BREAST IMPLANT SIZING 101

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  • Kay_November
    Kay_November Member Posts: 1
    edited November 2017

    Is there a "port"on the Allergan Inspira Natrelle breast implant, style SRM-600, SN 22265061?

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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    Kay: No. It is a permanent implant

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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    reyepsf:

    The Soft Touch Inspira is certainly one I would personally be interested in, and I have somewhat the same thoughts as you about the recently FDA approved truly cohesive gel. I do not want rigid implantsI have not talked yet with anyone who has the latter, although a number of gals have posted that they would be getting the "gummy" round.

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  • VegGal
    VegGal Member Posts: 507
    edited November 2017

    Whippetmom, I have the Inspira SCX and they are squishier than my 410's by a lot! I really like them. My surgeon said that if ripples are the issue, go with cohesive. She's right!

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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    Veggal:

    Well thank you so much for chiming in on the SCF! So glad it has worked out for you

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  • cupcakez
    cupcakez Member Posts: 28
    edited November 2017

    Hi there. My expander is allergan 133-mv-15t 600 volume. My rib cage measures 35.I’m 5’6 145 pounds. I wore 34B bra before surgery. My doctor uses allergan.

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  • mermaidmom
    mermaidmom Member Posts: 10
    edited November 2017

    Hi- looking for guidance on sizing. I am 5'6 and 150lbs, can't find my measuring tape but I think my ribcage is around 33 inches as I wore a 32D before. Right now I have allergen 133-mx-14 TE in and my DR uses same brand of implants, round non-textured.

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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    cupcakez:

    Allergan Style 20, 750 ccs.

    Allergan Inspira - any smooth round high profile version - 745 ccs.

    Perhaps even800 ccs, depending on tissue expansion and whether you need the additional volume.

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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    mermaidmom:

    Allergan Style 20, 600 ccs or my preference, which would be something in the Inspira line, such as the ultra full projection 650 ccs or the full projection, 600 ccs.

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  • GardenGirl11
    GardenGirl11 Member Posts: 26
    edited November 2017

    I don't have expanders. My PS left my implants from my previous BA intact during my mastectomy and will replace them in 2 months. My current implants are round Allergan Naturelle 325cc and my bra size is a 32B, previously a 32D. My rib cage measures 32" and I'm 5'4", 116 pounds. I requested silicone but my doctor said he doesn't like to use them, I'm not sure why. He wants me to use smooth round saline but I feel like they will be too hard because my current ones are very firm after the breast tissue was removed, also I have rippling. Since I didn't get TEs I'm not sure how big I can go. I think he uses Mentor and Allergan.

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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    GardenGirl1

    Please private message me with your plastic surgeon's name. I am perplexed about his level of expertise. You need a second opinion and likely a new PS. PM me for recommendations

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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    HAPPY THANKSGIVING!


    GIVE THANKS TODAY FOR ALL YOU HAVE, DESPITE THE FACT THAT SO MUCH HAS BEEN TAKEN AWAY FROM YOU WITH THE BREAST CANCER DIAGNOSIS AND TREATMENT.

    BLESSINGS TO YOU AND YOURS.

    DEBORAH
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  • coachvicky
    coachvicky Member Posts: 1,057
    edited November 2017

    Deborah,

    I thankful that somehow I found you and you helped to make me whole.

    Vicky


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  • coachvicky
    coachvicky Member Posts: 1,057
    edited November 2017

    GardenGirl

    I have silicon and love them.

    Please do what WhippetMom has asked. I owe my happiness with my reconstruction to her wisdom.

    Coach Vicky




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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    Vicky: Thank you for the kind words! I give the glory to God though, for bestowing upon me any gifts that might benefit others

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  • Stix
    Stix Member Posts: 723
    edited November 2017

    thanksgiving thankfulness:

    I am thankful I can email Whippetmom and she always finds time to email me back. I am thankful I am not diseased anymore. I am thankful I only have to look at my potentially failed reconstruction once a day - when getting out of the shower. I am thankful my rcn is man made and has nothing to do with the nice beautiful person I am. I am thankful my physical activity, mind and ability has not been affected by any of this. I am thankful I am a stronger person from this.

    :)

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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    I love your "thankfulness" post Stix!

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  • Stix
    Stix Member Posts: 723
    edited November 2017

    thank you whippetmom.

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  • tam9098
    tam9098 Member Posts: 5
    edited November 2017

    Greetings, I stumbled upon a link to this forum while researching today on how much I should expand. I had prophylactic BMX (NSM) on October 16, 2017 because of a strong family history and a positive BRCA1. I am 42 years old, mother of three (all breast fed), and active weightlifter and triathlete. Surgery completed at UAB by a great team. Minor complications post surgery as tissue flap was thin and a few spots of concern for lack of blood flow. I stayed an extra night and the sites were treated with NTG paste and then Venelx X 2 weeks, twice daily. Skin responded to treatment and no further concern from PS.

