BREAST IMPLANT SIZING 101
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i didn't know they sat you up in the OR while trying the implants until i watched a video on youtube a few months ago! lol
Thats another question for my PS tomorrow! The video i saw was done in the States so cant guarantee thats how our PS's do it here. Things seem to differ so much
Deborah~ what you were saying about textured implants and them causing rippling? Do they not help prevent CC though?And prevent the implant from rotating/moving in the pocket? I'm pretty sure my PS said my anatomicals are textured and i don't want rippling! But i don't want the implant moving either as it will distort my shape with it being an anatomical. I sometimes wish i'd not started finding out more info on implants! LOL The more i find out,the more it messes with my head!
Got my 5th fill tomorrow so may have a bit more info as to where im at and where im going re implants.
Kay
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MBJ- I read in the OR notes that he sat me up during the BMX too. I asked for a copy of my OR notes and pathology report for my own records and recalled thinking that it was funny and wondering how many people he needed to hold me up when I was under anesthesia, but it does make sense.
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How do you go about getting copies of your OR notes? I just had surgery to fix a prior recon and that surgeon told me he found things that I was NOT informed of. Needless to say I am not happy and want to see if I maybe misunderstood. The kicker is that I was supposed to have a followup with him while I was still in the hospital getting repaired from his surgery. I did not tell him I was having the redo because at the time I really felt he did all he could and I just needed a change (implants had to go). Now I am mad that I suffered and was lied to and if I call they will want to have a followup and I may loose my temper.
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BTW this DR was NOT the one that fixed me. It was a prior Dr.
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Sherry, All you have to do is call the facility's medical records department and ask for a copy. In the patient's bill of rights (one of the many papers that we all sign at every procedure), we have the right and can obtain copies of everything including reports as well as films and slides.
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Waldo the actual Dr practice or the facility it was performed in?
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For the OR notes, I would call the facility. For slides, etc. I call, the pathology (or the specific) department of the facility or radiology group and pick them up. I have a huge collection at home of blood test results, MRI's, Ultrasounds, mamograms, if I had it, it's mine and I have a copy. It is strange I know but I prefer it that way. The doctor's practice may get defensive if you ask for the notes, but I believe that you are entitled to a copy of your chart as well.
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The flip side is that there will be a lot of information that you may not understand or may scare you and there will be a lot of terms used that you may not understand.. But after having cancer, there isn't that much more that can scare us and technically your medical records are yours.
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Thanks! I am so nonconfrontational. BUT I am going to call.
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I got a copy of my OR notes from my doctor. I think they have to give you a copy if you ask.
RE: textured and anatomicals. I believe textured is a must with anatomicals because it DOES keep the implant in place. I have textured and no rippling, for what it's worth.
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Kay - No, we are referring to textured ROUND implants. The anatomical implants need to have a "textured" surface in order to avoid rotational problems. The texturing on the ROUND implants is much more pebbled - an entirely different issue...for you...not to worry about the anatomicals...
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whippetmom- I am finished with my fills and am waiting for exchange surgery on 6/29. I just noticed that one of my breasts is larger than the other even though they both got the identical amount in fills. My PS is not over expanding me by very much at all so I was wondering if this matters. Do I need to do a little fill on the breast that is smaller or will the implants take care of that?
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Kate: As long as it is around 25 ccs or less - the discrepancy - that should be compensated by the implant. If you think it is more than this - around 50 ccs - I would go back in for a fill. You just want to make sure your PS does not need to go down in size bilaterally, simply because one pocket is smaller than the other. But if it is minimal and only to your discerning eye that you see a difference, then do not worry about it. I just like getting as much symmetry as possible - especially for the smaller, thin framed gals - so that one pocket does not dictate over another which size implant is used at the time of the exchange. Because trust me, the PS will always err on the smaller side, which is not the way we necessarily want to go. Make sense?
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Lilah: Which style of the 410 did you get? Do you have some upper pole fullness with that implant?
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ocjen: I am going to respond with judgejaclyn's response to someone on Exchange City. It was said so eloquently:
"The picture forum is a different site. In order to protect privacy of ladies who post and bare all there - it is an informal "directive" that you should have been a member on this site first - and that you post and share somewhat regularly. It makes sense really. The goal is to keep the site for its intended purpose - that is to support and encourage one another. Once you have been around a while - you can gain access by contacting TimTam."
So spend more time on the forums posting - on other threads - so that we can get to know you. Timtam will be looking for your posts.
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Waldo - you just made me giggle - wow that feels good during this process. I think if I gave my PS a playboy pic he would pass out! He is shy and blushes easy. That is why I am giggling more. I get a fill at 4pm today. I will probably still be thinking about this and won't be able to sit still laughing in side! It really is a great idea.
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Deborah~ PHEW!!! Thanks
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Kay, I am visual and the PS was asking me what type breasts I want to achieve, Just to make sure we were on the same page, I figured a picture is worth 1000 words. He still refers to the picture-5 weeks later so at least he and probably his other doc and PS buddies got a good chuckle.
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whippetmom- Thanks for the response. I think, based on what you said, I'm going to try to even things out. I don't want to be locked in to the smaller implant. My PS lets me do my fills at home (my DH does them, not me) so I'll do a little bit more on the small side. Thank you so much for your input!
