27, 129lbs, am I a good candidate for breast implants? (Photos)

Question

I’m a 27 year old woman who weighs 129 l pounds. I have no ongoing health concerns, nor do I take medications. I feel like I am ready to take the plunge and get larger boobs with implants, but I have been worried about loss of sensitivity in my nipples. Is one type of surgery or implant better than the others to try to avoid this concern? Thank you!

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Donovan Rosas, MD · Answer

Changes in sensation can occur (sometimes for the greater, sometimes for the lesser). These changes, while unpredictable are typically self limited and resolve over time.

With regards to your specific question, submuscular/dual plane placement via an IMF approach is unlikely cross the path of the main innervation to the NAC.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Donald Groves, MD · Answer

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this: 
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Gianfranco Frojo, MD · Answer

If the implant is placed below the muscle with proper technique, this should not create any issues with nipple sensitivity. The main nerve runs OVER the muscle and then heads up to the nipple areola complex through the breast tissue. Breast augmentation done OVER the muscle will potentially disrupt this nerve path and create potential sensitivity issues.

Brian K. Reedy, MD · Answer

Thanks for your question! Interestingly enough, it looks like you already have implants! You have a pretty breast, and I would be careful not to go too much larger. Something moderate and subtle will add volume in a really nice way. Good luck!

Joe Gryskiewicz, MD, FACS · Answer

Hello, 
With no ongoing health concerns or medications being taken those are a good examples of being a good candidate for breast implant surgery. You have great anatomy for them. While desensitization is a very low risk, you may opt for the axillary incision. All the best, Dr. Joe

Daniel Barrett, MD · Answer

Dear Fearless621110,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Jeffrey Lisiecki, MD · Answer

Yes, based on your photos and description you are a great candidate for a breast augmentation.  Temporary changes in nipple sensitivity (either increased or decreased, for up to a couple of months) are common after breast augmentation, but long term loss of sensation would be very rare and unusual.  The type of implant is irrelevant in this respect, as long as it is sized appropriately for you.  Incision in the fold under the breast may decrease the risk of nipple numbness relative to incision around the areola; the fold incision is generally safer for other reasons as well, so that is my usual incision location.

Harry T. Haramis, MD, FACS · Answer

You are an ideal candidate for breast augmentation with implants.

Temporary decrease in nipple sensation is common and usually doesn’t matter which incision or which implants. Some women will have temporary increased sensation. It is extremely rare for permanent changes in nipple sensation.

Common approach is under the breast fold with gel implants.

Proper size and incision choice can be discussed in detail during consultation with a plastic surgeon.

Connie Hiers, MD, FACS · Answer

You have a very nice size now for your tissue and frame, but can go larger if you want. I would suggest not going too large for your tissue may not support heavy breasts.

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