My doctor first suggested 325cc hp smooth silicone implants. I went back a second time because I was concerned that might not look and feel as natural as I wanted so then he suggested 300cc moderate plus. Which will give the best results? He also said I had a wide gap in between each breast and said something about from my neck to each nipple being 20,20,20. I'm not sure if that's helpful. Also I'm 5'3 115 lbs. I'm 23 so I want what will look the best for my body
Answer: Implants alone are inadequate Implants alone will not give you the results you desire. Your nipples are too far apart and I recommend a new technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be placed. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. 22% of women who undergo breast augmentation alone require revision within 2 years because they are dissatisfied with the results. This will most likely happen in your case because your nipples will be too far apart and will have too much gap between your breasts.Best Wishes,Gary Horndeski, M.D.
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Answer: Implants alone are inadequate Implants alone will not give you the results you desire. Your nipples are too far apart and I recommend a new technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be placed. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. 22% of women who undergo breast augmentation alone require revision within 2 years because they are dissatisfied with the results. This will most likely happen in your case because your nipples will be too far apart and will have too much gap between your breasts.Best Wishes,Gary Horndeski, M.D.
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February 20, 2014
Answer: Which silicone implant will give me the best results? Thank you for the question and picture. Base on your photograph, you are starting at a great place and should have a very nice outcome with breast augmentation surgery. However, despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is: 1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase. 3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. I hope this, and the attached link, helps.
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February 20, 2014
Answer: Which silicone implant will give me the best results? Thank you for the question and picture. Base on your photograph, you are starting at a great place and should have a very nice outcome with breast augmentation surgery. However, despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is: 1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase. 3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. I hope this, and the attached link, helps.
Helpful
February 20, 2014
Answer: Implant style and size The difference in volume between 300 cc and 325 cc implants is very small. This is less than a shot glass, and honestly would be difficult for anyone to tell the difference easily - volume wise.I always measure the breast width diameter when considering implant selection. Based on this and your desired volume, a variety of implants will "fit".Maximizing your diameter will decrease your projection. As your nipple must be centralized over the implant (and breast mound), a wider diameter may give you more cleavage and ensure better centralization of the nipple areolar complex. A wider implant will give less projection though.All this depends on the width of the implant that will fit your breast. Talk to your board certified plastic surgeon. They will help you decide.
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February 20, 2014
Answer: Implant style and size The difference in volume between 300 cc and 325 cc implants is very small. This is less than a shot glass, and honestly would be difficult for anyone to tell the difference easily - volume wise.I always measure the breast width diameter when considering implant selection. Based on this and your desired volume, a variety of implants will "fit".Maximizing your diameter will decrease your projection. As your nipple must be centralized over the implant (and breast mound), a wider diameter may give you more cleavage and ensure better centralization of the nipple areolar complex. A wider implant will give less projection though.All this depends on the width of the implant that will fit your breast. Talk to your board certified plastic surgeon. They will help you decide.
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February 19, 2014
Answer: Proper Implant Selection 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
Helpful
February 19, 2014
Answer: Proper Implant Selection 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
Helpful
February 19, 2014
Answer: Be Careful With High and Moderate Profle Implants Especially With Wide Separation Between Breasts! 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.
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February 19, 2014
Answer: Be Careful With High and Moderate Profle Implants Especially With Wide Separation Between Breasts! 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.
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