I've always liked my breasts but after my 3 rd baby I have a hard time finding bras and I have nipple ptosis (couldn't catch it in pictures, very unflattering though). I also look flat in swimming suits. I am not comfortable with much more projection but I'd like more roundness. Under the muscle is not an option for me, I just won't do it. I would like to know if a small implant will make quite an improvement in my look and make it easy for me to find bras and look youthful as I age. Thank you.
August 9, 2019
Answer: Hard Implants Over the Muscle Hello,Implant size is determined by in person biodimensional analysis and patient goal interpretation. Implant type is governed by a variety of factors, but its safe to say that gummy bear, or highly cohesive silicone gel implants are not for everyone. Your desire for a natural look is subjective, and requires careful determination by the surgeon. However, given a range of results from 'natural' to 'fake', there are a number of variables that can influence placement on that spectrum. In general, implants placed over the pectoralis muscle (even 'subfascial') will be more visible and leave an unnatural appearance, even when there is 'satisfactory' breast tissue coverage. Further, implants placed over the muscle tend to develop capsular contracture more readily than those placed in the subpectoral position. Whatever your issues are with that placement is unfounded, as it has the lowest complication profile, is not more painful when done correctly, is tolerated by athletes, and has a low risk of animation deformity.
Helpful 1 person found this helpful
August 9, 2019
Answer: Hard Implants Over the Muscle Hello,Implant size is determined by in person biodimensional analysis and patient goal interpretation. Implant type is governed by a variety of factors, but its safe to say that gummy bear, or highly cohesive silicone gel implants are not for everyone. Your desire for a natural look is subjective, and requires careful determination by the surgeon. However, given a range of results from 'natural' to 'fake', there are a number of variables that can influence placement on that spectrum. In general, implants placed over the pectoralis muscle (even 'subfascial') will be more visible and leave an unnatural appearance, even when there is 'satisfactory' breast tissue coverage. Further, implants placed over the muscle tend to develop capsular contracture more readily than those placed in the subpectoral position. Whatever your issues are with that placement is unfounded, as it has the lowest complication profile, is not more painful when done correctly, is tolerated by athletes, and has a low risk of animation deformity.
Helpful 1 person found this helpful
August 9, 2019
Answer: Alternative to small implants Another alternative to consider rather than implantation is a breast lift with possible fat transfers. There are 2 alternatives to consider. One is a modified Benelli lift where a circumareola incision is made to reshape your breast tissue and elevate them higher on the chest wall. The other is 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 and the ability to breast feed are maintained. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are note lifetime devices. Fat transfers are permanent and incorporated into the body. Best Wishes,Gary Horndeski, M.D.
Helpful 1 person found this helpful
August 9, 2019
Answer: Alternative to small implants Another alternative to consider rather than implantation is a breast lift with possible fat transfers. There are 2 alternatives to consider. One is a modified Benelli lift where a circumareola incision is made to reshape your breast tissue and elevate them higher on the chest wall. The other is 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 and the ability to breast feed are maintained. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are note lifetime devices. Fat transfers are permanent and incorporated into the body. Best Wishes,Gary Horndeski, M.D.
Helpful 1 person found this helpful
