5'5, 127lbs, help determine size, placement profile & understanding cohesiveness rating for Natrelle?

Question

Subfascial placement? Female, mid-thirties 5’5, 127lb, active looking for modest increase in breast size after having children .I am considered “minimal” tissue on the upper pole, but was leaning towards subfascial placement for concern over interference with exercise and lifestyle choices. How often are the edges visible if stay conservative on cc’s with this approach? If I were to choose this approach, is there a recommended implant, profile, or any other facts I should take into consideration? I have 3 consults, all different opinions, and left confused. I have broad shoulders, so I am going for balance, but would like to be conservative. Breast width was measured at 13 cm. I was told anywhere between 250-350cc and low profile to moderate. Based on pictures, I don’t have a lot of upper pole thickness. What size would be best with the profile for natural look? And profile?

Camille Cash, MD · Answer

For a more natural look it is typically recommended to select submuscular placement.  This will conceal the upper portion of the implant as well as lowering risk of capsular contracture.  Patients are able to resume a regular exercise routine once fully healed from surgery.  It's difficult to suggest a specific implant without examining you.  A moderate or moderate plus implant will provide better upper pole fullness if that is a goal for you.  Often surgeons will have sample implants in the office that you can "try on" to help you get a feel for how you may look after surgery.

William A. Ross, MD - Account Suspended · Answer

Thank you for your question. I am sorry for the confusion you experienced in your previous consults. This process should not cause confusion or alarm. To answer your question properly requires an examination, if you seek a specific answer. This may help to explain. Your breast base width largely determines the general category of volume for each different type of implant, ranging from low profile to ultra high profile. However, your unique tissue cover might dictate whether or not a submuscular placement is preferred. This generally has to do with the amount of upper pole soft tissue cover. Athletic, fit persons such as yourself generally choose this option. Also, I would recommend a more projected implant (high) with a slightly higher volume range, based on what is observed in your photo. This is likely to be more aesthetically pleasing for your frame. In any case, I would use a well-validated, published tool, the Tissue Based Approach for choosing the proper selection of appropriate implants. Most experienced breast surgeons use some version of this during their evaluations and explanations to patients. As one could observe, an overly large implant or one too small can be conspicuous and problematic. For example, an overly large implant can stretch the overlying tissue and cause the implant to displace. Ultimately, a thorough evaluation by a board certified Plastic Surgeon will help determine the best personalized plan to reach your goals. I hope this helps.

5'5, 127lbs, help determine size, placement profile & understanding cohesiveness rating for Natrelle?

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5'5, 127lbs, help determine size, placement profile & understanding cohesiveness rating for Natrelle?

Answers (2)

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Everything you need to know about Natrelle Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.