Anatomical or round??? Was initially planning anatomicals but now not sure. (photos)
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Doctor Answers 10
Breast Augmentation: Information
Thank you for your story and questions. Your desire for your final appearance
Should be clearly understood. Your anatomy, the filler material (saline or silicone gel) and shape of the implant all play a role in the final appearance.
Nothing substitutes for a personal evaluation and a face to face discussion of your options. Unfortunately without photos, a examination and measurements I can advise you in general terms, however I hope you will find them helpful.
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:
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 implant
thus 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 arm
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 implants
B) reconstructive patients shaped/form stable implants are often used.
They are more firm as this is how they maintain their shape.
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).
A) 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 several 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, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
4646 Brockton Ave
Riverside, Ca 92506
Anatomical or Round?
Your breasts are somewhat ptotic (droopy) to start out, and they appear to sit lower on your chest wall. Some surgeons might suggest a lift, although it doesn't appear that a lift is clearly indicated. An anatomic implant has more volume in the lower part of the implant, and that can useful in filling out the lower part of the breast in a patient like yourself with mild ptosis or sagging. A round implant will not accomplish that any better. Much of your result will depend on surgical planning and operative technique. A somewhat larger implant to better fill out your skin envelope might be worth considering. The 410 is an exceedingly firm implant and would not be my preferred choice.
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Anatomical or round??? Was initially planning anatomicals but now not sure.
Anatomical or round???
Anatomic or round
Anatomic versus round
This is a great question! Anatomic versus round implants have long been debated and the recent American Society of Aesthetic Plastic Surgery this was heavily debated at the scientific session. The jury is not out on this question and the most important thing is making an informed decision and understanding the risks and benefits associated with any type of implant that can include things like rotation or contracture. Finding a board certified plastic surgeon that listens and understands your goals is the most important thing I can recommend! Good luck, MMT
What size and type of implant
Rounds vs anatomical
Theodore T. Nyame MD
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.