I'm 5'5 and 103 lbs and am a b cup. I want to be a full c cup and have more cleavage and a rounder shape to my breasts. Projection isn't much of a goal of mine. I tried on 300cc mod plus implants and they looked very large but the Drs assistant recommended that to me. I liked the look of the 200cc moderate profile but the dr said it won't look good. 300 just felt so large. Also, my creases are at different levels which make my nipples look at different heights. Can the crease be lowered by 1cm?
Answer: Your goals are always most important Based on your starting point you are an excellent candidate for smaller volume lower profile implants. 200 cc is a small implant but it would probably be exactly what YOU want. In my practice I use Vectra 3D imaging as an education tool to discuss size and shape related concerns. We want to avoid dropping a fold whenever possible but it is often necessary. This is something that cannot be assessed on photos alone, ask your PS if it is a good idea based on their exam.
Helpful 4 people found this helpful
Answer: Your goals are always most important Based on your starting point you are an excellent candidate for smaller volume lower profile implants. 200 cc is a small implant but it would probably be exactly what YOU want. In my practice I use Vectra 3D imaging as an education tool to discuss size and shape related concerns. We want to avoid dropping a fold whenever possible but it is often necessary. This is something that cannot be assessed on photos alone, ask your PS if it is a good idea based on their exam.
Helpful 4 people found this helpful
Answer: Implant Sizing Hello,You have a great starting point. You should be bio-dimensionally mearsured, and re-sized in the office of a few more surgeons. I feel that using sizers in the office really gives both the patient and doctor the best idea of her aesthetic goals. It is true that in office sizing overestimates projection. So, if you liked the 200 cc sizer, you would get approximately the same look with a 225 cc or 250 cc implant. Based on your photos and your probable choice in implants, I would not think your crease needs to be lowered at all.Best of luck!
Helpful 1 person found this helpful
Answer: Implant Sizing Hello,You have a great starting point. You should be bio-dimensionally mearsured, and re-sized in the office of a few more surgeons. I feel that using sizers in the office really gives both the patient and doctor the best idea of her aesthetic goals. It is true that in office sizing overestimates projection. So, if you liked the 200 cc sizer, you would get approximately the same look with a 225 cc or 250 cc implant. Based on your photos and your probable choice in implants, I would not think your crease needs to be lowered at all.Best of luck!
Helpful 1 person found this helpful
February 23, 2016
Answer: Breast Augmentation: information Dear Ms. Elizajacobs322,Thank you for your story and questions. The terms can be confusing.Nothing substitutes for a personal evaluation and a face to face discussion of your options Unfortunately without a examination and measurements I can advise you in general terms, however I hope you will find them helpful.Your asymmetric location of your fold is not unusual and be corrected intraoperatively.I personally believe that It is important for prospective breast augmentation patients to understand what determines the appropriate implant size, filler material , shape and implant location. The final decision(s) is a personal choice guided by the experience of your Plastic Surgeon.Your SPECFIC breast anatomy will dictate many of your choices. The breast foot print/base width on your chest will influence implant selection. Disregarding these measured dimensions will often lead to a more visable/conspicuous implant appearance.As far as size you know all bras are not equal in "cup size" measurements."Cup size"is a very crude and non standardized measurement and varies by bra manufacturers. Thus actual cup size you eventually are measured at is not as important as your body proportions as it relates to your desired breast size.My specific responses are:1)sizing:A)Realizing there are no standard bra (strap/cup) sizes, purchase several bras (full bodied and no padding) of the strap and cup size you think you want to be. B)take a measuring cup (1 oz=30cc) place rice in a nylon. Therefore 10 oz. = 300cc...C) try on various volumes of rice with some form fitting clothes.D)if implant is placed under the pectoralis muscle I usually add 10% volume to what the patient chooses.... To compensate for the muscle pressing down on the muscle and for the naturally settleing of the implant which often makes the breast appear smaller 2-3 months after surgery.2) profile of implant:A) for the same volume the higher the profile the narrower the base width.B)there is very little difference in projection between a moderate to high profile implantthus little affect on how the actual nipple will look.C) the base width of the breast should equal the base width of the implant D)thus I personally chose the profile based on the patients chest measurements, (a high profile on a wide chest may not result in the cleavage desired and conversely a low profile on a narrow chest may result in implant in the outside armarea)E)Cleavage is largely determined by your anatomy. This can be optimized by choosing the best profile implant and postoperative implant displacement excercises towards the midline of your chest.3)Shape of the implant:A) for the vast majority of cosmetic patients I recommend round implantsB) reconstructive patients shaped/form stable implants are often used.4)Placement decision of implant placement will be determined based on your anatomy, you current breast tissue, and your long term goals and benefits.The four positions are:A) Subpectoral which is completely under the muscle. B) Supra pectoral which is above the muscle but under the breast.C) Subfascial which is under the fibrous layer that covers the muscle. D) Dual plane which is partially under the muscle and partially under the breast.Placing the implant in the subpectoral or dual plane position I believe in general has significant benefits: A) coverage of implant with muscle resulting in less palpability of implant (except in lower outer quadrant where ther is no muscle coverage)B) less long term internal scar formation(capsular contracture).5)Filler MaterialA) silicone gel feels more like breast tissue, less potential rippling, comes prefilled cannot adjust size intraoperatively and larger incisions to place compared to equal sized (non prefilled) normal saline implants.B) normal saline implants can be adjusted in size intraoperatively, if ruptures normal saline absorbs, potential increase rippling compared to silicone gel, smaller incision to place normal saline implants as compared to prefilled silicone gel implants.I suggest you collect bring the nude model photos of the goal breast shape you desire and schedule several consultative appointments with Plastic Surgeons who are experienced and is Certified by the American Board of Plastic Surgery and ideally members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600
