Breast Implant Size and Location

In breast augmentation it is critical to pick a natural implant for the patient.

Most of my patients are looking for a natural result, and what people notice is that breasts are too small, or too big. If its a perfect woman, she would be born with a C cup. Then you don’t even notice the breasts, you take in the whole figure.

The critical determinant is the measure of the size of your chest. So in other words you want to measure where the cleavage starts in the midline, and where the breast just covers the outer part of the chest. That diameter should be the correct diameter of the implant. And every implant has a set diameter.

If you pick a diameter too small, you’re going to have a wide cleavage even with the breasts out. If you pick a diameter too big, it doesn’t fit, and you get that artificial ring at the top of the breasts that most patients don’t want.

So once we find the correct diameter, then we talk to the patients. Do you want a full C? One implant above that, or a small C, one implant below that?

With every one, you are going to have different widths of their chests, so everyone is going to have a unique implant size to give them the absolutely most natural C cup.

Almost all my patients, the implants are put in below the muscle. Three reasons: less apt to feel the edge of it, massaging acts of the muscles keep it soft, and it is better for mammography in later years because it separates the breast tissue from the breast.

If you go into the muscle, that’s probably the part of the experience that can make you most sore, and takes time to recover from, and it is usually just the first 72 hours. It usually feels like you over worked out. So what I tell my patients is that in the first 72 hours, we will give them some valium, which is a muscle relaxant, usually a light pain pill, but by 72 hours you should be on just extra strength Tylenol.

Most of my patients can return to work within four to five days. Heavy exercise is two to four weeks.

This blog post is based on an interview of Dr. Mark Prysi about Determining Breast Implant Sizes and Location at the 2014 ASAPS conference in San Francisco, CA.

Dr. Mark Prysi: Breast Augmentation

Welcome to Prysi Cosmetic Surgery. I am Dr. Mark Prysi, a board-certified Naples plastic surgeon.

My staff and I are here for you to make sure your plastic surgery experience and results are the best possible.

Dr. Mark Prysi, Breast Augmentation

Breast Augmentation

Today we’re talking about breast augmentation.

I use a superior technique called endoscopic breast augmentation. This uses the endoscope, along with the keller funnel to limit your incision size to as small as possible. It also allows for more definition in the cleavage area.

In breast augmentation, there are three choices for incisions. You get do it around the areola, under the breast, or on the armpit if you desire no scar on the breast. The armpit incision is superior in patients who have an A cup, or very little breast tissue, or are young without any marks or scars. Once you shave over the armpit incision in 6 or 7 months, neither the patients themselves, or I can find it.

The implants are then placed almost exclusively under the muscle. There are three advantages for that: the hiding of the implant with the muscle makes it less palpable, massaging action on the muscle makes it so that it stays softer, and having the implant separated from the breast tissue with the muscle makes it so later on a mammography will be much more accurate.

With breast augmentation, I also utilize sizers during surgery. I use multiple sizers to find the exact perfect implant for you. The choices of implant are silicone or saline. Silicone implants are much more natural feeling, and the majority of my patients choose those.

What I’m mainly looking for in a typical patient is to have excellent cleavage, and for the outer part of the breast to be just covering the outer part of the chest. The breasts should feel natural in and out of clothes, and to touch.

Making people look and feel beautiful is much more than a profession; it is my passion.