BREAST IMPLANT SIZING 101

Hi Whippetmom:

I'm following up here because I saw my PS yesterday. I'm frustrated and confused.

As a reminder, I'm awaiting exchange from saline to silicone and have a confirmed grade 4 capsular contracture.

I'm 5 3 1/2; 108 pounds, ribcage 28.5 ( I re-measured). Generally I wear a 34 A or B bra.

My PS is not going to do fat grafting. She wants to use Inspira. My breast before MX was 140cc (or grams?) Gosh. Sorry, don't know how that volume is measured. She'll have Inspira 110 - 160 in the OR and see what looks best. Inspira is really new and very full, right? Wouldn't 410s be better because they have a more natural shape? My natural breast isn't full at all, although it' s not super droopy. The nipple points up. I do have prominent ribs/sternum and no fat for coverage of implant. That said, when I had the initial saline - prior to contracture - there wasn't any rippling and you couldn't see evidence that there was an implant in my body.

I am adamant about retaining a natural and very small look My PS says she understands. She's said this over and over. But I just cannot in a million years see how this Inspira implant is going to at all match my other natural breast. I feel like I'll have a barbie boob which is how I feel now with the cc.

Thanks for your insight. I'm trying to understand this situation and am just not getting it. These PS' do this stuff everyday so I'm sure they have their reasons but I need to better understand.

Hope your week is going well.

Hi Renee:

Thanks for your response. I appreciate your advice.

I'm so sorry you're unhappy right now with the 410s. I don't know much about what happens with settling after surgery. I had direct to saline, over the muscle, so my PS just filled until I said enough. A very small fill since like you I want to be saggy and small

I hope you'll feel much happier once you have some time with your implants - hopefully others will chime in about what you might expect. It's hard not to fret - I know. Have you had a chance to talk to your PS?

So last Friday I saw my plastic surgeon and I am so glad I did. She was running behind and I have been so distraught with the thought of my upcoming exchange and if the size will be like my expanders that I haven't been sleeping. I just want this to be my last major surgery and I want it to be done right. I thank you whippetmom for having this forum. The discussion here is what led me back to seeing her again before the swap. She spent extra time with me explaining how to attain my goals. See I have absolutely no extra fat or anything to disguise my implants whichever ones I choose. I wanted to go with the SRX because the projection would match my expanders without being too wide but as she pointed out my expanders look like balls on my chest and that is what I told her in the beginning that I really wanted to avoid. She says she can always do some fat grafting later to help give it a more natural look but there's not enough fat to hide balls on my chest so we have to be careful about the choice. It's such a stressful thing trying to recreate a part of your body. I'm just so grateful for her patience and understanding. So after much discussion and looking at my options for implant styles we are going with the Inspira SRF instead of her originally suggested 500cc Style 20 and my proposed SRX. She will bring in a couple of sizes but is thinking the SRF 560 will get us where I want to be with fullness without looking too fake. She has to do a lot of adjustments with my left pocket as the expander drifted down and out because of a seroma I had after the drains were taken out so I anticipate being very sore but hopefully happy with the outcome. My exchange surgery is a week from today. I'll keep you posted as to how it turns out. Thanks for all the info whippetmom and everyone for sharing their stories!

Smith - It would be smart to leave your drains in as long as the doc recommends. A few days of being uncomfortable beats fluid backing up inside your body. I know they are a pain, but don't rush it. I don't remember the removal being especially painful, just weird.

Whippetmom - Thank you for your thoughts on Inspira. I did have a follow up call with my PS that was very reassuring, so your comments just add to that comfort level.

Smithh - I was super nervous about drain removal because they were causing a lot of pain. But my experience was exactly the same as Whippetmom's - even down to the counting issue:) The sensation with removal felt similar to what you might feel if were to run your hand very quickly over a pebbly surface - it was definitely a sensation but not painful, and lightening fast.

Best wishes to everyone. Take good care.

Hi,

I had a bilateral mx. I was a 34 f I now have Natrelle style 133 TE. REF NUMBER 133 MV-15-t. They can fill to 600 cc but are only filled to 450 cc. The doctor filled them up during the initial surgery. Never had anything added.

I am 110 pounds. Rib cage is 30. I am 5'3.

I want to remain small. Like 34 b.

They were placed on October 5 2016.

I noticed that when I open a jar or flex my muscle you can see the contour of my muscle.

Is this normal?

I was thinking of a diep flap procedure. Will I be able to do this during reconstruction. I don't want inserts. What else can I do? I want to be as natural as possible.

The doctor used alloderm. I feel like I'm in an iron cage.

Is this all normal

Whippetmom:

But Inspiras 750? I will confirm at next appt 1/5. I'm squished from bra but kinda buxom.

I have access now to photos so will document the Duoderm procedure soon.

Happy New Year to all.

Whippetmom, I'm curious..when you told Nanpop that you do not advise doing push ups, for an extended period, after exchange, is that across the board or do you suggest that for particular situations?

What are the symptoms of implant rotating? Why does this happen?

Thank you, Whippetmom, for the helpful exercise info!!

BTW, I love kettlebells! 😃