What type of implant is this and how do I get this look? (Photo)

Question

I currently have smooth silicone implants the only way I can make them look fake is by wearing a push up bra that presses them high. Without a bra, they look normal. I’m guessing maybe from the weight of the silicone is the reason the don’t sit perky. This picture is exactly the look I want please help! How do her breast sit so high without bra?

Robert P. Schmid, MD · Answer

Thanks for your question! In my experience of doing thousands of breast augmentation surgeries, I think that pre op anatomy is the most important thing to achieve the final post op result. It’s possible that the way your chest wall & your overlying breast tissue is made, you may not be able to achieve that look. It would help to have included photos of yourself so we could compare them. That being said, I’d go with a large volume ultra high implant like the Allergan Inspira SSX smooth round extra full projection Type II Soft Touch gel, & like 700-800cc. Best of luck to you!

Jed H. Horowitz, MD, FACS · Answer

Hello azb262017You should visit a board certified plastic surgeon to help you make a good decision  #fakelook #options

Kelvin Eusebio, MD · Answer

Dear sb262017,If you want to have a "fake" look you may need o get high cohesive silicon gel breast implants ("gummy bear") with also a high profile shape placed behind the muscle. If you have smooth implants they are not "gummy bear". Best wishes.

Frank Agullo, MD · Answer

It is in port ant to communicate your desired look to your surgeon during consultation. It is also important to look for similar desired results in your surgeon’s before and afters. Your desired look can be achieved with an extra high profile silicone or saline implant. You may require a lift or pocket revision if your breast are currently sitting low.

Curtis Wong, MD · Answer

don't be surprised if you're on a future episode of 'Botched'... as your skin will stretch out and even become translucent.  Is that what you want?I prefer smooth round implants under the muscle and textured anatomical implants over the muscle. And if you are starting with droop, must consider a reduction augmentation. to create that upper pole fullness and minimize risks for bottoming owt down the road.

Norman Bakshandeh Day, MD, FACS · Answer

These photographs appear to look like oversized high profile implants that are placed in the subglandular pockets. They are not great long term

Tom J. Pousti, MD · Answer

Thank you for the question.  Much of the final outcome achieved with breast augmentation surgery depends on the patient's anatomic starting point.  In some ways, it may be more challenging to achieve an "fake look" when patients start out with a significant amount of native breast tissue.  Having said that, it is usually possible with careful dissection of breast implant pocket (I generally prefer the sub muscular pocket for most patients, including patients who are looking for a larger or more fake look)  and careful selection of appropriate breast implant type/size/profile to achieve the "fake" look.

Adjustment of the breast implant capsules (capsulorraphy) may be a very important part of the procedure as well.  The adjustment of the breast implant capsules may keep the breast implants higher on the chest wall and prevent displacement when patients lie down.

Generally speaking, patients attempting to achieve the "round fake" look often benefit from the use of  higher profile silicone gel breast implants or overfilled saline filled breast implants.

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 are 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. For example, I have found that the use of words such as “fake look” or "D or DD 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. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

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, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes.

What type of implant is this and how do I get this look? (Photo)

Answers (7)

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