I will have a bilateral mastectomy soon and want immediate implant reconstruction. I am 5'6" 130 pounds. I am considering nipple/skin sparing because I dont want a tattoo nipple nor no nipple. I like the teardrop/natural and was thinking medium profile or low profile as I don't like the round and high "fake boob" looking shape. I was thinking 350cc or so. I have a B cup breast size now. The left breast is the one with cancer but I am having both breasts removed.
March 22, 2018
Answer: Implant size and type Dear durgama1008,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
Helpful 2 people found this helpful
March 22, 2018
Answer: Implant size and type Dear durgama1008,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
Helpful 2 people found this helpful
April 18, 2018
Answer: Aesthetic Breast Reconstruction Aesthetic breast reconstruction begins with analysis of the current breast size and shape. Measurements and 3D imaging are used to provide information about the current size of the breast because cup size is not accurate. Depending on the type of reconstruction desired, using your own tissue, implant or a combination a plan can be formed. It sounds like you have decided you want an implant based reconstruction. The implant can be placed above or below the muscle. Depending on the procedure performed the implant or expander can be placed that day. If an expander is placed then it is filled over a series of office visits until the desired volume is reached. Exchange to a permanent implant is performed as an outpatient at 3months after the procedure. A direct to implant procedure is performed with placement behind the muscle if several factors are acceptable related to the skin and perfusion of the nipple complex.
Helpful
April 18, 2018
Answer: Aesthetic Breast Reconstruction Aesthetic breast reconstruction begins with analysis of the current breast size and shape. Measurements and 3D imaging are used to provide information about the current size of the breast because cup size is not accurate. Depending on the type of reconstruction desired, using your own tissue, implant or a combination a plan can be formed. It sounds like you have decided you want an implant based reconstruction. The implant can be placed above or below the muscle. Depending on the procedure performed the implant or expander can be placed that day. If an expander is placed then it is filled over a series of office visits until the desired volume is reached. Exchange to a permanent implant is performed as an outpatient at 3months after the procedure. A direct to implant procedure is performed with placement behind the muscle if several factors are acceptable related to the skin and perfusion of the nipple complex.
Helpful
