Hi thank you in advance for your answers :) My current implants are Natrelle 410 400MM BWD 15+, hoping for 700-800HP/UHP smooth round unders to increase 2 cup sizes from 38B/C to 38 D/DD. Based on several consultations so far, it seems I do not have CC, one surgeon said I have mild CC. My question is if I do in fact have mild CC, is there too much of a risk to up size in the 700-800cc range? Is it generally safe to have a capsulotomy to open the capsule for the larger implants?
Answer: Implant Exchange It's difficult to answer your questions without examining or seeing photos of your breasts. It may be ok if you don't have a capsular contracture. I recommend seeing a plastic surgeon to see if you're a good candidate for an implant exchange.
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Answer: Implant Exchange It's difficult to answer your questions without examining or seeing photos of your breasts. It may be ok if you don't have a capsular contracture. I recommend seeing a plastic surgeon to see if you're a good candidate for an implant exchange.
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December 17, 2018
Answer: Redo breasts augmentation with double size implants Dear Allie, Posting front and side view pictures would have been helpful. Regardless of your questionable capsule contracture, you will need to have capsulotomy (scar release) in order to make room for the larger implants and create a natural looking breasts. Without the capsulotomy, your breasts will be too tight and possibly painful, and will have an unnatural look with fake cut off at the upper pole. You did not provide your date of previous breasts augmentation surgery. I would recommend that you wait, at least, 4-6 months for the implants to settle and the capsule to mature. The risk of capsule contracture is similar to your original surgery. To reduce the likelihood of capsule contracture formation, avoid supplement , medication and foods that thin the blood 2 weeks before and after surgery, perform implants displacement massage after surgery for 6-12 months, avoid strenuous activity for one month after surgery and take one or two doses of antibiotics before any invasive procedure like deep dental cleaning, colonoscopy etc , to avoid implants' contamination with bacteria and development of Biofilm. Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of redo breasts augmentation in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking. Best of luck, Dr Widder
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December 17, 2018
Answer: Redo breasts augmentation with double size implants Dear Allie, Posting front and side view pictures would have been helpful. Regardless of your questionable capsule contracture, you will need to have capsulotomy (scar release) in order to make room for the larger implants and create a natural looking breasts. Without the capsulotomy, your breasts will be too tight and possibly painful, and will have an unnatural look with fake cut off at the upper pole. You did not provide your date of previous breasts augmentation surgery. I would recommend that you wait, at least, 4-6 months for the implants to settle and the capsule to mature. The risk of capsule contracture is similar to your original surgery. To reduce the likelihood of capsule contracture formation, avoid supplement , medication and foods that thin the blood 2 weeks before and after surgery, perform implants displacement massage after surgery for 6-12 months, avoid strenuous activity for one month after surgery and take one or two doses of antibiotics before any invasive procedure like deep dental cleaning, colonoscopy etc , to avoid implants' contamination with bacteria and development of Biofilm. Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of redo breasts augmentation in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking. Best of luck, Dr Widder
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December 17, 2018
Answer: Size The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with. Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon
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December 17, 2018
Answer: Size The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with. Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon
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December 17, 2018
Answer: Is it safe to have an Implant exchange from 400cc to 800cc? Thank you for the question. Although it is not possible to provide you with definitive advice without an person evaluation, most patients are able to "go larger" at a second stage, once the breast tissues have expanded (after first-time breast augmentation). Sometimes, during this revisionary surgery, adjustment of the breast implant capsules is also necessary to achieve the desired outcome. Yes, generally capsulotomy surgery is safe, assuming it is executed carefully.Exactly how much larger you can achieve during the revisionary breast surgery will depend mainly on your physical examination. In other words, every patient's anatomic starting point will determine how large of a breast implant can be utilized safely, without causing complications. The use of a larger breast implant (than what is safely "allowed" by the patient's anatomy) can be problematic; potential problems include breast implant displacement/malpostion issues ( such as bottoming out, lateral displacement, symmastia...) and/or significant breast implant rippling/palpability.
Helpful
December 17, 2018
Answer: Is it safe to have an Implant exchange from 400cc to 800cc? Thank you for the question. Although it is not possible to provide you with definitive advice without an person evaluation, most patients are able to "go larger" at a second stage, once the breast tissues have expanded (after first-time breast augmentation). Sometimes, during this revisionary surgery, adjustment of the breast implant capsules is also necessary to achieve the desired outcome. Yes, generally capsulotomy surgery is safe, assuming it is executed carefully.Exactly how much larger you can achieve during the revisionary breast surgery will depend mainly on your physical examination. In other words, every patient's anatomic starting point will determine how large of a breast implant can be utilized safely, without causing complications. The use of a larger breast implant (than what is safely "allowed" by the patient's anatomy) can be problematic; potential problems include breast implant displacement/malpostion issues ( such as bottoming out, lateral displacement, symmastia...) and/or significant breast implant rippling/palpability.
Helpful
December 17, 2018
Answer: Implant exchange Dear allie2_0,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
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December 17, 2018
Answer: Implant exchange Dear allie2_0,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
Helpful
