A woman in her mid 40’s who has lost 70 lb with diet and exercise and would like her breast to be fuller. She described herself as a 34B cup and wanted to be a C to full C cup. She was fearful of silicone and silent rupture and wanted saline implants. She is 5’6” and 134 lbs. Sizing was performed in the office based on her tissue dimensions and using the Mentor sizing shell system. She liked an implant size around 400 in clothing and felt that 450 was too big.
She is shown before and again, 9 months after bilateral partial subpectoral (below the muscle) placement of Ideal Structured Saline 370-415 cc implant filled to 415 ( the equivalent of a high profile implant) placed through an inframammary incision ( at the breast fold). She is thrilled by the fuller but still natural appearance of her breasts.
Tattoos have been blurred for her privacy. The photos are otherwise untouched.
A woman in her early 20’s who wants fuller breasts but still natural in appearance. She is concerned about silent rupture and has elected for the Ideal structured saline implants.
She is petite at 5’3” and 109 lbs and wore a 32 A to B cup before surgery. She is shown before and again, 4 ½ months after bilateral partial sub-pectoral breast augmentation with the placement of the 300cc Ideal structure Saline implant filled to the 300cc total volume. The empty implant is 37 cc, and the back/inner lumen is filled to 188 cc and the front/outer lumen is filled to 75 cc to give the total volume of 300 cc.
A 20 yo woman with breast asymmetry who wished to be more symmetry in and out of clothing. She is 5’6” ‘and 149 lbs. She has elected for the ideal structured saline implant and is shown before and again, 11 months after bilateral partial subpectoral placement of the Ideal implants through an inframammary incision. She has a 370 cc implant filled to the “high” volume of 370 on her right, which is actually similar to a moderate profile implant in profile and a 210 cc implant filled to 235 cc on her left which is closer to the “100%” and more similar to a high profile implant in profile. The right breast, which is the smaller of the two breasts will tend to have more superior pole convexity, or fullness of the upper breast because it is relatively tighter. So to balance the upper pole fullness between the two breasts, a higher profile is used on the left, but, of course, a smaller implant to better balance the size.
A mother of 3 in her late 30’s who feels like her breasts are too small to balance her frame, and is also bothered by breast asymmetry in a bathing suit and in T shirts when she is not able to wear a padded bra to camouflage. She has selected the ideal structured saline implants because she didn’t want to worry about silent rupture but wanted an implant that feels more natural than the traditional saline.
She is 5’6” and 138 lbs and is shown before and again, 6 weeks after bilateral partial sub-pectoral breast augmentation through and inframammary incision with a 300 cc Ideal structured saline implant on her left filled to 320cc which is above the “high” but below the “100%” fill volume, and a 440 cc Ideal structured saline implant on her right filled to the “high” of 440 cc. Tattoos have been blurred for her privacy.
Update: At 5 months the breasts have softened in appearance
An Asian women in her early 20’s who wished to have fuller breasts but still natural in appearance. She is shown before and again, 9 months after 375 cc Ideal structured saline implants placed through an inframammary incision below the pectoralis muscle. She is 5’3” and 123 lbs.
Discussion: She is petite with a 32 A cup before surgery. She selected the Ideal structured saline implant because she is concerned about silent rupture but wanted a more natural feel than the typical saline breast implant. The Ideal structured saline implant has two chambers and can be filled to two different profiles. In her case this is a “335” filled to 375 cc which is the “100%” which is equivalent to a high profile implant. This allowed us to use the fullest implant in her relatively narrow chest and breast.
A woman in her mid 50’s is shown before and again, 6 weeks after bilateral partial subpectoral breast augmentation combined with an inferior fold mastopexy. She is 5’3” and 112 lbs and had a nipple to fold distance when manually stretched to simulate the weight of an implant of 11 cm on her right and 10 cm on her left. As a general rule, if this distance is more than 9 cm it is better to remove some excess skin. The new breast fold was also anchored to the rib periosteum to strengthen the new fold and decrease the risk of the implants “bottoming out” and dropping inferiorly. She chose the ideal structured saline implant because she was concerned about silent rupture with silicone but wanted an implant that feels more natural than the traditional saline implant. After careful sizing based on her tissue dimensions she selected a 370 cc -415 cc Ideal structured saline implant filled to “100%” of 415 which gives a high profile.
Update: Our patent is now seen 5 ½ months after her surgery. The breasts have softened in appearance as the breast tissues stretched to accommodate the implants.
A woman in her early 30’s who wished to have fuller breasts. She described herself as wearing a padded B cup bra and wished to be a C cup without the padding. She had initially seen us two years previously and was not comfortable with the implant choices available at the time. She chose the Ideal breast implant once it was available, because it has a more natural feel than the traditional saline implant but without the risk of a “silent” rupture. It appealed to her to be able to follow her implants after surgery by simple observation rather than with ultrasound or MRI which is needed to detect the failure of a silicone gel implant.
She is 5’5” and 131 lbs and selected a 270 cc implant in the office. She is shown before and again, 12 months after partial subpectoral placement of 270 cc Ideal structured saline implants through an inframammary ( at the breast fold) incision. She is thrilled with her fuller but still natural appearance. The Ideal implants have two lumens and can be filled to give either a moderate or a full profile look. In this case the 270 is similar to a moderate profile standard saline implant in projection. It could also be filled to 305cc to give the equivalent of a high profile.