A nurse who wants to be fuller but still natural in appearance. Exam before surgery shows that her left breast and breast fold are slightly lower than her right, both before and after her surgery. After going through our extensive sizing process in the office, balancing her tissue dimensions with her wishes, ( “wishes vs tissues”) she elected for a 275 cc moderate profile plus round smooth silicone gel implant placed partial subpectoral through an inframammary incision. She does not mind a slight “implant” look to achieve her wishes in clothing. She is 5’5” and 140 lbs. The width of her breast is just slightly smaller than the width of the implant, and the distance of her breast fold to the nipple on stretch before her procedure is 11 cm. The base of the implant used is 11.7 cm. Studies suggest that an 11 cm base implant would be absolutely natural for her breast but would be only a 225 cc implant, which is much smaller than she liked in clothing. I go to the operating room in her case with 3 sizes, and based on the appearance with the temporary breast implant I felt that the 275 cc would be acceptable after the breast settled at 5 months, stretching a little to accommodate the implant. The side view shows the views before, at one week, 6 weeks and at 5 months. We can see that the “superior pole convexity” which is the bulging of the upper breast has settled as expected now at 5 months and appears relatively natural. If she had had babies before (she hasn’t) then her breasts would have “settled” faster and may have accommodated a slightly fuller implant because her tissues would have already been stretched a little. Please see my video for a longer discussion on sizing.
A petite mother of 2 in her mid 40’s who would like to be able to fill her clothes and bathing suit without padding, but wants a relatively natural look. She describes herself as a 32-24 A and is 5’3” and 106 lbs. She is shown before and again. 6 weeks after bilateral breast augmentation with a 325 cc round smooth moderate profile silicone gel implant. It was placed below the pectoralis muscle through an infra mammary (at the breast fold) incision.
A smooth implant was chosen because it will settle more with time. She has mild fullness of the upper breasts at 6 weeks that will settle over the next 4-5 months as the breast stretches slightly to accommodate the implant, and look absolutely natural.
P.D. is a 43 yo shown before and 6 weeks after bilateral partial subpectoral placement of smooth round moderate profile saline implants filled to 325cc. The incision approach was at the infra-mammary crease.
S.B. is a 41 yo shown before and 8 years after bilateral partial subpectoral placement of smooth round moderate profile saline implants filled to 275cc. The incision approach was periareolar, and the right nipple-areolar complex was moved medially