I'm 5'10" and 140 pounds. I'm currently a small 34A. I've had two children and breast fed both of them. I'm very lean (16-17% bodyfat) and workout a lot. Is subglandular or submuscular better for someone like me? I've decided that I would prefer silicone implants. What size implant would you recommend? I would like to be a "full C" but open to suggestions. But I don't want to look disproportionate. I'm not sure of the difference between medium profile and high profile. How does this affect the end result?
Answer: Depends on your body measurements and goals I use a technique called dimensional breast augmentation which involves taking in a number of factors and measurements, so each patient is unique. That being said, given your height, weight, and your activity level, along with the fact you are considering a lift, I would say you are probably not that far off in choosing an implant in that range. Best thing to do is to see a qualified plastic surgeon that has good breast expertise.
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Answer: Depends on your body measurements and goals I use a technique called dimensional breast augmentation which involves taking in a number of factors and measurements, so each patient is unique. That being said, given your height, weight, and your activity level, along with the fact you are considering a lift, I would say you are probably not that far off in choosing an implant in that range. Best thing to do is to see a qualified plastic surgeon that has good breast expertise.
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March 6, 2014
Answer: Implant volume and cup size At size 34 A each 100 cc’s of implant corresponds to 1 cup size change. To achieve a full C would require 200 cc implants. I always recommend small round textured silicone gel implants placed retro-pectoral since they 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. Unfortunately, you have not provided any photographs but you give a history of two pregnancies so it is possible that your breast has drooped. If that is the situation, 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. 22% of women who undergo breast augmentation alone require revision within 2 years because they are dissatisfied with the result. Best Wishes,Gary Horndeski, M.D.
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March 6, 2014
Answer: Implant volume and cup size At size 34 A each 100 cc’s of implant corresponds to 1 cup size change. To achieve a full C would require 200 cc implants. I always recommend small round textured silicone gel implants placed retro-pectoral since they 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. Unfortunately, you have not provided any photographs but you give a history of two pregnancies so it is possible that your breast has drooped. If that is the situation, 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. 22% of women who undergo breast augmentation alone require revision within 2 years because they are dissatisfied with the result. Best Wishes,Gary Horndeski, M.D.
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March 1, 2014
Answer: What size & type of implants are right for me? Thank you for the questions. Despite your good description of your body type and goals, online consultants will not be of specific enough help to you. Generally speaking, I prefer the use of the sub muscular (dual plane) positioning of breast implants for the vast majority of patients seeking breast augmentation surgery. I think that the outcomes associated with this positioning tend to be better long-term and associated with fewer downsides. Also, 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 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 “full C cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging technology may also be very helpful during this communication process. 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) help.
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March 1, 2014
Answer: What size & type of implants are right for me? Thank you for the questions. Despite your good description of your body type and goals, online consultants will not be of specific enough help to you. Generally speaking, I prefer the use of the sub muscular (dual plane) positioning of breast implants for the vast majority of patients seeking breast augmentation surgery. I think that the outcomes associated with this positioning tend to be better long-term and associated with fewer downsides. Also, 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 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 “full C cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging technology may also be very helpful during this communication process. 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) help.
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February 28, 2014
Answer: Right for me? Your questions are all very good ones and will be easily answered when you have your consultation. You can see the implants, try on the sizes and your chosen surgeon will be able to help you sort out your choices so that you can find the one that is best for you.
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February 28, 2014
Answer: Right for me? Your questions are all very good ones and will be easily answered when you have your consultation. You can see the implants, try on the sizes and your chosen surgeon will be able to help you sort out your choices so that you can find the one that is best for you.
Helpful
February 28, 2014
Answer: Size & type of implants? The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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February 28, 2014
Answer: Size & type of implants? The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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