Motiva Implants - Should the ‘arc length’ match my nipple to IMF distance?

A 3 mm difference in the arc length of the implant versus the nipple to inframammary fold of your breast should not affect your result. Small modifications of the placement of the incision for your augmentation will still allow the nipple/areolar complex to be positioned correctly in relation to the implant and have your inframammary fold incision sit exactly in your inframammary fold. Have a detailed consultation with your plastic surgeon with dimensional measurements of your breast to confirm this. Best wishes.

External measurements are not an exact representation of the distances under the pectoralis muscle.
Generally, speaking, using an implant that has a much greater diameter than your natural breast diameter will either cause the implant to ride high or the surgeon has to open the IMF, which is in my opinion, a bit treacherous and can lead to significant postoperative problems like implants bottoming out.
In a nutshell, anytime, excessively large implants are used to chance of undesirable side effects, complications and need for revision surgery will go up.
The bigger the implant the more likely postoperative problems are.
I suggest having a few in person consultations with plastic surgeons in your community
There is a lot of information to go over before being ready for this procedure.
In general, the outcome of breast augmentation surgery is usually based on three variables.
The first is the patient candidacy for the procedure, which is important to understand.
The second is implant selection in regards to shape size and type.
The third is provider selection.
Of these providers selection is the most important variable. In the hands of the right plastic surgeon everything falls into place.
In the hands of the wrong plastic surgeon, poor decision can be made and the chance of having problems and needing revision surgery goes up significantly.
This may seem obvious, but finding the right plastic surgeon turns out to be more difficult than most people realize.
I recommend patients have multiple consultations before selecting a provider and considering scheduling surgery.
The more consultations you have the more likely or to find the better provider for your needs.
By having multiple consultations, you’ll begin to get more familiarized with intricacies and become a better more informed consumer.
There’s no correct number of consultations needed to find the right provider.
The more consultations you schedule the more likely you are to find the best provider.
The biggest mistake I make is having only one consultation and then scheduling surgery.
Recognize that breast augmentation surgery has a pretty high revision rate.
Many people estimate revision rates are 25% within the first five years.
The chance of having revision surgery and the problems that indicate having revisions can be decreased significantly by approaching the procedure correctly to start with.
Good luck,
Mats Hagstrom MD