POSTED UNDER Breast Lift with Implants Reviews REVIEWS
36, 5'1, 122lb, no kids, Vertical Lift + 310cc moderate silicone over muscle
ORIGINAL POST
36, 5'1, No Kids, Scheduled for Periareolar Lift + Silicone Augmentation
ChestyLaRueOctober 11, 2020
WORTH IT$9,499
Context:
For much of my life I've been voluptuous, large chest and hips. You can see in the side view of my breasts from ~10 years ago they were large and full, typically 34D in Victoria's Secret.
I put on weight in my 20s and went up to 143lb / 65kg. I got into fitness and went down to 123lb / 56kg, but the combination of the weight loss, perhaps my age and the fact my breasts were heavy, have left me with the before pics you see.
Consultation:
My plastic surgeon made a few observations:
- Breasts have "good projection" (nipple direction and distance from the chest)
- He took out a tape measure and measured the distance of each nipple from the sternum, he noted I have some asymmetry of distance, and also asymmetry of breast size (I have been meaning to ask him for a copy of the measurement numbers, and will do so ahead of surgery)
- He mentioned I have large areolas; this was not news to me, I am aware they are large. He said larger areola are usually associated with age - be that as it may, I've never felt self conscious about them and it's never been an issue with my romantic partners
- I was surprised he observed a clean scar from when I once had a bellybutton piercing, and said this bodes well for recovery from augmentation scarring (e.g. I'm not likely to get keloids)
- He validated what I had assumed going in, that I'd be looking at both an augmentation as well as a lift
Initial recommendation:
- Periareolar mastopexy lift using the donut technique with a purse-string closure (aka Benelli), to raise my nipple placement and also shrink my areola
- Sub glandular implantation
- 200cc round silicone
My response:
- Initially unsure about the donut lift, but I checked some of his past patients out and they had clean results; I watched some videos of the procedure on YouTube as well. That said, I am nervous about "areola spread" which another surgeon told me can happen as an unpredictable risk when you do combined lift + augmentation, given the swelling of the implant putting pressure on the healing areola
- Still unsure re sub glandular vs sub muscular; I have this stereotype that sub glandular tends to look more fake, like citrus fruit protruding from your chest. The surgeon noted I have very strong pectorals, and I do a lot of upper body exercise, so maybe he's concerned about animation risks by going for sub muscular?
- After doing the Vectra imaging and looking up other results online, I am wondering if 200cc is a bit conservative. I'm currently a C cup, used to be a D, and on my 5'1 frame, I've read that 200cc is a plentiful cup size up. On the Vectra imaging, 250cc looked kind of ridiculous, so I am thinking 220cc...
- I'm also still not clear on the difference that profile makes (low / moderate / etc)
I plan to discuss these questions with the doctor during my 2nd consultation in 3 weeks.
Surgery is scheduled for 2 weeks thereafter :)
For much of my life I've been voluptuous, large chest and hips. You can see in the side view of my breasts from ~10 years ago they were large and full, typically 34D in Victoria's Secret.
I put on weight in my 20s and went up to 143lb / 65kg. I got into fitness and went down to 123lb / 56kg, but the combination of the weight loss, perhaps my age and the fact my breasts were heavy, have left me with the before pics you see.
Consultation:
My plastic surgeon made a few observations:
- Breasts have "good projection" (nipple direction and distance from the chest)
- He took out a tape measure and measured the distance of each nipple from the sternum, he noted I have some asymmetry of distance, and also asymmetry of breast size (I have been meaning to ask him for a copy of the measurement numbers, and will do so ahead of surgery)
- He mentioned I have large areolas; this was not news to me, I am aware they are large. He said larger areola are usually associated with age - be that as it may, I've never felt self conscious about them and it's never been an issue with my romantic partners
- I was surprised he observed a clean scar from when I once had a bellybutton piercing, and said this bodes well for recovery from augmentation scarring (e.g. I'm not likely to get keloids)
- He validated what I had assumed going in, that I'd be looking at both an augmentation as well as a lift
Initial recommendation:
- Periareolar mastopexy lift using the donut technique with a purse-string closure (aka Benelli), to raise my nipple placement and also shrink my areola
- Sub glandular implantation
- 200cc round silicone
My response:
- Initially unsure about the donut lift, but I checked some of his past patients out and they had clean results; I watched some videos of the procedure on YouTube as well. That said, I am nervous about "areola spread" which another surgeon told me can happen as an unpredictable risk when you do combined lift + augmentation, given the swelling of the implant putting pressure on the healing areola
- Still unsure re sub glandular vs sub muscular; I have this stereotype that sub glandular tends to look more fake, like citrus fruit protruding from your chest. The surgeon noted I have very strong pectorals, and I do a lot of upper body exercise, so maybe he's concerned about animation risks by going for sub muscular?
- After doing the Vectra imaging and looking up other results online, I am wondering if 200cc is a bit conservative. I'm currently a C cup, used to be a D, and on my 5'1 frame, I've read that 200cc is a plentiful cup size up. On the Vectra imaging, 250cc looked kind of ridiculous, so I am thinking 220cc...
- I'm also still not clear on the difference that profile makes (low / moderate / etc)
I plan to discuss these questions with the doctor during my 2nd consultation in 3 weeks.
