130-149 lbs

Q: How best to fix breast asymmetry after weight loss? Major constriction on one breast. (Photo)

Submitted by Q-A from clee on Tue, 06/21/2016 - 13:00

I have asymmetrical breasts (32 B and full C), with the left being constricted, or tubular. The nipples are the same size and shape and in the same location. I've lost 85lbs (from 217 to 132, at 5'5") and maintained it, and am ready to tackle this issue. I scar badly and would prefer not to do a lift if possible, unless it's my best chance at symmetry. I like the the shape of the right breast, but want implants to fill and correct. My skin is thinner, but still relatively elastic. Suggestions?

A: Would be reasonable to initiate treatment with breast augmentation

Thank you for the photos.  They are a good effort on your behalf to provide details of your situation but are limited in interpretation as the "selfies" usually position the arms in positions that exaggerate asymmetries.  Nevertheless, your photos provide a good deal of information.  I do not see any evidence of base constriction.  Your asymmetry is does show some difference in the vertical positions of the nipples.  I suspect an augmentation alone may adequately manage the volume disparity, however the nipple positional differences are  less predictable.  If the magnitude of your asymmetry on examination does not exceed what is visible these photos, I would recommend a breast augmentation and "save" the breast lift for scenarios where the outcome is less than expected.  Good luck in your endeavors!

Q: I Am Currently a Very Small C Cup and I Want a Full C or D. Will 400 CC Be Too Big for Me?

Submitted by Q-A from clee on Sun, 05/15/2011 - 11:22

I am 5'5 and 130lbs and a very small C cup, I wear a padded 34C and have some wiggle room. The doctor said I have quite a bit of breast tissue and very minimal sagging from breast feeding. I told him that I wanted a full C or very small D and he recommended a 400 CC implant. Will 400 CC be too big for me? I definitely don't want to push into a DD cup.

A: Would need an examination with measurement of breast base

Without an examination with measurement of breast base dimensions it is very difficult to determine the volume necessary to achieve your desired endpoint.

Q: Breast Augmentation Recommendations for Appropriate Size & Profile

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:57

Scheduled for a BA - April 28,2011. My PS recommends a Mentor,smooth,300cc HP or 275 cc Mod+. I feel this is smaller for my body type than I was expecting(from my research in what I have seen from other ladies of my stature averaging 350-375cc's).

I am 5'8 1/2" tall, 130lbs, 30" ribcage, 34 AA, 16 cm sternum to aerola, 18cm sternum to nipple, 5cm nipple to breast crease, BWD - 11.7cm. Looking for opinions on an appropriate size as hoping for a bit bigger (~375cc max). Is this possible for me?

A: Breast width dimension is a good guide

Your BWD of 11.7cm has you as a suitable candidate for multiple sizes and projections from base width to 11.5 to 12.5. I would suggest your review with your surgeon the various size and projection options with those base widths to come to an implant with your goals in mind.

Q: Best Procedure to Fix Ptosis and Tubular Breasts?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:55

My breasts were always very tubular and oddly shaped. I dealt with weight gain and loss throughout high school (Bs to DDs). I want pre-consultation insight from a few doctors or patients that are familiar with the different types of surgeries available, mainly the ones best suited.

How hard is it to fix my ptosis, skin sagging, over large nipples and tubular breasts? $ is not an option when it comes to my body. What ways can I combat scarring being that I'm bi-racial? I am 5'10 145 lbs 20y/o

A: You have a mild form of tubular breasts

You a mild tubular breast form with what appears on your photo to be a good tissue envelope. Lowering your inframammary fold through a periareolar approach with circumareolar mastopexy and areolar reduction is a good plan.

Furthermore, placement of a submammary cohesive gel implant will likely yeild better shape with less chance of the waterfall or late double bubble look from descent of the breast. You should use silicone scar sheeting on the surface of your healing incisions to lower the risk of a poor scar outcome.

Q: Age 27, 5'6", 143lb, 34B. Best Size for my Body?

Submitted by Q-A from clee on Fri, 05/13/2011 - 09:49

I am interested in breast augmentation. I currently have a small 34B no children, firm. I am 27 5'6" 143lbs. BWD 14. ribcage 31. I would like to achieve the look of a small-full D while looking natural. I currently have gone for one consult in which the PS recommended 450 saline unders crease incision moderate+ to achieve this look. I am looking for feedback to see if this will be too small or large for my frame. Thanks!

A: An examination with breast base measurements is necessary

To truly have your expected outcome, surgical planning with a detailed examination is necessary to determine your breast footprint, chest shape, and the elasticity of your breast envelope. With your next consultation ask your surgeon what are the specific details about your body does he take into consideration in making implant size recommendations.

Q: Full Tummy Tuck w/ Lipo and Breast Augmentation - Is This Safe?

Submitted by Q-A from clee on Fri, 05/13/2011 - 09:28

I'm 30 yrs old, 5'3" 130 lbs, athletic, and good health. I'm scheduled for May 11, 2011. My surgery consists of a full tummy tuck, liposuction of back, flanks, inner knees, and slightly around the inner thighs. Also I'm getting a breast augmentation under the muscle. Is that too much??? My PS seems very optimistic about it and has been practicing for over 30 yrs. He's also one of the top plastic surgeons in Houston, Tx but I'm still a little nervous about it. Is this common?

A: If no signifcant medical history - safe

If you are healthy with no significant medical history (ie no DVT, coagulation problems) then it can be safely performed in one surgical setting. The two most significant concerns are vein thrombosis in your legs and bleeding at surgery. With early ambulation and no other history of medical problems the procedure can be safely performed.

Q: Which Size Implants Would Look Better: 5'6" and 133lbs

Submitted by Q-A from clee on Fri, 05/13/2011 - 08:02

I am 5'6" and weigh 133 lbs. I am having a silicone breast augmentation next month, but I'm still confused as to which size to go with. I'm debating between 371cc and 397cc. I don't want to appear too large, but I also don't want to regret not going large enough. Any suggestions?

A: Your breast dimensions should drive your choice of implant

Your present breast dimension should drive your choice of specific implant. Measurements of your breast base will determine the implant footprint. Using this footprint as your starting point you can then choose the projection based on the manufacturer. Major manufactures have create designs based on measured desirable norms in the population. They market them using different terminology such as mod, mod plus, high profile. What is important is the actual measured projection and base footprint match to your breast.