I'm 48, breast fed 3 children. Dr recommending above muscle augmentation. Any pictures or thoughts would be appreciated
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Doctor Answers 8
Implant position and lifting
If this is being suggested to avoid a breast lift, I believe that logic is flawed. Skin is not a supporting structure it is a veneer. Once you add weight directly to the skin it will stretch. You may look great immediately after the surgery but 2-3 years down the road you will be more droopy with a subglandular implant. Although the thought of scars may concern you the overall breast aesthetic will be far better and last longer with an implant under the muscle and a lift.
Seek out a board certified plastic surgeon to evaluate you and discuss your options.
Good luck and I hope this was helpful
Where should I have the breast implant placed?
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Breast Augmentation after 3 children
Breast Augmentation: Information
Thank you for your story and questions.
Nothing substitutes for a personal evaluation and a face to face discussion of your options. Many factors need to be taken into consideration than just your desired breast volume. Unfortunately without a exam of your tissue and measurements I can give you general information that I hope you find helpful.
Your final desired breast appearance is a combination of your current breast appearance, size, shape and location of the implant chosen.
There are many decisions both you and your Plastic Surgeon needs to make.
My answer to your specfic questions are:
1) I in general prefer that implants be placed under the muscle (dual plane) because of the lower incidence of capsular contracture and the coverage the muscle provides.
2)I would advise round silicone gel filled implants (the profile to be determined by your chest measurements: see below)
3)Volume size to be determined as described below
4)the inframammarry incision is associated with lowest rate of post operative capsular contracture.
5) At your preop appt. and on the day of surgery bring several model photos of what you want your final breast appearance to look like.
Your final decision should be based on personal consult with a Bd. Cert. Plastic Surgeon who will examine you and go over that which is best for you. The following are some of the topics you may want to discuss and why.
General overview of your choices and discussion points:
1) normal saline fill vs silicone gel fill
2) profile: low profile to high profile (choice based on chest measurements)
3) shape: form stable vs round
PLACEMENT OF IMPLANTS
1) sub pectoral, dual plane
+ less chance for internal scarring (capsular contracture)
+ padding from the muscle therefore less chance of implant palpability (rippling)
- varying degree of animation upon pectorals major contraction ( breasts moving)
- longer immediate recovery
2) supra pectoral
+ in borderline ptosis (breast sag) can provide alternative need for mastopexy
+ faster immediate recovery
+ animation upon contraction of pect. muscle is nil
- increase chance of internal scarring (capsular contracture
- increase potential for breast implant palpability (rippling)
2) equal size
3) breast fold location
5) too large
1) stretch marks
2) thin skin
is a very personal choice
1)implants come in "cc" sizes not cup sizes
2) 30 cc = 1 ounce
3) purchase a full bodied, non padded bra and take a nylon stocking and fill until you reach the desired size you desire....measure the volume using a measuring cup and convert to cc's.
4) If implants placed under the muscle I usually recommend adding 10% to measured volume to compensate for the flattening affect of the subpectoral placement
I personally choose the company that the breast implant base measurements and match to the patients chest measurements. Sientra only makes Silicone Gel filled implants. Ideal only makes Normal Saline implants (with internal baffles). Allergan and Mentor make both silicone gel and Normal Saline filled implants.
Please bring several model photos of your desired breast appearance and a list of questions to your consultative appointment and make sure your Plastic Surgeon is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
Dr. R. A. Hardesty, MD, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
4646 Brockton Ave
Riverside, Ca 92506
I'm 48, breast fed 3 children. Dr recommending above muscle augmentation. Any pictures or
Placement of Implant
Thank you for your question. Where some deflation and pseudo ptosis is present in the breasts, placing the implant in the sub glandular position can provide a slightly more lifted, perky look. Your Plastic Surgeon will assess to make sure that there is enough breast tissue and fat to provide a natural contour and cover for the implants in this position.
All the best