Saline versus silicone implants
Silicone gel breast implants look and feel more natural. They are compressible and weigh less than their saline counterparts.
They are less likely to ripple in a thin skin-soft tissue envelope and have a longer warranty.
Implant choices
I prefer High profile implants in about 90% myself, because most of the women I treat are narrow and want a fairly decent volume. I think you would need a lift as well.
Breast Augmentation with or without lift?
You definitely appear to be a good candidate for a combination of mastopexy (breast lift) and placement of appropriately sized breast implants.
Aesthetic breast contours result from good balance between skin surface area and volume so the smaller the implant the more likely you would need a full uplift to reduce your excess skin and droopiness.
Another option might be a vertical uplift using a lollipop scar. My best advice is to avoid going too large and to meet with an ABPS board-certified plastic surgeon to discuss options and review photographs of other patients.
The video link above will give you more information about the different types of breast uplift that I use most commonly.
Non surgical breast enlargement options
Unfortunately, if it sounds too good to be true it probably is… I am unaware of any medications, lotions, or potions that will make one’s breasts larger. Breast augmentation surgery is a straightforward and safe surgery in the properly selected patient/context.
However, if the thought of surgery is frightening or concerning then you will never “lose” by not proceeding with a surgical solution
Asymmetry Correction
If I understand you correctly you want to know how to best determine what size implants are needed with breast asymmetry. I have found that once you get down to a general idea of the size differences it may be best to have sizers available at the time of surgery as well as different size implants.
This way you can get very close to symmetry at the time of surgery. You should also be aware that any patient who has asymmetry preoperatively will have asymmetry postoperatively.
A natural-appearing breast augmentation
In my experience, an appropriately sized, round implant placed in the sub-pectoral pocket under a breast with adequate tissue coverage is really all you can do to provide an increase in breast volume with a natural look.
Be conservative and choose an implant that is sized for your individual body and breast type.
Can saline implants be removed like silicone?
The answers that have been posted are reasonable but there is another choice which has not been mentioned. You can have your implants deflated to see if you like the result because sometimes the aesthetic result is not good and if you have already removed your implants you have to under go another surgery to correct it.
Deflation gives you the option to either have them removed or replaced with smaller implants after the skin and pockets have contracted down in 3 months. This allows you more control over the final result. Removal is a straight forward procedure and you don’t need to be in the hospital but can be done as an outpatient basis.
The implant itself will not harden
The implant itself will not change inside your body. What does make an implant feel hard it a tightening of the capsule around the implant referred to as a capsular contracture. If you have this it may require a surgery to correct but the best thing for you to do is to make an appointment with a board-certified plastic surgeon who can examine you and tell you what your options are
Dual plane or subglandular implants to avoid a lift?
We get this question a lot as many women share your basic look. An experienced surgeon should have no trouble helping you meet your goal without a lift. Some surgeons feel subglandular placement is a good idea, the great majority of surgeons would disagree with that for most patients.
If you are very thin in the upper part of the chest, there is a significant chance you will see the edges of the implant, the “fake look”, and although that is actually the goal for some women, most patients are trying to avoid that.
The dual plane implant placement leaves the thick muscle to hide the upper implant edge but in the lower half of the breast the implant is not under the muscle, thus that area is full and round, thus the natural look.
Saline Breast Implants Above the Muscle
The look of implants – either saline or silicone – is dependent on your overlying skin. If you are able to pinch a significant amount of skin (more than 2 cm) then you may do well with subglandular (over the muscle) breast implants.
Otherwise, you may do better with submuscular implants which would have that added coverage of the muscle tissue.
Patient Age and Breast Augmentation
As long as you are otherwise healthy and had a recent mammogram, your age should not preclude you form undergoing this procedure which should improve the volume and shape of your breasts.
400 cc implants
It is hard to say whether or not the volume you selected would be best to reach the desired size. You can do a baggy test or try sizers on to see how the volume fits in a bra for you.