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Deborah -- I have the Allergan 410 MX 685.... so medium height, extra projection. The slope, on me (I'm 5' 3" and need to lose 20 pounds), is completely natural in the upper pole... nearly identical to my remaining natural breast (perhaps slightly fuller but noticeable only if you are obsessively staring, which I try not to do
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Lilah: Sounds like that moderate height extra full projection is the style of choice. I sure would like to see what that full height/extra full projection looks like on someone though - someone with a nice, long torso I am thinking...
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Kate: Well, absolutely! If you are doing this at home - even up those puppies this week!
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Deborah -- yes, I think a long torso would work well with the full height. I suppose the full height could have worked on me as well (if I wanted really bodacious breasts) if it weren't for the fact that I'm a uni... so I was looking to match my remaining one, which though large was apparently medium height
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Deborah,
I am scheduled for the exchange morrow morning and had a chance to talk to my PS. He suggested the mentor memoryGel implant,high profile and maybe a C cup or bigger. He told me that i have more than 350 cc on the TE'S ??????? Will keep you updated and thanks for all your help!
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mimi....I will have you in my prayers tonight...Send me photos this weekend...
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Deborah,
Do you think i'll have the bandages out by the wknd ?? If so, you will be the first one to see .
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LILAH, WHIPPETMOM; Hi! My TE's have a 13cm width so my PS told me that my choices for 410 gummies were either the 410 gram or 445g, as these are the two closest to same width (13cm and 13.5cm). That would be mod height and extrafull projection=MX. He said he would also bring to the OR the 450g full height that has the same width of 13cm.( Actually the 495g in FH is 13.5 but he didnt say he would bring that?) Interestingly, or actually confusingly, all four of those have projection of 6.1 ( the smaller MH) or 6.2cm(FH). I am 5'4". Or actually, I was- I've shrunk a bit and feel like the Arimidex is accelerating my shrivel. The PS said he was pretty sure the full height would be "too high".Hope that helps people (not you, two, since you already know way more than I do) who are thinking about the gummies.
But a question for Deborah, if the 13cm width seems about right...looks pretty good when I push my TE's midline to a more normal amount of separation, fits well in my old bras, does that mean that I need to hover around the same diameter for the implants? Is there some "formula" for chest circumference:TE diam; implant diam or does the PS just "eyeball" it? (We hope they have good eyeballs!) And how many cm. actually is a little or a lot in this regard? What if I got round silicone instead... Would the 13cm still be my #? In the style 45's the rounds from 550cc to 650cc all have the same projection, around 6.1or 6.2. The 650cc is the one with diam 13.2. Would the rounds still "look" like more projection even tho listed as same as gummies?
OK. sorry. Maybe too many #s!! Thanks, Deborah
Lilah, I missed you while you were away. I wasn't worried...knew you were off having fun!
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Jerusha -- my PS said that the extra grams in a full height is all upper pole... which makes sense if you think about it. I'll let Deborah (she is the REAL expert) answer about the width... and aw thanks for missing me!
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That interesting about the full height and moderate height. Now,im not sure till i go to the hospital for my fill later,bit i was looking on the Allergen pdf catalogue, and the full height extra full projection didn't seem to be as full lower pole as the MODERATE height XF proj. This was judging by the profile picture of the implants.
If my PS is thinking of Moderate height for me, i was going to ask for the MX but then if the extra grams in the full height X projection is in the UPPER pole,then that might be what i need to keep some of my current TE 'cleavage'.
Any thoughts?? or am i getting confused!
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well i just got back from my 5th fill.
Up to the 390ml mark now =D
I found out that my PS uses Allegen implants and i asked if it was the 410's and he said yes.As regards to what size i will end up?We have no idea.He won't even guess right now as it all depends on how much my skin will stretch. He said that at some point the skin will STOP stretching, and the TE's will start pushing INWARD onto my ribs,causing them to dent and therefore defeat the object of carrying on with expansions, as the implant will then be filling the dent and not making me look any bigger.
I have another fill in 2 weeks time but will be seeing my female PS and she is more likely to halt fills sooner than my male surgeon i think.
I asked what height implant they're likely to use,and again,he really couldn't guess as we just have to see how the fills go due to the radiation.
I also asked what kind of size i may end up compared to how my TE's looked.He said to get a 500 implant i would need to be stretched to around 700 and that will never happen.My own tissue weighed about 180grams each side.And i lost some skin in the Mx also so they have less to try and stretch. so if i get up to 450ml with my TE then it looks like i may only get something like a 300 implant
.He said he knows that i want to get as large as they can do,given what they have to work with,so at least they DID listen! lol I forgot to ask what TE they put in (doh!) but he assured me i will have an appointment to see them BEFORE my exchange,to discuss what size i can get to and i will have some imput to an extent~but they can only do what they can do. Fair enough i guess. If i can look how i looked before this fill (at 330ml) when the implants are in,i'll be happy! But im not telling THEM that incase they can go bigger!
I'll take some photo's and update my thread on the pic forum shortly.
i've not looked at the video we took of todays fill yet,but will do so later.
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