Im 26, 5'6" 115lbs. I have extreamly small breasts. . What i am looking is a VERY natural full 32B or 32C. choice of implant is teardrop shape cogel Do i have to do under the muscle ? I heard it is more down time and hurts more. Can i go over the muscle? Will it look unnatural? I also heard under the muscle can have a weird motion. If i go over the muscle can choose from under the breasts incision or armpit? What is the average price for the cohesive gel augmentation? Thanks
April 27, 2015
Answer: Breast augmentation Thank you for your question and for providing the photos. There are a variety of different implant options available currently, and the proper choice needs to be individualized to meet each woman's unique needs. These include both saline and two types of silicone implants. Each has advantages and disadvantages, and these can be discussed during your consultation. Thin women with minimal breast tissue often do best with silicone implants. These can be the form stable, anatomic implants or the more traditional silicone gel implants.Given your thin chest and current breast size, it is preferable to place the implants beneath the pectoralis muscle. This will give more coverage superiorly and medially and minimize rippling and implant show. While it will be a bit more painful, the discomfort is relatively brief and can be well controlled. The choice of incision is best discussed with your surgeon, though the beneath the breast (inframammary) choice is most common.I would suggest consulting with an experienced plastic surgeon to discuss your specific needs. The cost of breast augmentation in my Albany, NY practice ranges from $6000-6800 depending on the type of implants used. This can also be discussed with your plastic surgeon during your appointment.Best of luck with your breasts.Jeff Rockmore
Helpful
April 27, 2015
Answer: Breast augmentation Thank you for your question and for providing the photos. There are a variety of different implant options available currently, and the proper choice needs to be individualized to meet each woman's unique needs. These include both saline and two types of silicone implants. Each has advantages and disadvantages, and these can be discussed during your consultation. Thin women with minimal breast tissue often do best with silicone implants. These can be the form stable, anatomic implants or the more traditional silicone gel implants.Given your thin chest and current breast size, it is preferable to place the implants beneath the pectoralis muscle. This will give more coverage superiorly and medially and minimize rippling and implant show. While it will be a bit more painful, the discomfort is relatively brief and can be well controlled. The choice of incision is best discussed with your surgeon, though the beneath the breast (inframammary) choice is most common.I would suggest consulting with an experienced plastic surgeon to discuss your specific needs. The cost of breast augmentation in my Albany, NY practice ranges from $6000-6800 depending on the type of implants used. This can also be discussed with your plastic surgeon during your appointment.Best of luck with your breasts.Jeff Rockmore
Helpful
Answer: Very Small Breasts - Seeking Very Natural Result Even with women with very small breasts can achieve a very natural result with breast implants. Many plastic surgeons will have a gallery of before and after images specifically devoted to women with limited breast tissue and small implants, and / or a gallery of athletic patients, many of whom have very limited breast tissue. Here’s one of the most important things to know about breast augmentation – maybe THE most important: based on the breast soft tissue envelope that you are starting with, and by that I mean the breast skin and subcutaneous breast tissue that will cover the implants, there is a limited range of implant shapes, dimensions and volumes that will produce 1. a natural-appearing result, which provides you with 2. A very likelihood of needing a reoperation (or a series of reoperations) for the problems associated with overly large breast implants: visible implant folds and ripples, implant malposition (usually ‘bottoming out’ and/or ‘lateral drift’), lower pole skin stretch deformity, easy implant palpability, stretchmarks and capsular contracture.And yes I do believe overly large implants have a higher rate of capsular contracture, for any one or all of the following reasons: a possible direct mechanical adverse effect on breast soft tissues, the fact that the bigger the implant is (i.e. the lower the ratio of natural breast volume to implant volume) the more obvious a mild or moderate contracture will be, and my suspicion that surgeons who are willing to place unnaturally large breast implants are, as a group, less likely to be compulsive about using the intra-operative measures and techniques that have been shown to lower the incidence of capsular contracture.
Helpful 4 people found this helpful
Answer: Very Small Breasts - Seeking Very Natural Result Even with women with very small breasts can achieve a very natural result with breast implants. Many plastic surgeons will have a gallery of before and after images specifically devoted to women with limited breast tissue and small implants, and / or a gallery of athletic patients, many of whom have very limited breast tissue. Here’s one of the most important things to know about breast augmentation – maybe THE most important: based on the breast soft tissue envelope that you are starting with, and by that I mean the breast skin and subcutaneous breast tissue that will cover the implants, there is a limited range of implant shapes, dimensions and volumes that will produce 1. a natural-appearing result, which provides you with 2. A very likelihood of needing a reoperation (or a series of reoperations) for the problems associated with overly large breast implants: visible implant folds and ripples, implant malposition (usually ‘bottoming out’ and/or ‘lateral drift’), lower pole skin stretch deformity, easy implant palpability, stretchmarks and capsular contracture.And yes I do believe overly large implants have a higher rate of capsular contracture, for any one or all of the following reasons: a possible direct mechanical adverse effect on breast soft tissues, the fact that the bigger the implant is (i.e. the lower the ratio of natural breast volume to implant volume) the more obvious a mild or moderate contracture will be, and my suspicion that surgeons who are willing to place unnaturally large breast implants are, as a group, less likely to be compulsive about using the intra-operative measures and techniques that have been shown to lower the incidence of capsular contracture.
Helpful 4 people found this helpful
