We are 161,457 members in 81 forums discussing 127,248 topics.

Help with Abbreviations

All TopicsForum: Breast Reconstruction → Topic: BREAST IMPLANT SIZING 101

Topic: BREAST IMPLANT SIZING 101

Forum: Breast Reconstruction — Is it right for you? Discuss timing and various procedures and techniques.

Posted on: Jan 8, 2010 12:31AM, edited Aug 4, 2015 03:40PM by whippetmom

whippetmom wrote:


This thread is where we discuss implant-based reconstruction and where we endeavor to help you with some idea of the implant style and sizing that might best work for you.

Information we need:

1. Your height, weight, ribcage circumferece (measuring under the bra line or under the tissue expanders with a measuring tape).

2. If you DO have tissue expanders already, we need to know the exact style of TE (Mentor, Allergan, Sientra, SSP) AND the volume - the mfr's recommended volume, NOT your current fill volume. So if you have Mentor TEs, they would be LOW HEIGHT, MEDIUM HEIGHT or TALL HEIGHT. If you do not have the "height" information, you might have a style "number", i.e., 354-6311 or 354-7114...etc. If they are ALLERGAN TEs, they would be one of six styles, with letters such as "MX" or "MV" or "SX" or "SV" or "FX" or "FV". They might have the number 133-V followed by a number like "13" or "14".

3. Also, please advise if your PS has told you that he/she uses one brand or style of implant exclusively so that we can save time in our research.

4. Your pre-mastectomy breast size is also important, because it does have some bearing on expansion, tissue expander volume and the need for good tissue coverage over your future implant.

5. GRAMS VS CUBIC CENTIMETERS: Essentially interchangeable. A gram Gis a measure of mass/weight and ccs a measure of volume. It is the dimensions of the implant that matters more than the discrepancy between the "size" of an implant designated in "grams" as opposed to one designated in "ccs".

6. OVERFILLING OF TISSUE EXPANDERS: There is no hard and fast rule regarding overfilling of tissue expanders. Some plastic surgeons overfill, merely because they always do for every patient. Some never or rarely overfill (my plastic surgeon was in that camp.) She felt that if the right tissue expander was selected, there was no reason to fill beyond that which the manufacturer recommended. In cases where the patient's skin envelope is very tight, and a larger implant is desired, overfilling would have some benefit. In the case of a unilateral breast reconstruction, where the future implant needs to mirror a native breast which has some ptosis (droop), overfilling can help achieve that needed symmetry.


ANATOMICAL IMPLANT INFORMATION:

http://www.cohesiveimplants.com/gummy-bear-or-regular-breast-implant-which-one-is-right-for-me/

7 Questions to Ask Your PS About Anatomical Implants:

http://www.cohesiveimplants.com/7-questions-to-ask-when-interviewing-plastic-surgeons-about-gummy-bear-implants/

Plastic Surgeons weigh in on the benefit of round silicone vs. anatomical implants: Please note that these discussions were in 2011, before the Allergan 410 or Mentor CPG anatomicals. Most of these references are to the prior generation of anatomically shaped silicone and saline implants.

http://www.realself.com/question/the-benefits-anatomical-breast-implants-round-counterparts

IF YOU PREVIOUSLY HAD BREAST AUGMENTATION (prior to MX) Please read further:

This is from Grant Stevens, MD, PRINCIPAL clinical trials investigator for the Allergan 410 and Mentor CPG anatomical implants.

"The shaped form-stable gummy bear implants, such as the 410 and the CPG, are not ideal implants for women who have had previous breast surgery and have already pockets for those previous implants. Those women have pockets which are generally too large to safely accommodate the shaped form-stable implants. However, the Sientra form-stable silicone gel breast implants, which are round, can be safely placed in these patients." Quote is in this article:

http://www.cosmeticsurgery.com/articles/archive/an~283/

And in Dr. Stevens' interview article re: cohesive implants...

http://www.marinaplasticsurgery.com/wp-content/themes/marinaplasticsurgery_com/news/articles/gel-implants.pdf

DISCLAIMER! I am not a physician or medical professional. The information provided is my own personal opinion. You must discuss every aspect of your reconstruction with your plastic surgeon. Dx 10/15/2008, IDC, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2-
Log in to post a reply

Page 241 of 441 (13,217 results)

Posts 7201 - 7230 (13,217 total)

Log in to post a reply

Nov 20, 2012 11:24PM Layla2525 wrote:

Michy, I am about your size,at 5'4 and vary from 140 to 159. I was really small. I got 550cc and now my B bras are a little small. I wanted to be a C cause I was so small before. I think with the 500cc,that should be enough to do the B. You might wanna get a second opinion. Whenever,I was unhappy with a dr,I called my breast coordinator and got a diff dr.

