Am I a good candidate for breast augmentation ? And can I get a cleavage ? (photos)

Doctor Answers 18

Breast augmentation

You are a good candidate for breast augmentation.You have breast asymmetry to a differential augmentation will be needed using a larger implant on the left and possibly a small lift on the right

Asymmetric Dual Plane Augmentation

Breast augmentation is often performed to increase the size of the breast for aesthetic reasons. The size, shape, and position of these implants are often based on the patient’s anatomy, the type and size of the implant, and the patient’s goals. Implants can, however, magnify problems with nipple position or breast asymmetry, such as yours. To correct these issues, an asymmetric augmentation is often recommended. In addition, some patients have large, puffy, areolas and a tight lower part of the breast that may benefit from a release of the constriction, a dual plane augmentation, and reduction of the size of the areola. See the link below for more info on breast procedures - including augmentation, breast lifts, and constricted breast correction. A detailed examination will help delineate the best surgical option. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.

Choosing a surgeon, choosing an implant, getting the best results

The most sophisticated approach to breast augmentation is through the armpit with a surgical camera (transaxillary endoscopic). Using this modern approach the space can be crafted under direct vision, with virtually no bleeding and no postoperative bruising. Most importantly, the shape of the breast is meticulously created. The other, older methods of insertion are technologically less advanced. Both silicone and saline implants can be placed through the armpit by a surgeon with skill and experience using this approach. The incision in the crease is the oldest method of placing the implants and puts a scar directly on the breast. A round implant would be a better choice because they move more like breasts. The anatomic implants have a textured surface which makes them feel very unnatural. In addition, there is no benefit to anatomical. There is an X-Ray study that shows the implants from the side at 6 months. Standing, the round and the antomical implants have the same profile. When you lie down however, the anatomical implants do not change, which is unnatural. A round implant will change when you lie down, like a natural breast would. HP implants, which are a more modern shape than moderate profile implants, fit most women better. They have a more appropriate base diameter and can be made to look very natural or very augmented, depending on where in the range the implants are filled to achieve a particular volume. High profile implants are the first choice in my opinion. I rarely find an indication to use moderate or moderate plus implants. The subtlety in the final outcome is not achieved by which profile implant is used, it is determined by the skill in the creation of the pocket, the choice of volume, and where in the range the implant is filled. There are many advantages to sub muscular dual plane placement and very many disadvantages to sub glandular placement.  I would see no indication to do anything but sub muscular dual plane.  Subglandular silicone implant placement is the historical approach to this surgery, and was widely used in the 1960's.  The implant edges are more visible, the risk of rippling is higher, the implant is in contact with the non-sterile breast tissue so the risk of infection and capsular contracture is higher.  The interface between the breast tissue and the muscle is blurred so the implant interferes with mammography more than sub muscular placement.  The blood supply surrounding the implant is worse so the risk of capsular contracture is higher.  The support for the implant is less so there is more long term shape abnormalities and sagging.  The look of a sub glandular implant is much less appealing than a sub muscular implant.  The placement of sub glandular implants makes any subsequent revision surgeries more complicated and less successful.  There are no advantages to sub glandular implant placement. The choice between saline and silicone is one that requires a complex discussion of all of the advantages and disadvantages of both implants. The issues to be considered are safety, density, mobility, rippling, rupture rate, consequences of rupture, detection of rupture, need for follow-up care, cost of follow-up, appearance, feel, sensation of heaviness, radio-density, mammograms, and costs, among other things. There are advantages and disadvantages of both products. The decision will ultimately be up to you based on what is appropriate for your particular situation. Beautiful results can be obtained with either implant. The best way to determine the size that fits your personal perception of the perfect breast is to try on sizers. This way you can see how they fit on you, how they add to your current volume, and whether they fit your frame. Although the surgeon can guide you, only you will be able to tell what is the right size. Try on sizers. Measuring a diameter and then telling the patient what volume they can have (in high, moderate or moderate plus implants) in my mind is backwards. The patients should be allowed to choose the volume. Then the surgeon carefully considers the base diameter, projection, profile, manufacturer, and fill material that will achieve the patients goals of size as well as qualitative look (natural, intermediate, or bold upper pole fullness or projection), all the while taking into consideration the patient's anatomic features that will affect the outcome. The experience of the surgeon and the degree to which they explain the options to you is of utmost importance. The subtlety in the final outcome is not achieved by which profile implant is used, it is determined by the skill in the creation of the pocket, the choice of implant. Don't let the doctor tell you what would look good on you. They cannot tell what you perceive to be the best size. There is no maximum. That is up to you.

Breast augmentation candidate, some advices:

Thanks for the question.
You are a good candidate for breast augmentation. In my practice for cases like yours I prefer to use the Cohesive Gel - Silicone Breast Implants with textured cover ("gummy bear implants") They are quite safe and aesthetically best as they give a firmer consistency, better projection and natural appearance.Kind regards

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 147 reviews

Are you a good candidate for BA?

Any women desiring breast augmentation surgery in Newport Beach is a candidate as long as there are no health problems present which would preclude her from having surgery. If the desired goal is to enhance or restore size and shape or to improve asymmetry, breast augmentation is a viable option. Breast augmentation can improve a body image, self-esteem, self-concept, and quality of life. IDEAL CANDIDATES FOR BREAST AUGMENTATION IN NEWPORT BEACH
  • Desire larger, shapelier breasts.
  • Moderate degree of breast sag and smaller breasts, whose problem can be solved by enlargement.
  • One breast that is noticeably smaller or is positioned differently than the other (asymmetry).
  • Uneven chest wall or rib cage.
  • Women requiring breast reconstruction following a mastectomy.
  • Restore breast volume or shape following pregnancy, breast feeding and/or weight loss.

Am I a good candidate for breast augmentation ?

Thank you for your question.  Based on your photo, it does appear that you're a good candidate for breast augmentation.  The procedure would improve your upper pole fullness and cleavage.  Be sure to consult with an experienced board certified plastic surgeon.  Good luck!

Zachary Farris, MD, FACS
Dallas Plastic Surgeon
5.0 out of 5 stars 14 reviews

BA candidate

From the single photo it appears you would be a good candidate for BA. You will be able to get the cleavage you desire with a BA so long as you have reasonable goals.

Breast Augmentation - Candidate?

Thank you for your question. You appear to be an excellent candidate for breast augmentation surgery. Please see a board certified plastic surgeon for an in-person examination and to discuss your desired outcome. Ask to see before and after photos to get an idea of what can be achieved. Hope this helps!

Breast augmentation

You appear to be a good candidate for breast augmentation.  The look you achieve after surgery will be influenced by the size and shape of implant you choose, in addition to your own anatomy.  I encourage you to visit with a board certified plastic surgeon in your area to discuss options and your surgical goals.  Good luck!

Camille Cash, MD
Houston Plastic Surgeon
5.0 out of 5 stars 28 reviews

Breast Augmentation

Yes, you should be a good candidate for breast augmentation. You will need to visit with a Plastic Surgeon in person for discussion of your goals and measurements of your breasts. Based on this information implant size options are given. My patients find it helpful to try on implant sizers in the office with a form fitting T-Shirt in order to get an idea of how they will look. I recommend that you seek a board certified Plastic Surgeon for consultation.
All the best

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