I am now 7 months post op and am not happy with my results. I had almost no breast tissue before surgery and went with 425cc high profile silicone implants. However, I have no upper pole fullness or any middle fullness. I wanted to be able to wear low cut shirts/dresses that you can't wear a bra with and have some type of cleavage, however I have none. Without a bra I still look pretty much flat in low cut clothing. Would upsizing another 200 Cc's help any?
March 12, 2016
Answer: Upper pole fullness and cleavage For what its worth, you have a very beautiful result, good shape, position, etc, and it looks like your surgeon did a very nice job. Unfortunately, cleavage is a very tricky thing. It is very much dependent upon the pre-existing anatomy of any given patient. Some women's pectoral muscles are placed more centrally, some are splayed more widely. This can limit the pocket dissection and how centrally one can place the implants. As well, some women's starting out with more breast tissue on the inside of their breasts. When the implant is placed, this allows them to be pushed more centrally and appear closer together, with better cleavage. Same with upper pole fullness.It is tempting to consider adding more volume, and this may get you closer to the look you are looking for. But, there are consequences. 425 is already a generous sized implant in a woman with a smaller frame like yourself. A 625 cc implant may give you more of the fullness you are looking for, but will have long-term consequences from all that added weight stretching and pulling the tissues. One potential solution is fat grafting. I can't tell from your picture if you have any fat anywhere that can be harvested and placed on the top and central chest area, but this could potentially help if you do. Have more discussions with your surgeon, but in the meantime, try to focus on the fact that you have a very aesthetic result!Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA
Helpful
March 12, 2016
Answer: Upper pole fullness and cleavage For what its worth, you have a very beautiful result, good shape, position, etc, and it looks like your surgeon did a very nice job. Unfortunately, cleavage is a very tricky thing. It is very much dependent upon the pre-existing anatomy of any given patient. Some women's pectoral muscles are placed more centrally, some are splayed more widely. This can limit the pocket dissection and how centrally one can place the implants. As well, some women's starting out with more breast tissue on the inside of their breasts. When the implant is placed, this allows them to be pushed more centrally and appear closer together, with better cleavage. Same with upper pole fullness.It is tempting to consider adding more volume, and this may get you closer to the look you are looking for. But, there are consequences. 425 is already a generous sized implant in a woman with a smaller frame like yourself. A 625 cc implant may give you more of the fullness you are looking for, but will have long-term consequences from all that added weight stretching and pulling the tissues. One potential solution is fat grafting. I can't tell from your picture if you have any fat anywhere that can be harvested and placed on the top and central chest area, but this could potentially help if you do. Have more discussions with your surgeon, but in the meantime, try to focus on the fact that you have a very aesthetic result!Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA
Helpful
March 12, 2016
Answer: Fullness after breast augmentation You have an excellent result. Upper pole fullness like the one photo you have shown may not be possible on a long-term basis for most patients. Hollywood "looks" are usually photoshopped or aided by bras. In your case adding more volume may just make you bigger and with the same shape. If you were my patient I would not encourage you to add more volume. Best wishes,
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March 12, 2016
Answer: Fullness after breast augmentation You have an excellent result. Upper pole fullness like the one photo you have shown may not be possible on a long-term basis for most patients. Hollywood "looks" are usually photoshopped or aided by bras. In your case adding more volume may just make you bigger and with the same shape. If you were my patient I would not encourage you to add more volume. Best wishes,
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