Helpful 3 people found this helpful
February 23, 2016
Answer: Breast Augmentation: information Dear Ms. Elizajacobs322,Thank you for your story and questions. The terms can be confusing.Nothing substitutes for a personal evaluation and a face to face discussion of your options Unfortunately without a examination and measurements I can advise you in general terms, however I hope you will find them helpful.Your asymmetric location of your fold is not unusual and be corrected intraoperatively.I personally believe that It is important for prospective breast augmentation patients to understand what determines the appropriate implant size, filler material , shape and implant location. The final decision(s) is a personal choice guided by the experience of your Plastic Surgeon.Your SPECFIC breast anatomy will dictate many of your choices. The breast foot print/base width on your chest will influence implant selection. Disregarding these measured dimensions will often lead to a more visable/conspicuous implant appearance.As far as size you know all bras are not equal in "cup size" measurements."Cup size"is a very crude and non standardized measurement and varies by bra manufacturers. Thus actual cup size you eventually are measured at is not as important as your body proportions as it relates to your desired breast size.My specific responses are:1)sizing:A)Realizing there are no standard bra (strap/cup) sizes, purchase several bras (full bodied and no padding) of the strap and cup size you think you want to be. B)take a measuring cup (1 oz=30cc) place rice in a nylon. Therefore 10 oz. = 300cc...C) try on various volumes of rice with some form fitting clothes.D)if implant is placed under the pectoralis muscle I usually add 10% volume to what the patient chooses.... To compensate for the muscle pressing down on the muscle and for the naturally settleing of the implant which often makes the breast appear smaller 2-3 months after surgery.2) profile of implant:A) for the same volume the higher the profile the narrower the base width.B)there is very little difference in projection between a moderate to high profile implantthus little affect on how the actual nipple will look.C) the base width of the breast should equal the base width of the implant D)thus I personally chose the profile based on the patients chest measurements, (a high profile on a wide chest may not result in the cleavage desired and conversely a low profile on a narrow chest may result in implant in the outside armarea)E)Cleavage is largely determined by your anatomy. This can be optimized by choosing the best profile implant and postoperative implant displacement excercises towards the midline of your chest.3)Shape of the implant:A) for the vast majority of cosmetic patients I recommend round implantsB) reconstructive patients shaped/form stable implants are often used.4)Placement decision of implant placement will be determined based on your anatomy, you current breast tissue, and your long term goals and benefits.The four positions are:A) Subpectoral which is completely under the muscle. B) Supra pectoral which is above the muscle but under the breast.C) Subfascial which is under the fibrous layer that covers the muscle. D) Dual plane which is partially under the muscle and partially under the breast.Placing the implant in the subpectoral or dual plane position I believe in general has significant benefits: A) coverage of implant with muscle resulting in less palpability of implant (except in lower outer quadrant where ther is no muscle coverage)B) less long term internal scar formation(capsular contracture).5)Filler MaterialA) silicone gel feels more like breast tissue, less potential rippling, comes prefilled cannot adjust size intraoperatively and larger incisions to place compared to equal sized (non prefilled) normal saline implants.B) normal saline implants can be adjusted in size intraoperatively, if ruptures normal saline absorbs, potential increase rippling compared to silicone gel, smaller incision to place normal saline implants as compared to prefilled silicone gel implants.I suggest you collect bring the nude model photos of the goal breast shape you desire and schedule several consultative appointments with Plastic Surgeons who are experienced and is Certified by the American Board of Plastic Surgery and ideally members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600
Helpful 3 people found this helpful
February 23, 2016
Answer: Can I get a moderate profile implant? The best cosmetic result in
Helpful 1 person found this helpful
February 23, 2016
Answer: Can I get a moderate profile implant? The best cosmetic result in
Helpful 1 person found this helpful
February 22, 2016
Answer: Implant selection and breast crease Hello, when trying on implants you will notice that they tend to hold the bra away from the skin and there is an air gap around them. For this reason, many surgeons suggest their patients choose slightly larger implants than the sizers they liked. Ultimately of course it is the patient's decision. If you are still concerned you could discuss this with your surgeon or seek another opinion. It is possible to lower the breast fold but this must be done carefully to ensure that the implant still has support and doesn't drop too low (called bottoming-out).
Helpful 1 person found this helpful
February 22, 2016
Answer: Implant selection and breast crease Hello, when trying on implants you will notice that they tend to hold the bra away from the skin and there is an air gap around them. For this reason, many surgeons suggest their patients choose slightly larger implants than the sizers they liked. Ultimately of course it is the patient's decision. If you are still concerned you could discuss this with your surgeon or seek another opinion. It is possible to lower the breast fold but this must be done carefully to ensure that the implant still has support and doesn't drop too low (called bottoming-out).
Helpful 1 person found this helpful
