I have had two consultations. Doctor A recommending a 325cc Round implant under the muscle. Doctor B recommending a 350cc Teardrop over the muscle. Dr. B said over the muscle with this implant would increase upper fullness because the muscle would not be pushing it down. I already have "a good amount of breast tissue" a full B small C. My goal is not to project out more but to look more plump, or full on top.
Answer: Breast augmentation
Helpful
Answer: Breast augmentation
Helpful
June 10, 2017
Answer: Implant size Dear awolken9,determining the ideal breast size and matching that goal for the patient is the most difficult part of breast augmentation. It starts and ends with the patient. 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 its 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, everyone of them have 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.Daniel Barrett, MD, MHA, MS
Helpful
June 10, 2017
Answer: Implant size Dear awolken9,determining the ideal breast size and matching that goal for the patient is the most difficult part of breast augmentation. It starts and ends with the patient. 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 its 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, everyone of them have 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.Daniel Barrett, MD, MHA, MS
Helpful
June 10, 2017
Answer: For fullness on top: anatomical 350cc above muscle or round 325cc below muscle? Wanting a natural look. There are several advantages to placing the implant behind the muscle. You will have more natural looking cleavage, and you will get a better mammogram in the future. There is also less risk of forming a capsule around the implant when it is placed behind the muscle. A capsule is too much scar tissue forming around the implant. In extreme cases, this can cause the breast to feel firm.A tear drop implant has the disadvantage of the possibility of turning within the pocket, making the breast have an odd shape. A tear drop is always textured which has been associated with BIA-ALCL, a very rare lymphoma. Additionally, many studies have shown that neither patients nor their surgeons can tell the difference between a smooth round vs a tear drop shaped implant after surgery. Hope this helps, and good luck!
Helpful
June 10, 2017
Answer: For fullness on top: anatomical 350cc above muscle or round 325cc below muscle? Wanting a natural look. There are several advantages to placing the implant behind the muscle. You will have more natural looking cleavage, and you will get a better mammogram in the future. There is also less risk of forming a capsule around the implant when it is placed behind the muscle. A capsule is too much scar tissue forming around the implant. In extreme cases, this can cause the breast to feel firm.A tear drop implant has the disadvantage of the possibility of turning within the pocket, making the breast have an odd shape. A tear drop is always textured which has been associated with BIA-ALCL, a very rare lymphoma. Additionally, many studies have shown that neither patients nor their surgeons can tell the difference between a smooth round vs a tear drop shaped implant after surgery. Hope this helps, and good luck!
Helpful
Answer: Tear drop vs round for upper pole fullness Hi and thanks for the question. There is a lot going on with this and very different consults. Here is what I have seen and the studies have been well done in this particular question more than a decade ago. The studies were done by John Tebbets MD from Dallas and Hammond MD. There are a few issues that have changed since then, read on below. Tebbets invented a Meghan style 468 the forerunner to our modern teardrop, his claim was more upper pole fullness and a more natural result. Studies were done by other doctors (Hammond) and published in our major journal showing that with CYScan this proved to not be the case, clinically and as plastic surgeons gained more experience we also found that not to be the case, the 468 was discontinued. All shaped implants that are cohesive wether round or teardrop maintain upper pole firmness better today than their softer counter parts. Simply a matter of a stiffer filler. This comes with some trades and it holds true wether under or over the muscle. The placement decision should be based on where your nipple is positioned with you standing upright and all things being equal should go under the muscle ad it decreases some of the other risks associated with implants. Today most surgeons including myself would not use a teardrop implant, because they are textured and carry a higher risk of a non Hodgkin's lymphoma, called ALCL. Allbeit rare it is something we have only seen with texture and all teardrops are textured. There may be some reason to use these but if a similar result can be achieved with smooth round implants I Would encourage you to use those. After having done many many thousands of breast augmentations, over 23 years, I have found that many of the same results can be achieved with various implants always make decisions that lead to the lowest risk and the highest predictability. I hope that helped !
Helpful
Answer: Tear drop vs round for upper pole fullness Hi and thanks for the question. There is a lot going on with this and very different consults. Here is what I have seen and the studies have been well done in this particular question more than a decade ago. The studies were done by John Tebbets MD from Dallas and Hammond MD. There are a few issues that have changed since then, read on below. Tebbets invented a Meghan style 468 the forerunner to our modern teardrop, his claim was more upper pole fullness and a more natural result. Studies were done by other doctors (Hammond) and published in our major journal showing that with CYScan this proved to not be the case, clinically and as plastic surgeons gained more experience we also found that not to be the case, the 468 was discontinued. All shaped implants that are cohesive wether round or teardrop maintain upper pole firmness better today than their softer counter parts. Simply a matter of a stiffer filler. This comes with some trades and it holds true wether under or over the muscle. The placement decision should be based on where your nipple is positioned with you standing upright and all things being equal should go under the muscle ad it decreases some of the other risks associated with implants. Today most surgeons including myself would not use a teardrop implant, because they are textured and carry a higher risk of a non Hodgkin's lymphoma, called ALCL. Allbeit rare it is something we have only seen with texture and all teardrops are textured. There may be some reason to use these but if a similar result can be achieved with smooth round implants I Would encourage you to use those. After having done many many thousands of breast augmentations, over 23 years, I have found that many of the same results can be achieved with various implants always make decisions that lead to the lowest risk and the highest predictability. I hope that helped !
Helpful
June 11, 2017
Answer: Implant choice Thanks for your question. I tend to like the round implants to provide more fullness at the upper poles of the breasts. The teardrop-shaped implants are, by their design, less full at the top. I hope that helps a little. Best wishes.
Helpful 1 person found this helpful
June 11, 2017
Answer: Implant choice Thanks for your question. I tend to like the round implants to provide more fullness at the upper poles of the breasts. The teardrop-shaped implants are, by their design, less full at the top. I hope that helps a little. Best wishes.
Helpful 1 person found this helpful
