A mother of 1 in her early 40’s who is bothered by a deflated appearance in her breasts after pregnancy and breast pumping. She is 5”10{ and 146 lbs and is shown before and again, 7 weeks after bilateral partial subpectoral breast augmentation with Sientra round smooth 385 high profile cohesive gel implants.
Discussion: She wished to have a fuller but still natural appearance. She liked 375 in the office but 400 started to look slightly full. The implant has a base width of 12, 3 cm and a height of 4.9 cm. Her breast has a base width of 12.7 cm and an inframammary fold to nipple distance on stretch of 8.5 cm. When the implant base is less than the breast base then we don’t tend to get an “implant “ look, which she did not want. The high profile helps to give some fill back to the upper breast.
It is typical to look for an implant base of 11 with a nipple to fold on stretch of 7, 12 with 8 and 13 with 9. With her nipple to fold on stretch of 8.5 the 12.3 base of her implant fits comfortably.
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