Surgery is scheduled for 2 weeks thereafter :)
UPDATED FROM ChestyLaRue
10 days pre
2nd consult; 11 days to surgery - Change in specs (200-250 to 310cc)
ChestyLaRueNovember 2, 2020
I had my 2nd consult today - 11 days before scheduled surgery.
I did two things for this 2nd consult that I hadn't previously:
1) Showed the doctor the profile photo of my breasts from ~10 years ago (I've lost a lot of weight since then)
2) Wore a bra and a top that give a very clear understanding of the size and position my breasts used to be, and what I'd like them to be post-op
My doctor stressed how critical our communication is, and that it was good we had this second consult, and that I could show him clear examples of the results I was looking for. He quipped, "This is definitely not a low profile outcome." I agreed, as I think from what I SAID you could come away thinking I wanted a pretty conservative result, but the visuals of what I want are actually looking for fullness and a fair bit of projection.
He let me get changed out of my top half of clothes, and then he and his assistant did an updated set of measurements (breast width, distance of nipple from sternum, etc).
End result was he recommended 310cc, which is an increase on the 200-250cc we'd previously discussed. He said he was concerned I'd be underwhelmed, and I think this is a fair judgment now that I've shown him what I used to look like.
He also clarified that if he goes conservative on nipple skin removal, and I end up with a result that I think is still a bit too large areola-wise, we can do a "nip tuck" at no additional expense, probably under local anesthetic ~6 months post-op.
I did two things for this 2nd consult that I hadn't previously:
1) Showed the doctor the profile photo of my breasts from ~10 years ago (I've lost a lot of weight since then)
2) Wore a bra and a top that give a very clear understanding of the size and position my breasts used to be, and what I'd like them to be post-op
My doctor stressed how critical our communication is, and that it was good we had this second consult, and that I could show him clear examples of the results I was looking for. He quipped, "This is definitely not a low profile outcome." I agreed, as I think from what I SAID you could come away thinking I wanted a pretty conservative result, but the visuals of what I want are actually looking for fullness and a fair bit of projection.
He let me get changed out of my top half of clothes, and then he and his assistant did an updated set of measurements (breast width, distance of nipple from sternum, etc).
End result was he recommended 310cc, which is an increase on the 200-250cc we'd previously discussed. He said he was concerned I'd be underwhelmed, and I think this is a fair judgment now that I've shown him what I used to look like.
He also clarified that if he goes conservative on nipple skin removal, and I end up with a result that I think is still a bit too large areola-wise, we can do a "nip tuck" at no additional expense, probably under local anesthetic ~6 months post-op.
Replies (2)
November 6, 2020
Based off of what I've seen, I wouldn't recommend a periareolar lift. Those are really only for people who need a little tiny lift. In your wish pics, those women had vertical lifts, not periareolar. I've seen so many photos of women who get the nipple spread or starburst patterned scars around their nipples from the donut lift. I would personally go with a vertical lift (what I did) rather than worrying about having to have ANOTHER procedure later. Anyway, I just thought I'd add my two cents because I'm tired of seeing women who don't get the lift they want AND end up with huge nipples and starburst stars.
November 13, 2020
Thank you for your advice on this! We had this exact conversation this morning ahead of surgery and that's where we landed, because my nipples to start are pretty big, I'd like to avoid the risk of areolar spread, and I did feel the size of the implant could be asking a lot of my 310cc Moderate profile implant choice.
Thank you, really :)
Thank you, really :)
UPDATED FROM ChestyLaRue
1 day pre
1 day to surgery + fun with BA mobile app
ChestyLaRueNovember 12, 2020
Surgery is tomorrow morning. Prep checklist:
- Confirmed with designated friend to come pick me up and take me home
- Moved from high shelves to low shelves anything I'll need within easy reach while I am recovering and trying not to lift my arms or pick up anything heavy
- Picked up my post-op meds and read all the instructions
- Have meal kits being delivered tomorrow afternoon to minimize shopping, cooking while recovering
- Done all the washing, vacuuming, and other chores again to minimize all exertion while recovering
I also found Natrelle have a mobile app for 3D imaging your breasts (Natrelle 3D Breast Visualizer) and looking at BA outcomes. I thought the 3D functionality was excellent, it was better than the 3D imaging with Vectra used in the surgery. Beyond that the functionality is a bit limited but it was still fun to play with and look at some desirable and extreme outcomes.
+ Measurements, which I forgot to add to my last update:
Base width: 12-13cm
Sternal notch to nipple: 22-23cm
Nipple to nipple: ~20cm (I did this measurement myself)
- Confirmed with designated friend to come pick me up and take me home
- Moved from high shelves to low shelves anything I'll need within easy reach while I am recovering and trying not to lift my arms or pick up anything heavy
- Picked up my post-op meds and read all the instructions
- Have meal kits being delivered tomorrow afternoon to minimize shopping, cooking while recovering
- Done all the washing, vacuuming, and other chores again to minimize all exertion while recovering
I also found Natrelle have a mobile app for 3D imaging your breasts (Natrelle 3D Breast Visualizer) and looking at BA outcomes. I thought the 3D functionality was excellent, it was better than the 3D imaging with Vectra used in the surgery. Beyond that the functionality is a bit limited but it was still fun to play with and look at some desirable and extreme outcomes.
+ Measurements, which I forgot to add to my last update:
Base width: 12-13cm
Sternal notch to nipple: 22-23cm
Nipple to nipple: ~20cm (I did this measurement myself)
Replies (2)