Ideal Implant Patient 96

A medical professional in her early 30s who would like to have fuller breasts, but still have a natural appearance.  She is shown before and again, 6 weeks after bilateral partial subpectoral breast augmentation with Ideal structured saline implants filled to a total of 375.  An inframammary fold incision was used.

Discussion:

The width of her breast is 11.8 cm, and the Inframammary fold  to nipple distance on the stretch is 8.5 cm on her right and 9.5 cm on her left

The Ideal implant 335-375 when filled to 375 has a base width of 11.3.  We add 0.3 m to the base to give the equivalent base of a typical “flat” implant, as the Ideal implant is curved at the base to fit the chest wall. So 11.6 is less than her measured base of 11.8 and will not give her an overly round “implant” look, which she did not want.

We sized her in the office with the mentor sizing system and she did not want to be larger than 375 cc, as fuller implants looked too large to her in clothing.  We used the Ideal Structured saline implant 335-375, with the posterior chamber filled to 188 ml and the front chamber to 135 ml.  Together with the empty implant volume of 52 ml, this gives a total volume of 375

The next larger size of the Ideal implant of 375-415 would have had an equivalent base of 12( 11.7 plus 0.3 cm) and would have exceeded the natural width of her breast and tend to look unnatural and, although fuller in clothing would look like an implant. The Ideal implants are a little stiffer than silicone implants and I can go a little larger with a silicone gel implant and still look natural.  This was a moot point in her case as she did not like a fuller look in clothing, in any event.  If she had wanted to be bigger we would have to discuss the tradeoff of not having a natural look or switching to a silicone gel implant, neither of which she wanted.