Choosing implant size in breast augmentation @ Cirumed Clinic Marbella

Choosing implant size in breast augmentation

Posted on March 12th, 2009 cirumedclinic 15 comments

Choice of right implant size is most decisive in breast augmentation surgery.

Although generally it is a procedure heralds an extremely high degree of patient satisfaction, many patients tell me that that if they did the procedure again they would go to a larger size.

To request a smaller size is very unusual.

Most patients tell me the like the swollen look directly after the operation, and are a bit disappointed with the size decrease once the swelling goes. Dissatisfaction with breast size remains the number one cause for re-operation in breast augmentation.

I tell every patient not to go into breast augmentation requesting a specific breast size and cup size because fixation on a ceratin cup size, which differentiates from the final size, can lead to dissatisfaction with your final result.

I routinely show patients pictures of the effects certain implant sizes have on certain breasts,making clear that the result of a breast enlargement cannot be bought “off-the-shelf”

I avoid the use of sizing implants, except for special request. since the look distracts from the final result.

Cup size measurement is extremelyinaccurate but as a rule of thumb every 150-200 cc’s of volume you will go up a cup size. Bear in mind that is a rough estimate.

Remember that breast augmentation cannot or only moderately alter anatomical fix points such as distance between nipples and gap between breasts, these things can be influenced, but not on a “you-wish-I–deliver”basis. Some anatomical variables have to be taken into account.

I personally regard breast augmentation as one of the operations with the highest degree of patient satisfaction, and as long as abovementioned considerations are taken into account, I intend to keep it that way.

Dr.Alexander Amir Aslani, MD, EBOPRAS

Hospital:
Chief Surgeon and Head of Department
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es

Breast Enlargement Breast augmentation Malaga, breast augmentation Marbella, Breast enlargement Marbella, Dr.Alexander Aslani, Malaga breast enlargement, Plastic surgeon Marbella
15 responses to “Choosing implant size in breast augmentation”
1. Beauty Blog April 18th, 2009 at 09:22
  
  Of course, when a patient undergoes so much difficulties and finally decides on the operation, she wants to have the result she desires. But I also agree that there are very many anatomical variables that should be taken into consideration. And all the patients should pay attention to this, before demanding something.
2. admin May 1st, 2009 at 12:01
  
  From my point of view it becomes an increasing problem that patients approach Cosmetic surgery with a “shopping”approach. This is extremely problematic for any surgeon, since you cannot buy a breast or a nose off the shelf.
  If patients do not understand taht, disruption in the patient surgeon relation are programmed.
3. Jocelyne Manchester May 6th, 2009 at 01:31
  
  I would like to go quite big butr have been advuised that there are size limitations for breast augmentation behind the muscl.
  I am looking at 500 cc implants, is taht possible ?
4. How I Shed T h i r t y P o u n d s in Only a Month May 6th, 2009 at 10:59
  
  Hi, cool post. I have been wondering about this issue,so thanks for posting. I’ll probably be subscribing to your blog. Keep up great writing
5. admin May 6th, 2009 at 11:10
  
  500 cc behind the muscle is a very big implant in general and especially for a primary augmentation behind the muscle. It depends a lot on your frame, for a very big patient a 500cc implant is of course something completely different compared to a small person, but generally I think that sounds very big to me.
6. Tamara d*** May 11th, 2009 at 16:51
  
  Is it true that larger implants are more likely to encapsulate than smaller one ?
7. admin May 12th, 2009 at 01:55
  
  I would not be aware of scientifically based evidence suggesting that implant size was related to capsular contarcue in breast augmentation surgery. There is a couple of otehr problems related to large implants but I would not be aware of capsular contracture being one of them.
8. Lucy D****** May 13th, 2009 at 16:55
  
  I would like to have a breast enlargement but am confused about profiles, i have been to three consultations and have twice been furnished with advice for high profile implants, and once for low profile.What do you recommend ?
9. admin May 14th, 2009 at 13:42
  
  Dear Lucy
  
  I appreciate that the question of different implant profiles is very confusing for patients seeking breast augmentation.
  The principle is that the profile is calculated as the relation of height against width of the implant, which determies what we call “projection”, in other words, “perkiness”.Which implant is suitable for what depends very much on your breast.
10. Tara G*** May 16th, 2009 at 11:08
  
  Dear doctor,
  
  I presume this is a possibility to get a free advice and opinion from a surgeon here ?
  I am looking to have a breast enlargement and consider teardrop implanst, how frequent is it that this implants turn around ?Heard and read a few times that this is possibly a problem
11. admin May 19th, 2009 at 13:36
  
  There is neither a good nor a bad shape. Some patients prefer the more “natural look” of anatomical implants, some the fuller cleavage you achieve with round ones.
  it will very much depend on the case.
  “Turning”anatomical implants are definitely a possible complication, though not frequent. I would not recommend that you base your choice on this, because i regard the occurrence of this phenomenon as too rare .
  The more important issue is your satisfaction with the shape.
12. Claudia P, Almeria June 8th, 2009 at 10:57
  
  I have had a breast augmentation one year ago with 340 cc implants, I would like them bigger now, when is the earliest time to have them done again ? I have herad different opinioons from different surgeons regarding this.
13. admin June 9th, 2009 at 12:57
  
  After a year a re-augmentation is safely possible.
  However, bear in mind that re-augmentations have a higher potential for complications than primary augmentations. But a year is generally an accepted safe interval.
14. Boobigirl July 2nd, 2009 at 13:59
  
  I have had moderate profile implants 5 years ago, and now would like bigger ones. I heard that ultra high orofile implants give you an ultra-perky look (which I desire), do you recommend this ?
15. admin July 2nd, 2009 at 19:52
  
  I would be careful with ultra high implants because they tend to have a narrow base. Whilst many patients like the ides of more “perkiness”, this may backfire by increasing the gap betwen the breasts.
  You have to bear this in mind, too.
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