So many choices. How do you determine what is best for you?
First we have to consider your personal anatomy and what your goal is. What is the bony shape of your chest? How wide are your breasts? How tall are you? What do you weigh? Are your breasts droopy? Where is your nipple in relation to the fixed crease of your breast?
Once we take all of this in to consideration, we can determine what we need to do to get you to your goals. Then, and only then, can we choose and implant.
Implants come in different shapes and sizes. In addition the implant shell may be either textured or smooth. I have tried various types of implants and have found what I think works best to give a lasting, natural appearing breast shape. Lets start with the basics.
Implant shape: The idea of a shaped implant is to provide a more natural looking, tear drop shaped breast once in place. Sounds good on paper. The problem is that ALL implants assume a tear drop shape when in the upright position. If the implant has a shape of it's own, then it must be held in a fixed position to look normal. If it moves, it could turn upside down! To hold the implant in position it is either sewn in place or is made with a texture (sort of like Velcro) that requires the shell to be thicker. This adherence can lead to more wrinkling. No good. The smooth shelled, round shaped implant that can move in the pocket can best simulate a natural breast. In addition the shell can be quite thin making it less palpable.
We've already covered fill materials (last entry). Next we'll consider implant dimensions and volume.
All the best,
Dr. Jabs
Wednesday, February 3, 2010
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