BREAST IMPLANT SIZING 101
Comments
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What are skin flaps? My understanding was that the skin flaps were when skin was taken from another area (tummy, bum, or back) and TE's expanded the skin so a flap was not necessary. In other words, it was one or the other, not both.
Am I incorrect?
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Deborah: Thank you for the info on the inframary fold--I didn't think that sounded right when Claire described it. Question: Being I am a Uni, would you recommend the "origami" method of making a nipple or are there better ways? My nipple seems bigger then the size of nipple they make with this method, and that is what my PS plans to do. there is also an implant that they can use and I am not sure if this comes in different sizes or not. I would appreciate your input. Thank you!
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Thanks Don, that is very encouraging. Did you just go up in size by 50 cc to the 700 on the left? That to me seems like a minor change for pretty good results. I'm definitely leaning that way. Yes, Deborah as already enlightened me on very critical points.... Thanks Deb.
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MBJ
I will tell you that getting a larger nipple to match your larger nipple.. will be tricky. Rockwell_girl had the same issue. Her natural nipples were good size.. she had the origami style.. and no, the nipple is not close to her other one. I think Deborah might have a better kind for ladies like you...
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I went up 50 cc... and it made a good difference. IF my PS could have gotten 100cc in there.. I think I would have gotten 100% perfect.. but he could not due to my rads muscle..:(... I was radiated in 4 fields...
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Anne: Breast skin flaps....it is the terminology also used for the breast skin envelope.
MBJ: Well, first, let me ask....is your PS going to graft your areola or does he tattoo?
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MBJ:
As an FYI: From one of my links...cannot remember which one...
"The technique that involves the least alteration of the overall shape of the breast mound is the skate flap. The skate flap involves cutting some of the skin and soft tissue on the newly reconstructed breast and folding the tissue like a Japanese origami puzzle to create the nipple. A skin graft from a remote location such as the upper medial thigh or abdominal scar is then used to reconstruct the areola. We prefer the upper medial thigh as the donor site because it has the closest color and crepe-like texture of the native areola.
Other techniques such as a C-V flap, Arrow flap, or Bell flap involve some distortion of the breast mound as they require primary closure of the local site from where the tissue was taken. These procedures are performed on an outpatient basis and take about an hour to reconstruct each nipple areola complex."
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Deborah: He just does the origami with tattoo. I have seen pictures of the scate flap but I don't think he does this--I will ask at my next appointment. sounds like a lot of pain though--I read about it on the picture thread. I don't see why he couldn't as he is a micro surgeon. Is there any other procdedure where you can get the size larger? My aerola is small but my nipple is large.(at least to me).
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Whipptetmom-thanks for the explanation of the IMF. I think I should be fine because I don't think I want too much droop. After all these years I would rather have lift and perkiness. Not sure about ripples. I am filled to 400cc and it seems as tight as a drum right now, however the area where I see ripples there seems some extra skin so maybe with the larger implant it will take care of that.
When you say thin skin can reveal ripples does that mean it wouldn't matter kind type of implant they used, ie. gummy, round, would they still be present because of the thin skin?
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Deborah,
Have you heard of anything one can do to push only 1 implant down? My rads side is about 1/2 higher than the non rads side. On the top, it is not really noticeable.. but on the bottom, it is. I cannot just wear a tank top without a bra. To me, you can see the non rads side being lower. This bothers me. In the grand scheme, I am VERY lucky this is all I contend with. I will be talking to Dr. R. mid September about some thing which I will share later, and on the picture forum and will get his advice on this also. I was hoping, besides massage, you had heard of something that I can do to lower the rads breast...:)
...... Signed,
Wishful thinking
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Deb - I originally had the same size implant on both sides - 650cc. He only changed out the left side with the 700cc and did some additional pocket work. Besides having the rippling, the left side always looked smaller to me also. I now feel they match as good as they are going to. There was no way the 750cc would have worked on that side only. That would have been way too big. I am happy with my results. I know that this is as good as it gets for me and I'm OK with it. I can't wait to get the finishing touches on and be done with it all!
Donna
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Dear Wishful: I would not want you to do anything to put undue pressure on that rads breast though. I suppose you could use the compression band - the one that MBJ uses - and see if you can wrap it around so it is pressing down on the rads side, but then torque the band on the non-rads side down under the implant so that it is actually gets lifted a bit. MBJ, could you try that maneuver with your compression band and tell Laura if it would work? The other recommendation is just to, whenever you think of it, manually press down on the implant during the day. I personally think that fat graft transfer is what will ultimately soften the skin - change the integrity of the skin - and allow the implant to drop naturally.
