Petite Frame Wanting Large Implants. Will This Take More Than One Surgery? (photo)

I would recommend staging the augmentation to avoid the complications of going too big too fast. Eventually with larger implants and stretching of the skin the breasts will look softer and have a teardrop shape.
Inframammary incision would be highly recommended for you to accommodate larger implant sizes.
Consult with a board certified plastic surgeon with expertise in breast augmentation to fit you with appropriately sized implants that meet your goals.
Good luck!

Hi there-

To answer your question, I would say that your best bet is to stage the procedures at least 6 months to a year apart (planning on 2-3 ooperations to achieve the size you want).

I feel ethically compelled, however, to remind you that while breasts as large as those in the photos you posted may seem attractive to you at this time in your life, the likelihood is that with time you will feel that they make you look heavy and matronly, and that they sag in an unattractive way.

This will almost guarantee that you need many more operations in your future, for breast lifting and correction of problems that result from the use of very large implants in small women.

Be careful what you ask for, and be sure you understand the long term implications of your choices.

Many doctors have weighed in on this issue, so my response will not be anything new, but here is is plain and simple. Don't do it. You are too small for implants that size and once you go that big, there is no going back. The tissues will be  over stretched. You may like the way you look for several years, but after time and gravity (not to mention any future pregnancies) kick in, you will have large and very droopy breasts. Please think for the long term.

Regards,

Daniel Medalie, MD

there are several options.   this can be done in stages with two or three sets of implants over 1-2 years or you may consider an adjustable saline implant or tissue expander to start.

understand that larger implants will have more complications of capsules, stretch marks,  thinning skin,  malpostion and so forth

The pictures you included will help your surgeon as a guide to what size you want to be.

Remember, after breast augmentation....they will still be your breasts...BIGGER. I personally don't guarantee the "look" of any particular picture.

Also, large breast implants have been associated with increased risk of complications, especially in the long term, such as tissue thinning, nipple stretching,  rippling, synmastia (breast running together), etc... You have to be aware of this on the front end.

To be on the safe side, it will realistically take two surgeries.  I recommend waiting about one year between implant changes as well for your capsule to fully mature.

However, do not let this commentary on the Internet be your only source.  I recommend you see a board-certified plastic surgeon of your choosing and ask a lot of questions. Be informed before you make this decision.

 

It is very difficult to suggest what would be right for you without a formal exam.  Often when you start out very small, the chest cannot accdomodate such a large implant.

 

 

Many woman may choose to have extra large implants despite the risks.  This is a choice that a woman should make only after consulting with a board certified plastic surgeon and being informed of the stresses on your breast tissue.  Additional consent forms specifically acknowledging these risks and possible long term problems are often required.   

A look similar to the one pictured above is possible in one operation but no guarantee can be made on the specific bra size and shape.  Areola size is usuall stretched after a large augmentation so they are unlikely to remain exactly the same size.  Beware of anyone who promises they will.  Models and dancers often choose to have the implants placed through incisions in their under arms or though their belly buttons to avoid having any scars on their breasts.  Most plastic surgeons can place implants though the armpit but there are few who do the transumbilical (belly button) approach.  There are additional risks associated with these techniques so it is important to find someone experienced and familiar with these procedures.

Mentor makes a tear drop shaped implant. One can never speak definitively without a consultation , but the size you desire is significantly larger than the current size of your breasts and such a significant augmentation may require more than one procedure. You must also seriously consider the complications which can arise from a dramatic increase in size. The areolae will be stretched out by the size of the implants regardless of the surgical approach. I personally favor infra-mammary crease technique when large implants are used.

I would have to say it would take several surgeries to achieve the look you are asking for, but my question is why. I doubt you will have any chance of getting a teardrop shape and I doubt if the implants will have any room to move in the pocket. Trying on a 600 cc pair of implants does not take into account your skin how much breast tissue you have and the base diameter of the implants. If you were my patient I would be telling you you are making a mistake. To go large you would need hi profile implants that have a narrow base and I don't think going to more than 425-450 cc silicone would be in your best interests. You might speak to several plastic surgeons to get their opinion as I doubt have the luxury of seeing you in person. Good luck with your choice . Dr. Schuster in Boca Raton.

Thank you the question in pictures.

As you probably know, it may not be possible for you to look exactly like anyone else when it comes to breast size  and shape.  Also, you should be aware that if you try to “push the envelope" with  breast implants that are larger than your natural breasts' width  you may end up with complications that require further surgery to fix.

In regards to achieving your goals...

Much of the final “look” achieved after breast augmentation surgery  depends on several factors:

1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the  preoperative breast appearance the more likely the breast augmentation “look” will be optimal.


2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing  long-term  well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone)  or model (low/moderate/high profile)  of implant.


3. The type of implant used may  determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have.  If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants.  If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference.  Patients may need an MRI to diagnose a silicone gel rupture.   Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational.
As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.



4. The size and model of breast implant used may  make a  significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon.  in my practice I find the use of goal pictures to be very helpful.  in your case you could use your own before breast-feeding pictures as the goal. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.  

I hope this helps.