53 years old, 5'5", 125lbs, athletic - Pre op 32A breast width 11.5cm. Choices: Natrelle Inspira SRM 240, 255, 275 & SRF295 & shown SRF325. I chose 325SRF. 6 months po breasts high, firm & nipples pointing down. PS said to give more time for tissue expansion & said could massage, wear a band &/or go bra less. Also said that I may have gone too big & may need a revision to smaller implants but need to wait a year. Really discouraged with my results & not what i expected - need advice.
Answer: Very poor results, my comments I disagree, very firmly, the solution is not being strapped with a useless band, being braless or other peculiar ideations like waiting longer time or going for smaller implants, unacceptable; your implants were placed too high, totally under the muscle, they suffer dinamysm when you contract the pectoralis, the nipples are eccentric from them, the lower pole of the breast is more than empty but nonexistant, you have side boob deformity and over expansion of the prosthetic pocket at the side of the breasts, the cleavage gap is too wide and the look is round and fake because they are not anatomical; this result is very poor and is aggravated by the fact you are very slim and transparent.Breast augmentation in skinny and transparent patients is demanding of high grade from perfectionism, otherwise any minor imperfection is noticeable and boosted by the lack of cover.Following the link below you can see dozens of cases chosen by being "skinny breasts" enjoying awesome results; all operated with anatomical shaped cohesive gel filled and macrotextured implants placed in the subfascial plane, many of them are revisions, other primary cases, the same or even skinnier than you. Some of those cases are like clones of your anatomy and/or your revision case.Seek better opinions and the help of a surgeon expert in difficult augmentations and revisions.
Helpful 2 people found this helpful
Answer: Very poor results, my comments I disagree, very firmly, the solution is not being strapped with a useless band, being braless or other peculiar ideations like waiting longer time or going for smaller implants, unacceptable; your implants were placed too high, totally under the muscle, they suffer dinamysm when you contract the pectoralis, the nipples are eccentric from them, the lower pole of the breast is more than empty but nonexistant, you have side boob deformity and over expansion of the prosthetic pocket at the side of the breasts, the cleavage gap is too wide and the look is round and fake because they are not anatomical; this result is very poor and is aggravated by the fact you are very slim and transparent.Breast augmentation in skinny and transparent patients is demanding of high grade from perfectionism, otherwise any minor imperfection is noticeable and boosted by the lack of cover.Following the link below you can see dozens of cases chosen by being "skinny breasts" enjoying awesome results; all operated with anatomical shaped cohesive gel filled and macrotextured implants placed in the subfascial plane, many of them are revisions, other primary cases, the same or even skinnier than you. Some of those cases are like clones of your anatomy and/or your revision case.Seek better opinions and the help of a surgeon expert in difficult augmentations and revisions.
Helpful 2 people found this helpful
March 13, 2019
Answer: Breast implants breast augmentation Dear Jaqui52Thank you for your questions and photos ! Your implant position is high compared to the center of your breast and inframammary fold.If the implants are under the muscle - it may need a little more release.With Warm RegardsTrevor M Born MD
Helpful 1 person found this helpful
March 13, 2019
Answer: Breast implants breast augmentation Dear Jaqui52Thank you for your questions and photos ! Your implant position is high compared to the center of your breast and inframammary fold.If the implants are under the muscle - it may need a little more release.With Warm RegardsTrevor M Born MD
Helpful 1 person found this helpful
March 12, 2019
Answer: Smaller implants and modified Benelli lift At size 32, each 100 cc of implant corresponds to 1 cup size change. 325 cc implants are large and took you up 3 cup sizes. At this time, you alternatives are smaller implants or release the inferior pole of the breast. Releasing the inferior pole of the breast can result in bottoming out and the breast will descend. I recommend a modified Benelli lift with smaller implants. Using a circumareola approach, the nipple is raised higher on the chest wall, the breast tissue is reshaped, elevated higher and more medial to increase your cleavage. Through the same incision, smaller implants can be placed.Best Wishes,Gary Horndeski, M.D.
Helpful
March 12, 2019
Answer: Smaller implants and modified Benelli lift At size 32, each 100 cc of implant corresponds to 1 cup size change. 325 cc implants are large and took you up 3 cup sizes. At this time, you alternatives are smaller implants or release the inferior pole of the breast. Releasing the inferior pole of the breast can result in bottoming out and the breast will descend. I recommend a modified Benelli lift with smaller implants. Using a circumareola approach, the nipple is raised higher on the chest wall, the breast tissue is reshaped, elevated higher and more medial to increase your cleavage. Through the same incision, smaller implants can be placed.Best Wishes,Gary Horndeski, M.D.
Helpful
March 10, 2019
Answer: Why Are My Nipples Pointing Down & Not Centered 6 Months Post Breast Augmentation? Skin stretches. Ask any woman who has ever been pregnant, and the force needed to stretch the skin between the nipple and inframammary fold comes from time, gravity, a bando, and no bra no bra no bra.Although it appears that your surgery was done in an excellent fashion, you apparently did not wear a bando which creates downward vectors of force, and you did wear a bra sometime early after the surgery. The combination of these two force producing garments kept the tissue between your nipple and inframammary fold from stretching out.At this point, your body has formed a capsule around the implant which tends to hold the implant in place. All this being said, if you were my patient at this juncture, I would ask you to wear a bando 24/7 and not to wear a bra but nipple covers (for modesty). The pressure from the bando and the lack of upward forces from a bra is your best non-surgical maneuver at this point in my opinion.
Helpful 1 person found this helpful
March 10, 2019
Answer: Why Are My Nipples Pointing Down & Not Centered 6 Months Post Breast Augmentation? Skin stretches. Ask any woman who has ever been pregnant, and the force needed to stretch the skin between the nipple and inframammary fold comes from time, gravity, a bando, and no bra no bra no bra.Although it appears that your surgery was done in an excellent fashion, you apparently did not wear a bando which creates downward vectors of force, and you did wear a bra sometime early after the surgery. The combination of these two force producing garments kept the tissue between your nipple and inframammary fold from stretching out.At this point, your body has formed a capsule around the implant which tends to hold the implant in place. All this being said, if you were my patient at this juncture, I would ask you to wear a bando 24/7 and not to wear a bra but nipple covers (for modesty). The pressure from the bando and the lack of upward forces from a bra is your best non-surgical maneuver at this point in my opinion.
Helpful 1 person found this helpful
March 10, 2019
Answer: Why are my nipples pointing down and not centered post breast augmentation? Thank you for the question.
Helpful 1 person found this helpful
March 10, 2019
Answer: Why are my nipples pointing down and not centered post breast augmentation? Thank you for the question.
Helpful 1 person found this helpful
