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Most implant sizes work well with a lift, but there is a limit to avoid having too much pressure on the closure. Regarding the optimal implant size: It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below.
Atsize 38 each 200 cc’s of implant corresponds to 1 cup size change. From this, you can compute the volumerequired to achieve your desired goal. The advantage of a lift is that aligning the areola, breast tissue andimplant over the bony prominence of the chest wall maximizes anteriorprojection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral lookand feel more natural, are more stable, less likely to ripple or havecomplications needing revision. Implantprofile is irrelevant in the retro-pectoral position since the musclecompresses it. I recommend a newtechnique called Breast Augmentation with Mini Ultimate Breast LiftTM. This technique uses only a circumareolaincision to lift and augment the breasts while avoiding the ugly vertical scarsof the traditional technique.Best Wishes,Gary Horndeski, M.D.
The size of breast implants during a breast lift is typically determined by factors such as your anatomy, skin elasticity, and the surgeon’s recommendations. However, there are practical limits to ensure a natural and safe outcome. It’s important to discuss your goals and expectations with a skilled plastic surgeon who can provide guidance based on your individual circumstances.
There is only a limit based on the diameter of your breast. When you see a surgeon they should be well schooled in how to size a breast for an implant. So yes, there is a limit and that is to be determined by you and your surgeon at the time of consultation.
Thank you for the question.To best help you, a physical examination or picture evaluation is required in order to determine which procedure and technique would be best for you.Dr. Campos
and potential untoward effects with time that may require more surgery including another lift and downsizing of your implant. But an augmentation lift is challenging and you should anticipate revisions as well. The newer textured anatomic implants may help with decreasing the risk.
These two procedures performed together at the same time continue to be the most challenging to get satisfying results.
This is a very important question. In any breast augmentation the selection of an appropriate implant requires careful thought. It is based on a number of factors including the patient's desired postoperative result and also the patient's native breast anatomy. Tissue based planning should be used in any breast implant case. In a combination breast implant and lift case the surgeon should discuss the issues of opposing force of expanding and enlarging the breast with an implant and also the tightening force of removing and tightening the breast to lift it. These factors need to be weighed together and an appropriate choice can be made.Discuss this with your surgeon and ask to see before and after photos of these cases that demonstrate their own work. You should feel comfortable and confident about the process.Best of luck to you.
There is definitely a size limit when doing an augmentation/mastopexy. These limits should be discussed in detail with your surgeon before your procedure. You never want to place an implant that is too big for your chest wall and then perform a tight lift.
If you need to enlarge the volume of your breasts, you should select an implant that gives you that volume you desire. The implant size you choose should still be within the "appropriate range". This range is very easy to calculate thanks to formulas developed by Drs Tebbetts and Adams.Once that implant is inserted, the surgeon can determine the amount of residual looseness and choose the best tightening/lifting procedure that is needed.The mistake some patients and doctors make is to chase looseness with volume: ie, putting in a bigger implant to make things tighter. This is where mistakes are often made. Don't be that girl!
Thank you very much for your photograph. It does look as if you do have some wound breakdown at the junction of your scars on both sides. This is the yellowish area. This is the most common site for wounds to have problems healing and it doesn’t look as if yours is too badly infected. I t...
Keep massaging daily or more until 3 more months have pasted. Than see a few in person surgeons for their opinions.
I'm sorry that you are not happy with your results. It is only 2 months since your surgery so your implants may still settle a bit, which could move your nipples up a touch but I don't know if that will be enough. 460cc is a larger implant for your frame, in my opinion. Talk with...