Hi, I am getting an imoamnt exchange in November at cg cosmetics. My first procedure was a DUAL PLANE breast aug with 365cc full profile Natrelle Inspira silicon implants. I’m not even sure what dual plane is but my doctor will be doing under the muscle and hasn’t decided on implant size yet. I would like more upper pole fullness and more cleavage while remaining natural looking but just full. Will my nipples sit lower if I go below muscle? Would you suggest a lift? What implant would you recommend?
October 9, 2024
Answer: Under the muscle is essentially the same as dual plane Dual plane means is that the top of the implant is under the muscle and the bottom is covered only by breast tissue. It is nearly impossible for the muscle to completely cover the implant, and it's not possible to stretch it back over an implant this large once the muscle has been previously released. I imaging your surgeon is just keeping the existing pocket and is saying "under the muscle" to distinguish from moving it to above the muscle. Your nipple position looks good, so I do not think a lift is indicated. Everyone has a capsule of scar tissue surrounding your implant. This layer of tissue can sometimes be tightened (with sutures or cautery) to allow for the implant to sit a little higher and closer to the center of the chest. I usually have patients try on sizers to see how much additional volume they prefer. Generally, 100-150mL will give fullness without significantly changing cup size. The newer implants are overfilled (like Inspira implants), which will maintain fullness at the top of the implant better than a "classic fill" implant.
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October 9, 2024
Answer: Under the muscle is essentially the same as dual plane Dual plane means is that the top of the implant is under the muscle and the bottom is covered only by breast tissue. It is nearly impossible for the muscle to completely cover the implant, and it's not possible to stretch it back over an implant this large once the muscle has been previously released. I imaging your surgeon is just keeping the existing pocket and is saying "under the muscle" to distinguish from moving it to above the muscle. Your nipple position looks good, so I do not think a lift is indicated. Everyone has a capsule of scar tissue surrounding your implant. This layer of tissue can sometimes be tightened (with sutures or cautery) to allow for the implant to sit a little higher and closer to the center of the chest. I usually have patients try on sizers to see how much additional volume they prefer. Generally, 100-150mL will give fullness without significantly changing cup size. The newer implants are overfilled (like Inspira implants), which will maintain fullness at the top of the implant better than a "classic fill" implant.
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October 9, 2024
Answer: Breast Revision and Nipple Positioning As far as implant sizing goes, that is a difficult question to answer online without a proper exam as well as a long discussion and evaluation of desired photos. Your NAC appears to be in a good position, however what sets off the asymmetry is that your right breast in the photos has a longer NAC to crease distance. Difficult to tell if that is because of a difference in the crease positioning between the two breasts or you just have more lower pole stretch on that side. If it is the crease then positioning the crease during your surgery will help with the issue. If it is more lower pole skin then removing some of the skin with inferior mastopexy would be the treatment. Hope that helps, good luck on your surgery.
Helpful
October 9, 2024
Answer: Breast Revision and Nipple Positioning As far as implant sizing goes, that is a difficult question to answer online without a proper exam as well as a long discussion and evaluation of desired photos. Your NAC appears to be in a good position, however what sets off the asymmetry is that your right breast in the photos has a longer NAC to crease distance. Difficult to tell if that is because of a difference in the crease positioning between the two breasts or you just have more lower pole stretch on that side. If it is the crease then positioning the crease during your surgery will help with the issue. If it is more lower pole skin then removing some of the skin with inferior mastopexy would be the treatment. Hope that helps, good luck on your surgery.
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