Breast Augmentation w/ The Ideal Implant Patient 98

A nurse in her mid 30’s who has some breast asymmetry after the removal of 2 benign tumors from her left breast, would also like to have breasts that are fuller and more proportional to her frame.  She is 5’10” and 157 lbs and wears a 34 B cup bra.  She is shown before and again, 6 weeks after the bilateral partial subpectoral placement of Ideal Structured Saline implants filled to 415 ml

Discussion: her nipple to Inframammary fold on the stretch is 8.5 cm and the base width of her breast is 12 cm.  The ideal implant 370-415 when filled to 415 has a base width of 11.7 which is equivalent to a base width of 12 cm.  The ideal implant is curved to fit the chest wall and we add 3 mm to the width and subtract 3 mm from the projection to match the equivalent standard implant. She wanted to have a natural look, and when the Ideal implant  Is wider than the existing breast base it can look overly round or “implant” like in appearance.  A nipple to IMF on a stretch of 8.5 cm would have allowed an implant base of 12.5 cm from the standpoint of keeping the nipple centered on the implant but is wider than her measured base width would suggest. The same size was used on each side because the difference in size was not enough to suggest different-size implants which would have a difference in projection and not appear as symmetric.

She loves her natural look after surgery and finds that her top is now in balance with her hips.  The Ideal structured saline implant also gives the peace of mind of not having to worry about silent ruptures.  She will see a change in size if one of the 2 chambers should fail.    A silicone gel implant rupture on the other hand is typically “silent”, or not noticeable on the outward appearance of the breast.  The FDA recommends that patients with silicone gel implants obtain an ultrasound at 6 years and then every 1-2 years after that.  The six-year recommendation is because the risk of a spontaneous rupture is very low before that point.  Ultrasound has been shown now to be a good screening tool for implant rupture and is significantly less expensive than an MRI.