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.
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CONTACT NOW 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.
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CONTACT NOW Answer: Can I get a moderate profile implant? Dear Eliza,Looking at your photos you are a wonderful candidate for a breast augmentation. I am noticing that you might have a little breast asymmetry, but it might not be enough to do something like intentionally lowering the fold or using different volume implants. Everyone has some asymmetry both before and after their surgery, and the appearance at the top of the breast trumps the bottom of the breast. If the distance from your sternal notch to the nipple is significantly different from one side to the other, that might warrant a crescent mastopexy on one side, but again you don't look markedly asymmetric in your photos so this might not be an issue for you.When it comes to size its not like you only have 200 and 300cc's to chose from! You also have 3 sizes between these. If you like the look of the 200 cc sizer, and understand you might not be as full as your goal photos, that is fine. You may end up somewhere in the middle like a 225 or 250cc as another alternative. If you did not have the opportunity to use 3D imaging, that might be a great way to answer the question about the size and profile that you like best naked. I always put more weight on the sizer a patient likes dressed in a full length mirror than on the imaging, but it is a wonderful tool to allow patients to appreciate the difference in profile on their own body and the differences (or lack there of) by going a little bigger or smaller. In a smaller implant range, a wider base diameter like on a moderate profile is typically my preference as well but your measurements and exam are important in when making a profile selection and ultimate size selection, and no one here has the luxury of doing that. Also, each company has a different name and dimensions to their profiles so it can get a little confusing.Best of luck to you,
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CONTACT NOW Answer: Can I get a moderate profile implant? Dear Eliza,Looking at your photos you are a wonderful candidate for a breast augmentation. I am noticing that you might have a little breast asymmetry, but it might not be enough to do something like intentionally lowering the fold or using different volume implants. Everyone has some asymmetry both before and after their surgery, and the appearance at the top of the breast trumps the bottom of the breast. If the distance from your sternal notch to the nipple is significantly different from one side to the other, that might warrant a crescent mastopexy on one side, but again you don't look markedly asymmetric in your photos so this might not be an issue for you.When it comes to size its not like you only have 200 and 300cc's to chose from! You also have 3 sizes between these. If you like the look of the 200 cc sizer, and understand you might not be as full as your goal photos, that is fine. You may end up somewhere in the middle like a 225 or 250cc as another alternative. If you did not have the opportunity to use 3D imaging, that might be a great way to answer the question about the size and profile that you like best naked. I always put more weight on the sizer a patient likes dressed in a full length mirror than on the imaging, but it is a wonderful tool to allow patients to appreciate the difference in profile on their own body and the differences (or lack there of) by going a little bigger or smaller. In a smaller implant range, a wider base diameter like on a moderate profile is typically my preference as well but your measurements and exam are important in when making a profile selection and ultimate size selection, and no one here has the luxury of doing that. Also, each company has a different name and dimensions to their profiles so it can get a little confusing.Best of luck to you,
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February 24, 2016
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!
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CONTACT NOW February 24, 2016
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!
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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
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CONTACT NOW 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
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February 23, 2016
Answer: Can I get a moderate profile implant? The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, desired outcome, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing suit at a preoperative visit will help you and your surgeon choose the optimal implant.Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person including what can be done about the fold and nipple-areolar asymmetry. Try on the sizers again until you are comfortable with your decision..Robert Singer, MD FACSLa Jolla, California
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CONTACT NOW February 23, 2016
Answer: Can I get a moderate profile implant? The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, desired outcome, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing suit at a preoperative visit will help you and your surgeon choose the optimal implant.Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person including what can be done about the fold and nipple-areolar asymmetry. Try on the sizers again until you are comfortable with your decision..Robert Singer, MD FACSLa Jolla, California
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