    I am 5' 1", weight 141 (a little chunky since surgery but usually run 130), Chest wall currently under TE is 32.75", Bra size prior was 32A but more like nearly-A.

    PS recommended above muscle placement because of weight lifting lifestyle.

    Immediate reconstruction with Mentor CPX 4 medium height tissue expanders style 9200 (catalog 3549211) - 275mL

    Day of surgery 60 ml of air place in TE. Returned in 2 weeks and air removed and 120 ml of saline filled. Since then I have had weekly 60 ml fills. I am currently at 240 ml and PS said it is time to start thinking about final size. I know we cannot determine "cup" size but I was looking for a full C if the tissue could support expanding that much. My PS also discouraged the thoughts of cup size and asked me to start looking at how I look and feel in clothes to guide expansion.

    The PS told me last visit that I would be an excellent candidate for Mentor Memory Shape implants. He did advise that current literature points to possible lymphoma but the data is not entirely conclusive. I am ARNP and my husband also in the medical field and we have researched the literature the last three days and we are both comfortable with the implant if that is what is ultimately decided upon.

    So, I am here to hear what you think about all of this. Thank you for taking the time to read this and devoting your personal time to research. Have a great night!


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  • VegGal
    VegGal Member Posts: 507
    edited November 2017

    My PS told me that if your surgeon will flush the pocket with betadine prior to placement of the implants, the bacteria that is associated with ALCL will be eradicated.

    Good luck with your exchange.

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  • tam9098
    tam9098 Member Posts: 5
    edited November 2017

    VegGal,

    Thank you for your comment. I am looking forward to getting this all over with. I prepared for the worse and hoped for the best. Thus far, the process has not been overly difficult or painful for me. I have been lucky in that respect. Final exchange is anticipated to be around March. Then onto get the lower half operated on.

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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    Tam9098:

    If you do end up with the Mentor Memoryshape, I would recommend the medium height high profile style, 345 ccs. 300 ccs would be the smallest size for you, but I would ask your PS to shoot for 345 ccs

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  • whippetmom
    whippetmom Member Posts: 6,920
    edited November 2017

    Actually, referable to the research regarding BIL-ALCL, the connection to textured implants is that it is felt that inflammation settles into the tiny holes of the textured implant, and it is chronic inflammation that leads to this type of cancer.

    https://www.sciencedaily.com/releases/2017/10/171018113553.htm

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  • VegGal
    VegGal Member Posts: 507
    edited November 2017

    Whippetmom, I talked with my PS at length before my revision this fall, and she had just attended a conference associated with ALCL. Yes, there is inflammation, and the inflammation is caused by a colonization of a certain bacteria (sorry I can't remember which) that is commonly found in drainpipes and on other surfaces. The bacteria can easily be killed with betadine, thus the effectiveness of flushing the pocket prior to placement of the implant. My PS was so encouraged by the news that she has begun using textured implants again, as she has always flushed the pockets and feels very confident about the technique.

    I am seeing my PS again soon, and can ask her more specifics if you'd like.

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  • tam9098
    tam9098 Member Posts: 5
    edited November 2017

    WhippetMom,

    Thank you so much for your recommendation. I will get a better idea this coming Wednesday as to the direction I will proceed. Have a great night!

    tam9098

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  • tam9098
    tam9098 Member Posts: 5
    edited November 2017

    whippetmom,

    Following up on yesterday. Do you have a reccomendation on implant other than the MemoryShape? I’m wanting to keep my options open and take some good questions to my PS on Wednesday. Thank you again for all of your help


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  • tam9098
    tam9098 Member Posts: 5
    edited November 2017

    VegGal,

    I would definitely like to hear more on the education your PS received at the conference. If possible, a list of literature that they are using to support this stance. I do understand this is all relatively new and there will not be a “bunch” of literature available and most assumptions at this point are anecdotal, but I would love to read what they presented. Thank you for anything you are able to provide. Have a great day

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  • VegGal
    VegGal Member Posts: 507
    edited November 2017

    Tam, I will ask for info when I go next week. She was spouting off very specific terminology. Not sure much has been published on it as it was new info presented at the conference. I will get as much info as I can. Information is power!

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  • Stix
    Stix Member Posts: 723
    edited November 2017

    I am not sure how bedadine could rid of this? Sounds skeptical IMO

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  • VegGal
    VegGal Member Posts: 507
    edited November 2017

    Well, a 10% solution of clorox in water kills HIV so it's very reasonable to think betadine would kill a bacteria.

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