A formal exam would be best.Over the Muscle – the Best Choice
From your detailed posted history and greatly appreciated photo I would entertain the over the muscle approach. I would need a more detailed in person discussion with you to make sure you understand the risk/benefit ratios.
Many ways choose the size of the breast implants
There are many different techniques to decide which size breast implant to use. Some patients will come in wanting a particular size because that’s what their friends said they should have. Others are more rational and will listen to what the plastic surgeon recommends with the patients input.
I use a technique of measuring the patient to determine the appropriate size implant based on chest dimensions and then will use the Axis 3-D imager to show a patient how they might look with various size implants.
It allows them to visualize the appearance in a simulated setting. Finally I tell patients I do need some lattitude in terms of choosing the size because I need to make sure they look good.
What can I do to correct my breasts?
Everyone has differences from one side of their body to the other and there are significant differences from one person to another. Most plastic surgeons are used to taking on challenges and your case is no different.
If it seems to be too much a of a challenge for the plastic surgeon with whom you consulted perhaps you should have one or two additional consultations with board certified plastic surgeons in your area.
The procedure necessary to address your issues would be a mastopexy or breastlift combined with a conservative sized silicone gel implant. It would not be unreasonable to expect that a secondary procedure may be necessary.
Cosmetic surgery breast augmentation cost in 2010:
- $5000 – Dr Mark Mendell-Brown (Cincinnati, Ohio). – Columbus, OH – Rating 2/5 – 2010;
Prices From Realself:
Brazilian Butt Lift Prices
2010:
Breast Augmentation Prices
2014:
- $5200 – Cincinnati, OH – Rating 5/5 – 2014;
- $6100 – Dr. Mandell Brown – Cincinnati, OH – Rating 5/5 – 2014;
- $6700 – Dr. Mark Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2014;
- $7000 – Cincinnati, OH – Rating 5/5 – 2014;
- $7300 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2014;
2015:
- $5900 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2015;
- $6000 – Dr. Mandell-Brown – Montgomery, OH – Rating 5/5 – 2015;
- $6800 – Cincinnati, OH – Rating 5/5 – 2015;
- $7000 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2015;
- $7300 – Cincinnati, OH – Rating 5/5 – 2015;
- $9000 – DR Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2015;
2017:
- $7000 – Dr. Mark Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2017;
2018:
- $7000 – Cincinnati – Rating 5/5 – 2018;
- $7299 – Rating 5/5 – 2018;
2019:
- $6000 – Rating 5/5 – 2019;
- $7100 – Mark Mandell-Brown, MD – Rating 5/5 – 2019;
2020:
- $6500 – Mark Mandell-Brown, MD – 2020;
Breast Implant Revision Prices
2015:
- $6645 – Cincinnati, OH – Rating 5/5 – 2015;
2016:
- $3000 – Dr. Mandell Brown – Cincinnati, OH – Rating 1/5 – 2016;
- $8000 – Mark Mandell-Brown, MD – Lexington, KY – Rating 1/5 – 2016;
Breast Implants Prices
2010:
- $3500 – Dr. Mandell-Brown – Cincinnati, OH – Rating 1/5 – 2010;
2013:
- $8000 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2013;
2014:
- $7300 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2014;
2015:
- $6800 – Cincinnati, OH – Rating 5/5 – 2015;
- $6800 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2015;
2016:
- $7500 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2016;
