of capsular contracture) but, without the additional muscle coverage, you might feel rippling, which is the big issue with saline implants. If you are concerned about scarring, you might also consider the TUBA (trans-umbilical breast augmentation) procedure, a technique for inserting saline implants through an incision in the belly button. Bottom line: You should schedule a consultation with one or more board-certified plastic surgeons in order to obtain differing perspectives.
Helpful