5 ft 8 in to 6 ft 0 in

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: Will my Implant Drop Into the Pocket?

Submitted by Q-A from clee on Fri, 05/13/2011 - 10:36

I am 3 weeks post op from having a breast augmentation. I was a small B and they were low and very loose. I am 5'9 and went with saline under the muscle, I had a crescent lift on the right breast which was my larger breast.

I had 550cc in the right breast and 600cc in the left breast. My concern is that the right breast is very RECTANGULAR, and the implant is obviously high, when I bend over my saggy small breast still dangles and my implant is in my chest wall. Will it drop into the pocket?

A: Submuscular implants with mastopexies can be problematic

Subpectoral augmentation with mastopexy tend to be problematic as then lax tissue mastopexy tends to slide over the top of the muscle over time leading to a double bubble type of deformity. The submuscular implant tends not to drop and may accentuate the deformity with descent of the breast.

You are still early after surgery and might respond to breast garment straps to externally push the implants inferior. At the lest it might prevent further migration superior.

Hopefully this will address your issue. However, if you have the misfortune of requiring a revision then discuss with your surgeon the possibility of having submammary repositining of implants with cohesive gel and mastopexy.