Breast lift with Motiva ergonomix implant or Mentor teardrop shape? (Photos)

Question

Hi. I will have my BA with a lift in march. But i don‘t know which implant i should choose. My surgeon prefers the ergonomix but a friend told me now that i should choose a harder implant because my skin is not „good“ enough(?) She thinks that the ergonomix will be too soft/smooth. He will do a vertical section and my areola smaller. He want‘s to place the ergonomix (380cc) over the muscle but the mentor teardrop shape dual plane

Gary M. Horndeski, MD · Answer

Unfortunately, you have not told us your bra size.  However, I recommend a breast lift using The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices and half are removed by 9.5 years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Hi ianna21, 
  
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. 
  
Implant profile is one of the important considerations to make. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This is associated with several problematic consequences. 
  
The first issue is that the patient loses width and therefore cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. 
  
High profile implants do have a role in symmastia repair (when I need to narrow the base width) but otherwise I try to avoid them.
  
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, MHA, MS
  
Certified, American Board of Plastic Surgery
  
Member, American Society of Plastic Surgery
  
Member, American Society of Aesthetic Plastic Surgery

Mark Hanikeri, MBBS, FRACS · Answer

Hi there and thanks for the question and photoIn reality, the result depends more on the surgery than the implant choice and you can get great results with both implants if the surgery is performed well.  You should trust your specialist Plastic Surgeon to recommend what works best for them.Good LuckDr Mark Hanikeri MBBS FRACSPERTH SPECIALIST PLASTIC SURGEON

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