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Patient Details
This patient, 5’4″ and 110 pounds was considering a breast enhancement. She is seen here after a bilateral breast enhancement with 275cc silicone implants placed through an incision beneath the breast under the muscle. She is pleased with her results as it has improved her self esteem tremendously and she feels more like a woman. In fact, she said, “My front is not like my back now.”
Her case illustrates several important points. First, she is very thin with little body fat. Second, her breasts sit up high on her chest wall close to her clavicles. Since she has little tissue cover on top of her implant, the shape of her breast will be the shape of her implant. Since her implants are round, she has a round appearance. The size she chose was small to moderate which is important because if a larger implant is chosen it would appear that her breasts are under her chin. Small people are best off with smaller implants. Larger people can handle larger implants because it’s all about proportion and sustainability. Implants that are too large will not fit on her chest and will appear unnatural and will likely bottom out and look strange. I prefer silicone implants when there is very thin tissue coverage on top of an implant because patients are less likely to experience rippling of the implant.
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