My surgery is on 4/3 I'm getting 650cc mp saline implants, still not sure if they would be too big :( (photo)
Doctor Answers 4
Large saline implants under twilight anesthesia
My surgery is on 4/3 I'm getting 650cc mp saline implants, still not sure if they would be too big
Large Breast Augmentation with Twilight
I believe that 650 cc saline implants are going to feel very large and stiff on your frame. You are also going to be uncomfortable having this operation under twilight anesthesia, especially with a sub muscular position because of the amount of stretch you are going to have to endure to inflate the large sized implants. It will be worth paying more for a general anesthesia with a board certified anesthesiologist or CRNA. Tripti Burt MD
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Avoid Round Projecting Implants in Breast Augmentation Surgery if You Dont Want The 'Augmented Look"!
The next problem is projection- this is one of the most misunderstood concepts in plastic surgery. Although Moderate profile sounds like it would be a low profile it is much higher profile than anything I would use when trying to create a natural appearing beauty- which is my goal every time. The most important aspect to breast implant selection is selecting an implant that will fit your breast "footprint" High and moderate projecting implants are just too narrow to create a natural form and in the dual-plane/submuscular position they always go down and to the sides, what I call the "down and out" position.
I recommend using implants with a wide enough footprint for your chest wall and preferably anatomically shaped implants and avoiding the submuscular or dual-plane placement. In my practice I use exclusively form stable highly cohesive anatomically shaped implants and only the subfascial placement. These implants are about ten times the cost of saline but there is no comparison in look and feel. The technique I use called Cold-Subfascial placement is also a much more technically demanding technique that ends up costing more but I couldnt get the beautiful results I deliver with any other technique.
In summary if you are looking for an economical augmentation a saline projecting implant in a dual-plane position is going to be the way to go, but if you are not looking for the "typical Augmented look" then it will just end up costing you more as you will likely want a revision. The reality is that most women are very happy with strange looking breasts as long as they are bigger. Its just a matter of deciding what your priorities are. ask friends of yours to show you their augmentations and decide if the spread apart low look is acceptable to you. If its not do not stick to your current plam! I hope this helps!
All the best,
Rian A. Maercks M.D.
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