I discussed my goals.. More Upper Pole & more Projection and firmer implant. Doctor is suggesting a 2 inch increase in projection. A more firm implant and greater upper pole. This is an implant replacement. Last implants were put in 33 years ago behind the mussel. 325CC. I have went from a size C after first surgery 33 years ago to now a DD. I have gained 20 pounds since my first surgery. I am 63 years old. 5'4 130 lbs.
Answer: Breast implants - Measurements I like conservative measuring! Additionally too wide of an implant just doesn't look right. You want approximately 1-2cm on each side of the implant to be well covered with breast tissue. You also have the luxury of having a know starting point of 325cc.Firmness is now custom decision now with Allergan implants. Mentor implants have that option but more based on the fill of the shell rather than cohesiveness of the silicone.
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Answer: Breast implants - Measurements I like conservative measuring! Additionally too wide of an implant just doesn't look right. You want approximately 1-2cm on each side of the implant to be well covered with breast tissue. You also have the luxury of having a know starting point of 325cc.Firmness is now custom decision now with Allergan implants. Mentor implants have that option but more based on the fill of the shell rather than cohesiveness of the silicone.
Helpful 2 people found this helpful
Answer: Is a 2cm drop in implant size relative to chest width too much? Thank you for sharing your question and photographs. Depending on what your goals are you could compare the dimensions of your current implant to the ones discussed with your surgeon to see if it is wider as well as more projecting, while maintaining a thicker gel consistency for shape. Also important is to rule out the need for any lift to help remove loose, or excess, skin that has developed over the 33 years and weight changes. Hope this helps.
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Answer: Is a 2cm drop in implant size relative to chest width too much? Thank you for sharing your question and photographs. Depending on what your goals are you could compare the dimensions of your current implant to the ones discussed with your surgeon to see if it is wider as well as more projecting, while maintaining a thicker gel consistency for shape. Also important is to rule out the need for any lift to help remove loose, or excess, skin that has developed over the 33 years and weight changes. Hope this helps.
Helpful 1 person found this helpful
September 23, 2019
Answer: Explant and lift instead of repeat implants Since you have gained weight since your previous surgery and are 63 years old, the technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided and nipple sensation (in 95%) is maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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September 23, 2019
Answer: Explant and lift instead of repeat implants Since you have gained weight since your previous surgery and are 63 years old, the technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided and nipple sensation (in 95%) is maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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September 22, 2019
Answer: My surgeon measured my breast width at 15CM. He wants to put in 13CM, is this too small? Thank you for the question and pictures. There are no hard and fast rules when it comes to diameter of breast implant versus diameter of breast (band width). In other words, these measurements are useful but are only one of the many factors come into play when it comes to selection of appropriate breast implant size/profile. Remember that plastic surgical procedures are both art and science; different plastic surgeons will have different techniques and sense of "artistry". Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.My best advice: more communication. It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further. As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding. Show your plastic surgeon what your goals using as many visual aids as possible. As you can imagine, terms such as "natural" or "fake" can be interpreted differently by different people. This additional communication will go a long way when it comes to helping alleviate your anxiety prior to proceeding. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is: 1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know words such as “natural” or "C or D cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice. 3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers. I hope this helps. Best wishes for an outcome that you will be very pleased with.
Helpful 1 person found this helpful
September 22, 2019
Answer: My surgeon measured my breast width at 15CM. He wants to put in 13CM, is this too small? Thank you for the question and pictures. There are no hard and fast rules when it comes to diameter of breast implant versus diameter of breast (band width). In other words, these measurements are useful but are only one of the many factors come into play when it comes to selection of appropriate breast implant size/profile. Remember that plastic surgical procedures are both art and science; different plastic surgeons will have different techniques and sense of "artistry". Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.My best advice: more communication. It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further. As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding. Show your plastic surgeon what your goals using as many visual aids as possible. As you can imagine, terms such as "natural" or "fake" can be interpreted differently by different people. This additional communication will go a long way when it comes to helping alleviate your anxiety prior to proceeding. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is: 1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know words such as “natural” or "C or D cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice. 3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers. I hope this helps. Best wishes for an outcome that you will be very pleased with.
Helpful 1 person found this helpful
September 22, 2019
Answer: Implant size Dear Pioneering1866, 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 1 person found this helpful
September 22, 2019
Answer: Implant size Dear Pioneering1866, 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 1 person found this helpful