A mother of 2 in her mid 30’s who would like to have fuller breasts but still natural in appearance. She is currently a 32 A to B cup and wanted to be a small C. She liked the idea of the Ideal Structured Saline Implant because she would not need to worry about a silent rupture. She is shown before and again, 6 weeks after bilateral partial sub-pectoral placement of Ideal structured-Saline 270 implants filled to 275 cc, placed through an inframammary incision.
Discussion: She is thin at 5’ 5 ½” and 127 lbs. Based on her distance around her chest at the inframammary fold of 29” she is a 32 band bra ( actual measurement plus 3 inches). Her breast base width is 11.7 cm and her inframammary fold to nipple distance on stretch is 7.4 cm on her right and 7.3 on her left. Based on her breast dimensions she could have used an Ideal structures saline implant as large as 300-340 ( this implant has a base width of 10.8 when fully filled and when this dimension is adjusted by adding 3 mm to account for the curved base would be the equivalent of 11.1 cm, which would be less than her existing base width and therefore would not give an overly round or implant look. Also, it would fit the nipple to IMF fold on stretch distance of 11.3 cm and would not have given excess fullness of the upper breast ( “superior pole convexity”) When
She was sized in the office with the Mentor sizing system she felt that 300 was simply too big for the look that she wanted. She liked 250 and felt that 275 was “slightly full, but she could live with it”.
More often than not, a patient will get used to a chosen size and then wish that they had gone with a larger size. But after careful discussion and consideration she felt that she would be most happy with this size. And I could assure her that it would still have a natural appearance because of the base dimensions of her existing breast.
She is very pleased with her conservative increase in size.
Update: Our patient is now seen 4 months after surgery. The breasts have “softened” in appearance in look even more natural.
Cosmetic & Plastic Surgery Specialist
"I treat my patients like I would treat- Jonathan D. Hall, MD, FACS
members of my own family."