I am just curious how bed will affect a breast aug… my bed is 12.5cm and I am deciding between Sientra 355 M+ (12.1cm) and 385 M+ (12.5cm). I am doing subfacial.. is it better to have an implant a little less than my bwd for a more natural look? Or is it best to match the width exactly if you can? I don’t want rippling. Will it make much of a difference? Another option is 385 HP (12.3cm), but worried about the more fake look of HP.
January 29, 2024
Answer: BWD and BA Dear Fabulous50618, 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. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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January 29, 2024
Answer: BWD and BA Dear Fabulous50618, 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. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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January 18, 2024
Answer: Breast width an implant size Thank you for your question. A large portion of my practice is dedicated to breast surgery and revision breast surgery. Many surgeons and patients put way too much emphasis on breast width dimensions. After being in practice for almost 30 years, I feel that it is the least important measurement as well as the least useful measurement. There is way too much emphasis on this measurement. The most important piece of information from your short Intro is that you are placing an implant in the subfascial location. Basically, subfascial equals subglandular. The fascia of the pectoralis major muscle is less than a half of a millimeter and provides minimal strength. I would caution you from doing this. I have a whole gallery of poor outcomes from long-term changes associated with implants on top of the muscle. Best wishes to you.
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January 18, 2024
Answer: Breast width an implant size Thank you for your question. A large portion of my practice is dedicated to breast surgery and revision breast surgery. Many surgeons and patients put way too much emphasis on breast width dimensions. After being in practice for almost 30 years, I feel that it is the least important measurement as well as the least useful measurement. There is way too much emphasis on this measurement. The most important piece of information from your short Intro is that you are placing an implant in the subfascial location. Basically, subfascial equals subglandular. The fascia of the pectoralis major muscle is less than a half of a millimeter and provides minimal strength. I would caution you from doing this. I have a whole gallery of poor outcomes from long-term changes associated with implants on top of the muscle. Best wishes to you.
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