I'm a trans woman. 26 yo, 6 tall, 160 pounds. I look 100% passable as a biology female but I'd like to go from 36 A to 36 FULL D. My Surgeon suggested teardrop implants with a short height, full width, mod + P, as he believes goes perfect for me. Im deciding between 570 cc (312 cohesive III- 15 cm W- 13.3 cm Height) or 615 cc (332 cohesive III-14.5 cm W- 13.1 cm Height) placed under muscle. I understand why the WIDTH but please tell me why the short height if I'm so tall... Thanks
Answer
Tantra,
I agree with several of the other doctors who replied. I believe that anatomical implants can (and do ) shift or rotate. They also have a higher rate of rippling( may be more likely to be seen or felt). Studies have shown that round implants look the same as anatomic implants in patients after augmentation. Not worth the added cost or risk in my opinion. Anatomical implants are also textured and therefore have higher rates of ripplig as well.
Dr. Douglas L. Gervais, MD
Board Certified Plastic Surgeon
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I agree with all the great docs here. The idea of the natural tear drop implant is likely overplayed and the assoiated risks and potential complications are not worth it since most surgeons can not tell the difference between what type of implants are in a patient
Dr. Ryan Neinstein, MD, FRCSC
Board Certified Plastic Surgeon
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Unfortunately the most commonly used type of implants (high profile) and the most common type of placement ( submuscular/dual plane) cannot deliver the natural 'tear drop' effect that you desire. There are also big problems associated with anatomic implants placed in conventional planes( they work well in subfascial carefully designed pockets). This is why I use a very unique method of breast augmentation that I call 'cold-subfascial augmantation.' the placement of the implants is not 'above the muscle' or subglandular, nor is it submuscular or dual plane. A very strong layer of connective tissue is meticulously and atraumatically dissected from the pectoralis major muscle and this tissue is used to shape and support a lower profile implant into a gentle tear drop shape. It is the surgical dissection and not the implant itself that gives shape to the breasts. The results sit like natural breasts and do not move like submuscular implants do with arm motion. The fascia also supports the implant giving it relative protection from gravity and aging.
All the best,
Rian A. Maercks M.D.
Dr. Rian A. Maercks, MD
Board Certified Plastic Surgeon
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Dear Tantra,
Ideally you should also get your breast height measured to better choose your implant. If the implant he chose is too short than maybe you should go with a moderate or full height implant.
I agree with your surgeon that you should go with the teardrop or (Anatomic shaped) implants because they have a more natural look.
Breast width and breast height measurements are important to take before deciding on the appropriate size implant for you.
Best of luck.
Dr. Dana Khuthaila, MD, FRCSC, FACS
Board Certified Plastic Surgeon
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The recommendation statedmay be made based on your subcutaneous tissue thickness assessment. IF you vertical height is excessively long the thinness of your upper pole tissues may not be sufficient to disguise the implant. Therefore the short height may have been selected in order to fit within the limited amount of breast tissue you currently have. However, as Dr. Wallach, I am not am not a proponent of anatomic implants because of their tendency to rotate and higher likelihood of asymmetry.
Dr. Otto Joseph Placik, MD
Board Certified Plastic Surgeon