I have textured, round, 265cc, hp over the muscle. Note: I can't have unders btw. I have mild constriction of the lower poles and slightly short nipple to inframmery fold distance. Mysurgeon said he would release the bands internally and do some pocket work. He recommended tear drop implants to fill out the lower pole more (something I desire but don't have now) we agreed on about 400cc. I am scared about anatomicals flipping. How common is this?Can I get the look I want with rounds?
September 6, 2019
Answer: Implant size and type Dear Eleanoradoll, 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
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September 6, 2019
Answer: Implant size and type Dear Eleanoradoll, 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
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September 7, 2019
Answer: Risk of rotation of teardrop implants, but there are benefits too. Hello Eleanor,This is a difficult question to answer and would be best addressed with an in-person consultation.Teardrop implants do run the risk of rotation and so this risk needs to balanced against the benefit in terms of the difference in shape with less fullness in the upper part of the breast. You could consider polyurethane foam implants which are much less likely to rotate than textured silicone implants.I would be concerned about going bigger and going teardrop. For a given base width, a teardrop implant will tend to be smaller than a round implant. This means that if you are going for a 400cc teardrop implant, it is likely to be quite a bit wider than your 265cc round implants.I would always advise caution about going too wide with your implants as this can cause problems (synmastia, lateral fullness). This is why I really think you need to go over everything with a fully trained plastic surgeon - look for the letters FRCS(Plast) after their name.Good luck.
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September 7, 2019
Answer: Risk of rotation of teardrop implants, but there are benefits too. Hello Eleanor,This is a difficult question to answer and would be best addressed with an in-person consultation.Teardrop implants do run the risk of rotation and so this risk needs to balanced against the benefit in terms of the difference in shape with less fullness in the upper part of the breast. You could consider polyurethane foam implants which are much less likely to rotate than textured silicone implants.I would be concerned about going bigger and going teardrop. For a given base width, a teardrop implant will tend to be smaller than a round implant. This means that if you are going for a 400cc teardrop implant, it is likely to be quite a bit wider than your 265cc round implants.I would always advise caution about going too wide with your implants as this can cause problems (synmastia, lateral fullness). This is why I really think you need to go over everything with a fully trained plastic surgeon - look for the letters FRCS(Plast) after their name.Good luck.
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