Is there a way to maintain shape of breasts with implants? (Photos)

Question

Hello. When I search for before and after images I often see that breast implants cause the breast to look overly rounded (in my opinion) from the side, causing the nipples to point straight forward instead of slightly up like they did before the augmentation. Is there a way to avoid this? I have attached example images of what I imagine a modest size increase should look like vs what I’m seeing a lot of in photos.

Ryan Rebowe, MD · Answer

It is a bit difficult to tell based on the provided pictures, but hopefully this description helps. The nipple points forward because implants place pressure on skin of the breast above the nipple, rounding out the "upper pole." This rounding of the upper pole raises the upper part of the nipple causing it to point forward. Many times, this will at least slightly correct itself over time as the implant falls down into position more directly behind the nipple. This process of downward migration of the implant will take at least 3 months, but the implants will continue to "settle" for up to one year. I would consider this when looking at before and after photos to choose what style of implants to use.

Daniel Barrett, MD · Answer

Dear belle92,
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

Andrea Martin, MD · Answer

You can certainly maintain the slightly upward rotation of the nipple with a breast augmentation. However, it may take a while after healing from you breast implant surgery before the implant "settles" and you achieve the look you're hoping for. There are a wide variety of implant styles and sizes that may be right for you, but you may also want to look into fat transfer to the breasts.

Camille Cash, MD · Answer

When implants are placed they settle behind the nipple at the level of the fold.  The nipple position is not typically impacted much unless specifically addressed during surgery.  Another consideration that can influence the final look is profile.  A higher profile implant placed above the muscle will give a different look than a lower profile implant placed beneath the muscle.  The best way to find what is best for you is to visit with a board certified plastic surgeon for a consultation.

Jon S. Wilensky, MD · Answer

Yes, there are ways to maintain the shape of breasts with implants. Breast implants are commonly used to enhance the size, shape, and symmetry of breasts. However, it's important to note that breast implants themselves won't prevent natural changes in breast shape that can occur due to factors such as aging, weight fluctuations, pregnancy, and breastfeeding.Here are some factors to consider for maintaining the shape of breasts with implants:1.) Choose the Right Implant Size and Type: Working closely with a skilled plastic surgeon is crucial. They will help you choose the appropriate implant size and type (silicone or saline) that complements your body and meets your aesthetic goals.2.) Placement and Surgical Technique: Implants can be placed either over the muscle (subglandular) or under the muscle (submuscular). Submuscular placement tends to provide a more natural look and may help maintain breast shape better over time.3.) Breast Implant Profile: Implants come in different profiles, including low, moderate, high, and ultra-high. The profile determines how much the implant projects from the chest wall. The choice of profile can impact the overall shape and appearance of the breasts.4.) Regular Check-Ups: After the initial surgery, it's important to attend follow-up appointments with your surgeon to ensure that the implants are settling properly and that there are no complications.5.) Healthy Lifestyle: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can help support overall body shape and breast health.6.) Minimize Weight Fluctuations: Significant weight gain or loss can impact breast shape, even with implants. Minimizing drastic weight fluctuations can help maintain the results achieved through the surgery.7.) Supportive Bras: Wearing supportive bras that provide adequate lift and support can help prevent excessive sagging and maintain the shape of the breasts.8.) Avoid Smoking: Smoking can have negative effects on skin elasticity and healing, which can impact the long-term shape of the breasts.9.) Sun Protection: Protecting your skin from excessive sun exposure can help prevent skin damage and premature aging, which could affect breast appearance.It's important to remember that breast implant surgery is not a one-time solution, and long-term results can vary based on individual factors. Regular maintenance, follow-up appointments, and a commitment to a healthy lifestyle can all contribute to maintaining the shape of your breasts with implants. Always consult with a qualified plastic surgeon to discuss your options and expectations before making any decisions.

Connie Hiers, MD, FACS · Answer

Based on your photos, it appears that you prefer sagging breasts. The nipple should be placed at the middle of the fullest part of the breast, not at the upper part.  You can just have implants and avoid a lift.

Is there a way to maintain shape of breasts with implants? (Photos)

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