2019:
- $7100 – Dr. Mark Mandell-Brown – Northeast Ohio – Rating 5/5 – 2019;
Breast Lift Prices
2020:
- $10000 – Rating 5/5 – 2020;
Breast Lift with Implants Prices
2014:
- $11500 – Dr. Mark Mandell-Brown – Cincinnati, OH – 2014;
2018:
- $10000 – Dr. Mandell-Brown – Cincinnati, OH – 2018;
- $10045 – Mark Mandell-Brown, MD – Rating 5/5 – 2018;
2019:
- $11500 – Mark Mandell-Brown, MD – Rating 1/5 – 2019;
2020:
- $6500 – Mark Mandell-Brown, MD – Rating 5/5 – 2020;
Chin Implant Prices
2019:
- $4000 – Rating 1/5 – 2019;
CO2 Laser Prices
2015:
- $4500 – Dr mandell brown – Cincinnati, OH – Rating 5/5 – 2015;
Ear Surgery Prices
2019:
- $7000 – Rating 5/5 – 2019;
Eyelid Surgery Prices
2014:
- $7500 – Mark Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2014;
2015:
- $7000 – Dr. Mandell Brown – Cincinnati, OH – Rating 5/5 – 2015;
2017:
- $3000 – Dr mandell-brown – Cincinnati, OH – 2017;
Facelift Prices
2012:
- $6500 – Mark Mandell-Brown, MD – Cincinnati, OH – Rating 5/5 – 2012;
2014:
- $10500 – Cincinnati, OH – Rating 5/5 – 2014;
- $8500 – Dr. Mandell-Brown – Cinncinnati, OH – Rating 5/5 – 2014;
2015:
- $12500 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2015;
- $13000 – Cincinnati, OH – Rating 5/5 – 2015;
- $14000 – Dr. Mandall-Brown – Cincinnati, OH – Rating 5/5 – 2015;
- $4500 – Dr mandell brown – Cincinnati, OH – Rating 5/5 – 2015;
Facial Prices
2020:
- $95 – Rating 5/5 – 2020;
IPL Prices
2015:
- $300 – a nurse: “Ann” – Cincinnati, OH – Rating 5/5 – 2015;
Juvederm Prices
2015:
- $750 – Cincinnati, OH – 2015;
Liposuction Prices
2014:
- $8000 – Dr. Mark Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2014;
2018:
- $7425 – Rating 5/5 – 2018;
2020:
- $5500 – Rating 5/5 – 2020;
Mentor Breast Implants Prices
2014:
- $7300 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2014;
2019:
- $7100 – Dr. Mark Mandell-Brown – Northeast Ohio – Rating 5/5 – 2019;
Mole Removal Prices
2016:
- $250 – Mark K. Mandell-Brown – Cincinnati, OH – Rating 4/5 – 2016;
Mommy Makeover Prices
2017:
- $19499 – Dr. Mark Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2017;
Nonsurgical Nose Job Prices
2015:
- $160 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2015;
Rhinoplasty Prices
2009:
- $8500 – Dr. Mark Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2009;
2013:
- $8500 – Cincinnati, OH – Rating 1/5 – 2013;
2014:
- $8500 – Dr. Mark Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2014;
- $8800 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2014;
- $9500 – Cincinnati, OH – Rating 1/5 – 2014;
2015:
- $1200 – dr.mandell brown – Cincinnati, OH – Rating 5/5 – 2015;
- $8500 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2015;
- $8500 – Dr. Mark Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2015;
- $9000 – Dr. Mandell Brown – Cincinnati, OH – Rating 5/5 – 2015;
- $9000 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2015;
2019:
- $8000 – Rating 5/5 – 2019;
Tuberous Breast Correction Surgery Prices
2016:
- $7500 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2016;
Tummy Tuck Prices
2009:
- $9599 – Dr. Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2009;
2014:
- $12000 – Dr. Mark Mandell-Brown – Cincinnati, OH – Rating 5/5 – 2014;
2015:
- $10000 – Dr. Mandell-Brown – Montgomery, OH – Rating 5/5 – 2015;
- $12000 – Dr Mark Mandell-Brown – Montgomery, OH – Rating 5/5 – 2015;
Tummy Tuck Revision Prices
2015:
- $12700 – DR MANDELL BROWN – Cincinnati, OH – Rating 5/5 – 2015;
Venus Freeze Prices
2015:
- $2000 – Dr. Mandell-Brown – Montgomery, OH – 2015;