5’4” 128 lbs, fit, age 38, post pregnancy and nursing. Disproportionate areola -especially soft - and since teenage years they always hung “low” and my breast only looked somewhat normal when my nipples were hard. My breast tissue only projects one inch or so (not counting projection of actual nipple). Is this a complex case where inserting a (shaped?) small or moderate implant won’t get me a nice full, sloped look? What would you recommend?
Answer: Donut Mastopexy / Augmentation Good morning, You are an excellent candidate for a submuscular augmentation with saline or silicone implants, depending on your preference. We would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office! I would also consider a donut mastopexy because your nipples are a little low on your breasts, and they do not sit at quite the same level. A donut mastopexy would improve your symmetry and give you a better result!
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Answer: Donut Mastopexy / Augmentation Good morning, You are an excellent candidate for a submuscular augmentation with saline or silicone implants, depending on your preference. We would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office! I would also consider a donut mastopexy because your nipples are a little low on your breasts, and they do not sit at quite the same level. A donut mastopexy would improve your symmetry and give you a better result!
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March 1, 2022
Answer: Is my case complicated? From your photos and description your situation seems within the vast realm of "normal" that board certified plastic surgeons treat regularly. The first step is to schedule consultations with a few surgeons to discuss your goals for surgery and learn more about the procedure. During this important meeting you will also discuss potential implant styles and sizes.
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March 1, 2022
Answer: Is my case complicated? From your photos and description your situation seems within the vast realm of "normal" that board certified plastic surgeons treat regularly. The first step is to schedule consultations with a few surgeons to discuss your goals for surgery and learn more about the procedure. During this important meeting you will also discuss potential implant styles and sizes.
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February 28, 2022
Answer: Mini lift with fat transfers or small implants The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular. Best Wishes, Gary Horndeski, M.D.
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February 28, 2022
Answer: Mini lift with fat transfers or small implants The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular. Best Wishes, Gary Horndeski, M.D.
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February 28, 2022
Answer: Breast augmentation Your breasts are small but more deflated than sagging. I think if you have a simple breast augmentation with a round smooth implant and submuscular placement, you would have a great result with a normal slope to the breast to give you a natural look. I do not recommend or use shaped implants since they are textured and there is several downsides to texture. Discuss all options with your surgeon. Good luck.
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February 28, 2022
Answer: Breast augmentation Your breasts are small but more deflated than sagging. I think if you have a simple breast augmentation with a round smooth implant and submuscular placement, you would have a great result with a normal slope to the breast to give you a natural look. I do not recommend or use shaped implants since they are textured and there is several downsides to texture. Discuss all options with your surgeon. Good luck.
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February 28, 2022
Answer: Implant size Dear Maybe_yes, 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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February 28, 2022
Answer: Implant size Dear Maybe_yes, 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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