What determines if I would need a breast lift?
Usually the need for a lift is determined by the location of the nipple in relation to the fold beneath the breast. If the nipple is above the fold we usually advise that no lift is required. If the nipple is below the fold we often recommend a lift.
We usually recommend implants as well since there is already a loss of breast tissue and we want to achieve nice fullness.
It becomes more complicated if the nipple is approximately where the fold is located. In these cases we can choose between:
1) An implant only whereby the implant itself can lift the breast to a modest extent.
2) Mastopexy with implant whereby the breast is lifted using a variety of techniques.
During your consult we can show you results with a variety of procedures.
How is the implant size chosen?
Choosing the appropriate implant size involves both a careful analysis of the patient’s frame by the surgeon as well as communication by the patient as to their desires.
The surgeon analyzes the patient’s frame with respect to their height and weight. We analyze nipple position, skin laxity, rib anatomy and chest circumference. We have a 3-D imaging system which in 3-D can show the effect of various sized implants right on your particular frame.
The patient then communicates their desires concerning choices between conservative, medium, large etc. We go over pictures of people with similar frames and show the effect of different sizes. We also use implant samples to hold under your shirt to illustrate the implant size on your body. Our goal is for you to be very comfortable with your chosen size.
How often do I need to replace my breast implants?
It is a common misconception that one must replace breast implants every ten years.
We believe there should be a specific reason to replace breast implants such as implant failure or the desire to increase the implant size. One of the best reasons is often to exchange saline implants for silicone implants. The softness and physical properties of the silicone gel more resemble breast tissue.
What happens when a Silicone Implant ruptures?
The newer Gel Implants are designed to avoid Silicone migration. The older Gel Implants, in use over twenty years ago, were more of a liquid consistency. If the implant failed, the Silicone could travel. The new FDA approved gel is much more cohesive in nature. They can be cut and there is no flow of the material. These are therefore extremely safe as they stay undisturbed in the event of the shell’s failure.