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sweetie: If you have thin skin, it is likely you will have rippling with any type of implant - especially saline and the textured silicone rounds. It might be that you would see a little less with gummy bear implants, because of the anatomical shape.
MBJ: I do not know of any other nipple procedures. I do know that if I had been given the option, I would have liked a grafted areola, because it gives a little bit of elevation to the center of the breast - like a natural areola. Areola grafting used to be the standard, before tattooing became popular, less expensive and probably more favorable from a cost standpoint for insurance companys and HMO's.
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Deborah & Wishful: The only way this would work is by using an ace bandage as the one that comes with the compression bra can't be manipulated in this way.
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Wishful: I am constantly pressing down on my side that is high whenever I think of it. Hope no one is watching LOL!
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Deborah: I read where a woman had fat grafted into the end to get this natural look. Would this work with a tattoo only? I doubt that MediCal will pay for the other rocedure.
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I don't know MBJ. You would have to ask your PS. I remember asking my PS about this and he said that it really does not work in this area of the breast. He would recommend Alloderm.
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Thank you Deborah! I guess I will just have to wait and see what he says on the 20th! I doubt MediCal would pay for the Alloderm for a nipple, either.
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Well, the Alloderm is not used to form the nipple, it is used to give some additional projection of the area - underneath the nipple-areola complex.
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I think I am going to facecrafter's tattoo artist in Maryland. LOL
After reading all this stuff about how to make nipples and areolas, I'm getting a little grossed out.
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Claire82: At this point, I think I'm un-gross-outable. LOL
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Whippetmom - ladies
I have been following this thread for some time and now I need some help. Stats first 5ft 5 1/2 inches, 152 lbs, rib cage 33. BMX on 6/21 - no rads.
Currently getting filled every 2 weeks. 133mx Tissue expander, 400 cc type, Allergan.
I am currently at 290 cc's in each. I was never a big girl before, 38 barely B on a good day. I do not want to be big when this is all done. After this last fill, I tried on one of my old bra's just to see, and it fits. I really don't know what to do. Keep getting filled, stop now ?? Help.
I know my BS said that when I get to the size I like, to get one more fill after that to make sure she has enough material to work with. I really can't see myself filling these te's up to capacity.
thoughts?
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stlcardsfan: Well, 290 ccs seems pretty small for your frame. I would have said that you were a candidate for a 450 cc implant - at the least -[moderate plus profile implant - Style 15] if you want to be in the "B" cup realm. Sometimes the TEs give a false impression of size - because they are rigid, immovable, protrude out from the ribcage and are not compressed by a bra. I frankly think you need to fill all of the way to 400 ccs. Don't focus on cup size - it takes more volume to fill a bra cup after MX. You can always post photos on the pic forum or email them to me if you want me to see how you are looking at the point. You also probably have a MV style of TE and need an implant with a width of at least 13.0 cm.
Deborah
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Whippetmom
Thanks for the reply. I don't have access to pic forum, and hearing I can't until it gets moved.
Originally BS was going to use 300 cc te's based on my pre-surgery measurements. I told her I did not want to go bigger at all. Found out I got the 400 cc's when I woke up. I am fine with that, she is a really good BS and came highly recommended.
Forgive me, not up on all this lingo - what do you mean by MV style of TE?
Thanks
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Cindy..I'm a BC gal too Kootenays. Where are you?
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stlcardsfan: Allergan: http://www.allergan.com/assets/pdf/natrelle_catalog.pdf She is referring to the 133MV-13 400 cc Tissue expander in the catalogue. I had this same one.0
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Hello to all! A great thread...I've been reading it all day. I'll be under the knife on Sept 8th for BMX right side will be propho. I'll be having skin sparing on the right side with nipple removal and have enough tissue on my left after the modified radical. Doc says he will be placing 450 cc silicone (Mentor) sub muscular, I'm pretty sure he will use a moderate profile. I told him to make me look pretty!!
My question is...has anyone had radiation after implants? Can't seem to find a thread thus far that addresses this issue.
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Hi PitPat! I am in Campbell River on the Island. These ladies here are amazing....a strong support system!!!
Cindy
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Thanks MBJ!
stlcardsfan...The new pictures forum is up and running. Send another private message to Timtam and you can get in...
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MBJ and whippetmom - thanks.
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