I am looking to get UHP 650cc, upper pole fullness, Mentor silicone implant. I have sagging from weight loss. I went to a consult today and the Dr. said I would not look like the photos I showed him (as shown), and he didn’t recommend a lift now but maybe in the future. I don’t want to get implants and be unhappy because they might sag down the road. Also he explained UHP is not a look it’s an implant. Also he said he would put them in subglandular which would give me for fullness up top. Also one of my boobs is lower than the other - will be implants be crooked? I am 33, 5”7, 124 pounds.
Answer: Breasts Without the lift, you may not be even. the implant you are choosing will be large and heavy on your tissue and increase the risk of sagging. You might consider going down in size and getting the lift for better long term results.
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Answer: Breasts Without the lift, you may not be even. the implant you are choosing will be large and heavy on your tissue and increase the risk of sagging. You might consider going down in size and getting the lift for better long term results.
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March 17, 2020
Answer: Implants Size Dictates Staged Procedure Although I do 99.99% of my augmentation/mastopexy surgeries as a single stage, the size of your desired implants would put a strain on the healing of your tissues if a simultaneous lift was performed, leading to less than ideal scaring and possibly lower nipple position. Therefore, doing the lift as a second operation would be to your benefit. You should not consider subglandular placement of these oversized implants, you will be regretful later with high risk of palpability and rippling. Finally, you should realize that big implants have bigger and more frequent problems, some that might not be fixable. Thinking long term will likely make you less regretful 20 years from now.
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March 17, 2020
Answer: Implants Size Dictates Staged Procedure Although I do 99.99% of my augmentation/mastopexy surgeries as a single stage, the size of your desired implants would put a strain on the healing of your tissues if a simultaneous lift was performed, leading to less than ideal scaring and possibly lower nipple position. Therefore, doing the lift as a second operation would be to your benefit. You should not consider subglandular placement of these oversized implants, you will be regretful later with high risk of palpability and rippling. Finally, you should realize that big implants have bigger and more frequent problems, some that might not be fixable. Thinking long term will likely make you less regretful 20 years from now.
Helpful
March 17, 2020
Answer: Do I need a lift now with my UHP, 650cc, Mentor silicone implant? Hello and thank you for your question and sharing your photos. You do have significant asymmetry, ptosis (sagginess) and volume deflation. You would need a breast lift, at least on one side. Breast lift with implants, also known as mastopexy-augmentation, is a common procedure but requires experience on the part of the plastic surgeon. I would seek consultation with a board-certified plastic surgeon with extensive experience in performing breast surgery. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
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March 17, 2020
Answer: Do I need a lift now with my UHP, 650cc, Mentor silicone implant? Hello and thank you for your question and sharing your photos. You do have significant asymmetry, ptosis (sagginess) and volume deflation. You would need a breast lift, at least on one side. Breast lift with implants, also known as mastopexy-augmentation, is a common procedure but requires experience on the part of the plastic surgeon. I would seek consultation with a board-certified plastic surgeon with extensive experience in performing breast surgery. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
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March 17, 2020
Answer: Breast evaluation Hello and thank you for your question. The best advice you can receive is from an in-person consultation. Based on your photographs and right breast asymmetry with ptosis, the best shape and contour could be achieved with an implant and a breast lift. A large part of your breast sits below the inframammary fold and without a lift in addition to the implant, this will not have a natural shape. A breast lift with an implant can result in a very nice shape if good technique is used. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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March 17, 2020
Answer: Breast evaluation Hello and thank you for your question. The best advice you can receive is from an in-person consultation. Based on your photographs and right breast asymmetry with ptosis, the best shape and contour could be achieved with an implant and a breast lift. A large part of your breast sits below the inframammary fold and without a lift in addition to the implant, this will not have a natural shape. A breast lift with an implant can result in a very nice shape if good technique is used. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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March 17, 2020
Answer: Bellesoma Breast Lift Your breasts are too low on the chest wall and asymmetrical in volume, shape and position. Implants alone will not solve your problem. Also, 650 cc implants weigh 1 ½ lbs each. The implants will have to be centered underneath the nipple-areola complex which requires releasing the inframammary fold resulting in further descent and bottoming out. Instead, I recommend a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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March 17, 2020
Answer: Bellesoma Breast Lift Your breasts are too low on the chest wall and asymmetrical in volume, shape and position. Implants alone will not solve your problem. Also, 650 cc implants weigh 1 ½ lbs each. The implants will have to be centered underneath the nipple-areola complex which requires releasing the inframammary fold resulting in further descent and bottoming out. Instead, I recommend a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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