Teardrop Implants with Short Height for Tall Women with Large Thorax?

Question

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

Douglas L. Gervais, MD · 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.

Tom J. Pousti, MD · Answer

Thank you for the question.
 As you can imagine, despite your good description of body type and goals, it is not possible to give you precise advice online.
 Having said that, in my practice I have found that taller patients DO end up with larger breast implants (that seem to fit their frames better than smaller breast implants would),  when it comes to achieving a proportionate look.These days there are a variety of breast implants available; the variety of breast implant available raise a lot of questions from women considering breast augmentation surgery. Personally, I think that for most patients considering breast augmentation surgery, careful selection of plastic surgeon and careful communication of goals, far outweigh the specific type of breast implant utilized (when it comes to the success of the breast augmentation procedure).
Anatomical breast implants were designed to better simulate the natural breast shape; the problem with these implants is that if they shift or rotate, the entire breast will change shape as well. This change in breast shape may require further surgery to correct. Round implants, under the hand, can shift or rotate without changing the shape of the breasts. ***Overall, I find that beautiful outcomes can be achieved with the use of round saline or silicone gel breast implants for the vast majority of patients.The best online advice I can give to ladies who are considering breast augmentation surgery 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 D 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.

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 helps.

Ryan Neinstein, MD, FRCSC · Answer

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

Rian A. Maercks, MD · Answer

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.

Dana Khuthaila, MD, FRCSC, FACS · Answer

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.

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Teardrop Implants with Short Height for Tall Women with Large Thorax?

Answers (10)

Answer: Teardrop breast augmentation: It's not about the implants!

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Answer: Trans augmentation with anatomic implants

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Our mission is to create a world where every investment in modern beauty is Worth It.