I got 400cc round high profile silicone sub muscular implants. I had to get a couple of revisions because the surgeons "stitch tacking" did not even them out after I bottomed out. We went through my armpits.I have scars under my right breast & in both armpits. I was 5'4 110lbs & as a fitness model am 138-150lbs now. My 400cc breasts look much smaller & I find they don't fill my clothes as wanted. Can I go 650? Is that enough to make a difference? I don't care for the natural look obviously.
Answer: Implant size and type Dear mei2cc,breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD
Helpful 1 person found this helpful
Answer: Implant size and type Dear mei2cc,breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD
Helpful 1 person found this helpful
Answer: Avoid large implants After you had your
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Answer: Avoid large implants After you had your
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February 10, 2018
Answer: Best breast implants for me (revisionary breast surgery)? Thank you for the question and pictures. Yes, adding the volume you mentioned will certainly make a difference but the better question may be: will it be the difference that will achieve your desired outcome. Sometimes adjustments of the surrounding breast implant capsules are also necessary to achieve the desired outcome.
Helpful 1 person found this helpful
February 10, 2018
Answer: Best breast implants for me (revisionary breast surgery)? Thank you for the question and pictures. Yes, adding the volume you mentioned will certainly make a difference but the better question may be: will it be the difference that will achieve your desired outcome. Sometimes adjustments of the surrounding breast implant capsules are also necessary to achieve the desired outcome.
Helpful 1 person found this helpful
February 13, 2018
Answer: Caution needed if you had your folds secured with sutures as I would be reluctant to enlarge your pocket in any way downwards due to concerns you will bottom out again. So if there is an implant profile that will give you the volume you desire without needing lowering of your fold, it can be done. Otherwise you are accepting a lot of risk if you disrupt your fold to accommodate the larger implant. Certainly anchoring sutures done at your new fold may help minimize this risk but still, its a significant risk you will have to accept.
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February 13, 2018
Answer: Caution needed if you had your folds secured with sutures as I would be reluctant to enlarge your pocket in any way downwards due to concerns you will bottom out again. So if there is an implant profile that will give you the volume you desire without needing lowering of your fold, it can be done. Otherwise you are accepting a lot of risk if you disrupt your fold to accommodate the larger implant. Certainly anchoring sutures done at your new fold may help minimize this risk but still, its a significant risk you will have to accept.
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February 11, 2018
Answer: I am considering exchange of my #breastimplants. What should I be thinking about? It sounds like at some point you may have had some reduction of your natural breast volume? Did you have a lift/reduction at the time of one of your augmentation operations? Augmentation alone always makes the breast bigger so it is hard to piece together why your 400cc HP implants, which is a good size for a lot of patients, let you to feel like you had smaller breasts. Perhaps the weight gain makes you perceive your breasts as too small for your frame now, in which case it seems that upsizing to larger implants may be all you need. If you have bottoming out, it may suggest that you have loose lower breast skin which makes the upper pole projection less perky, especially when you are not in a bra/bathing suit top with support. Exam in the office is necessary to truly counsel you fully but as long as the implant dimensions do not exceed your breast width and nipple-to-fold distance for proper positioning of the implants, you may be able to go up in size to the target you are thinking. Consultation with a board-certified plastic surgeon where you bring any pictures you might have had even before your first operation would be very helpful.
Helpful 2 people found this helpful
February 11, 2018
Answer: I am considering exchange of my #breastimplants. What should I be thinking about? It sounds like at some point you may have had some reduction of your natural breast volume? Did you have a lift/reduction at the time of one of your augmentation operations? Augmentation alone always makes the breast bigger so it is hard to piece together why your 400cc HP implants, which is a good size for a lot of patients, let you to feel like you had smaller breasts. Perhaps the weight gain makes you perceive your breasts as too small for your frame now, in which case it seems that upsizing to larger implants may be all you need. If you have bottoming out, it may suggest that you have loose lower breast skin which makes the upper pole projection less perky, especially when you are not in a bra/bathing suit top with support. Exam in the office is necessary to truly counsel you fully but as long as the implant dimensions do not exceed your breast width and nipple-to-fold distance for proper positioning of the implants, you may be able to go up in size to the target you are thinking. Consultation with a board-certified plastic surgeon where you bring any pictures you might have had even before your first operation would be very helpful.
Helpful 2 people found this helpful
