Which silicone implant will give me the best results? (Photo)

The
only way to provide a truly acceptable answer to your question is to see you in
consultation and perform an examination. Otherwise, only generalizations can be
offered.



Breast
base width is one of the most important measurements, but decisions regarding
implant selection are also based upon breast size and shape, tissue compliance,
and the desired appearance. In most circumstances it is very important to
respect the dimensions of the breast (esp. with a subpectoral augmentation) and
the skin envelope tissue compliance to achieve a natural result and reduce
post-operative morbidity.



In
general, the width of the breast implant should not exceed the base width of
the breast by more than a few millimeters. A subglandular or subfascial augmentation
may allow you to choose a slightly larger diameter implant, and may help you
achieve more narrow cleavage. In a subpectoral augmentation, the medial extent
of the pocket is defined by the origins of the pectoralis major muscle; these
origins need to be respected and left intact. Therefore, trying to narrow
cleavage is difficult with a subpectoral implant location, and the distance
between the breasts remains unchanged. The risks and the benefits of these
pocket locations need to be considered carefully when making decisions
regarding the final result you desire, and can be discussed with your surgeon
in detail.



Implant
profile also plays a role in the final breast shape. I think moderate profile
implants tend to produce a more natural result because they are less spherical
in shape. High profile implants tend to produce a shape that is more round and
has more projection, but not necessarily more upper pole fullness. In women with
narrow chests moderate profile implants sizes are sometimes limited, and higher
volume options are available if high profile implants are selected instead. If
using implants in a subglandular position to narrow cleavage, then high profile
implants should be avoided and moderate profile or anatomic implants are better
options.



You
should consult with a board-certified plastic surgeon who is experienced with
breast augmentation. The consult should allow you the opportunity to describe
your desires for breast size, shape, and implant type. A thorough exam should
be performed. You should understand all the differences between saline and
silicone gel breast implants. The risks and benefits of the proposed operation,
as well as the estimated outcome should be discussed in detail. The first step
to a good result is a trusting and open relationship with your surgeon.
Different surgeons will have different recommendations, so more than one
consultation may be beneficial for you.



Best
wishes. Ken Dembny

I would strongly suggest reconsidering the plan.  First of all dont even think about a dual-plane or under the muscle technique, your wide separation will be emphasized.  You need a low profile implant such as an Allergan Style 10 or preferably a shaped form stable implant like an Allergan style 410 FM or Sientra Classic Oval.  You need to fill a wide space and high profile implants cannot do this.  I would strongly recommend a subfascial technique or if you are unable to find a doctor experienced in subfascial breast augmentation, find one with good results with subglandular.  A high profile implant in a dual plane position will look like widely separated torpedos and this should be avoided!  I hope this helps!All the best,Rian A. Maercks M.D.