I think it is possible for first time breast augmentation patients to go to a good size high profile implant and still not look way over done. This patient wanted a Victoria’s Secret DD cup size but didn’t want to be too top-heavy. She started with a very good breast shape and we placed 450cc Allergan style SSF high profile silicone gel implants through the under arm using a Keller funnel.
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This 44-year-old female was thinking about implants long before having children and once she was done with kids, decided to move ahead. Because she was looking for a little more fullness in the upper pole of the breast, she decided on the highly cohesive silicone. With the rice test we chose 485cc on the right at 445cc on the left with Allergan style SCM silicone gel implants.
This patient’s anatomy was slightly more challenging just with the lateral orientation of her breasts and asymmetry. She decided to go a little bit larger than her initial thought, to help close the gap in the middle. We placed 445cc Allergan style SSM silicone implants through the underarm using the endoscope and the Keller funnel. She is very happy.
This 27-year-old female is a great example of going from a large A cup to a tasteful D… She started with a great shape and through the underarm using the endoscope and Keller funnel, we placed 445cc Allergan cohesive style SCM silicone gel implants. She loved her new size and especially her new cleavage!
Another good example of getting a larger size implant in through the underarm. The Keller funnel really makes it so much easier than the old days when we had to use our fingers! With the rice test she decided on an Allergan style SSF 485cc silicone gel implant. I decided on a high-profile implant because of that larger size we didn’t want her being too full on the side.
Not all patients presenting for breast augmentation have the same anatomy and this is a great example of how we adjust for that. This patient already presented with natural breast tissue but her nipple and areola were a little on the lower side. I felt that going through the underarm would not allow the lower pole of her breast to expand out, where it is needed. Without modification in technique she would run the risk of having very high riding implants and an empty lower pole. Instead I made an incision under the areola and created the implant pocket half under the muscle above and half above the muscle below, by elevating her breast tissue off her muscle and then splitting the fibers mediately and laterally. This then allowed the implant to fully expand the lower pole without being held back by the muscle. We used Allergan 440cc style SSLP silicone gel implants.
This is a great example of how even with a larger implant and a little bit of relaxed breast tissue you can still get a very natural result through with the under arm endoscopic approach. This patient was looking for a larger size but preoperatively had a slight outward tilt and a slight bit of droop. After doing the rice test she decided on mid 500cc’s, so we ended up placing a 520cc Allergan style SCF on the right and 560cc on the left both through the underarm using a Keller funnel for a very natural result.
This 47-year-old female had been thinking about breast augmentation for years. She was very active and was looking for a nice conservative C cup. We went through the underarm using the endoscope and a Keller funnel and placed Allergan style SSM silicone gel implants 375cc bilaterally.
This young woman is a straightforward breast augmentation with 375cc Allergan style SRM silicone gel implants. It was done through the under arm with the endoscope and a Keller funnel. Her breast anatomy preoperatively was slightly wide set but even with just 375cc it can give a very natural result with very normal spacing.
Although I am not usually a fan of high-profile implants in a first-time breast augmentation, her breast base width diameter was only 11.5 cm and after doing the rice test she wanted 345cc. So, we settled on an Allergan style SSF silicone gel implant through the under arm with a Keller funnel. With good placement, even a high-profile implant does not have to look “too high”.