I also second what Blessings said. hope all our advice helps.

bmx w/TE on 2/13/12,exchange to Mentor high profile 600cc gel implants on 08/30/12,07/01/2013,new Natrelle 45 gel,replaced Mentors due to capsule. Dx 12/19/2011, IDC, 1cm, Stage I, Grade 1, 0/2 nodes, ER+/PR+, HER2-
Log in to post a reply

Nov 21, 2012 08:23AM Crescent5 wrote:

Hi Michy,

We have a lot in common. Just to confuse you further, I'm 5'4", about 132 and my implants are 400ccs in style 20 for projection. I have my own nips, so that may help with projection as well. My bra size range is 34DD-36D (most often 36C). I'm very happy with my projection. I had one implant shift laterally that was repaired surgically and one that rode so high I looked like I was smuggling a loaf of bread under my pecs.

I had a revision 6 months after exchange with a fabulous PS (I'm not sure if she specializes in revisions, but she could). Most PSs will have you wait that long before considering revision for a number of reasons. Most importantly, you're not fully settled until then. That fixed the lateral problem.

For the high rider, I found a massage that pushed that implant right into it's proper position. I tried them all, trust me. Here is a youtube of the massage, but please be warned. This is an augmentation patient, and she's topless. It may be difficult for some of us to see. Also the comments are really vulgar. Check with your dr to make sure massage is appropriate for you.

http://youtu.be/AYnFo6j9AMc

Lastly, for this latest surgery, I had to wear a surgical bra for at least 6 weeks. I found something this time around that may be coincidence or may have some truth. I think that bra helped shape the girls into a pointier shape (which I really wanted). So this time around I've been on a mission looking for those old fashioned pointy shaped bras. They're ugly as sin, but if it's helping solidify my shape, I'll keep wearing them for another 2 months (I'm 2 months out from revision).

My advice to you is to start looking for a possible revision PS. You may not need it, but it's good to line things up just in case.

Dx: ALH, LCIS 10/10, PLCIS 11/10 ~ PBM 1/13/12 ILC 4mm & 7mm found post MX Stage 1 Grade 2 ER/PR+ HER2- 0/9 nodes Oncotype Score = 6, Tamoxifen 4/12 ~I want this sh*t to leave me alone Dx 1/13/2012, ILC, <1cm, Stage IB, Grade 2, 0/9 nodes, ER+/PR+, HER2-
Log in to post a reply

Nov 21, 2012 11:38AM Merlcat wrote:

I'm new to this too but I've read so many wonderful things, I am hoping that the gurus here can help me with my sizing too? :)

I'm 5'10", 128 lbs with a 28 inch rib cage. Pre uni mx I wore a 32 DD which I thought was too big for my frame. I definitely don't want to be DD in my reconstructed side and know (ugh) that I will need a redux and lift of the non effected side. I don't want it to be reduced *too* much in the event that I end up needing a mx in the future on that side( I want to be sure I have enough skin on that side left for that potential eventuality. I currently have a naturelle 133mx-13t nw filled with 430 ccs....when I asked yesterday about the capacity, I think the p.s. said 500 ccs.

I think that I'd like to be a small d?

Dx 10/8/2012, DCIS, Stage 0, 0/4 nodes, ER+/PR+, HER2- Surgery 10/29/2012 Mastectomy: Right; Reconstruction (right): Tissue expander placement Surgery 1/23/2013 Reconstruction (right)
Log in to post a reply

Nov 21, 2012 07:51PM MichyLL wrote:

Layla2525, thank you so much for your input! It makes me feel better to hear that after all is said and done I might still end up a B. :)

Crescent5, what does "20 for projection" mean? How do I find mine? Unfortunately my PS says no massage, which I don't get, but I'm going to physical therapy starting Friday :) . As far as another revision DR. I will definetly be looking for one first thing next week! I wonder if anyone here knows of one in or near Boston.

Merlcat, you are in the best hands here. These women are very very resourceful! Best of luck!

michy
Log in to post a reply

Nov 21, 2012 09:24PM , edited Nov 21, 2012 09:35PM by Crescent5

Michy there are different styles for different projections. Mine are high profile, which are style 20 (allergen).There are other numbers for different projections/profiles. Yours should be on the card they gave you. My revision PS is in Boston. I'll PM you. Oh geez, I just noticed you're from Methuen. I should have given you my PS's name earlier! She's at MGH.

Dx: ALH, LCIS 10/10, PLCIS 11/10 ~ PBM 1/13/12 ILC 4mm & 7mm found post MX Stage 1 Grade 2 ER/PR+ HER2- 0/9 nodes Oncotype Score = 6, Tamoxifen 4/12 ~I want this sh*t to leave me alone Dx 1/13/2012, ILC, <1cm, Stage IB, Grade 2, 0/9 nodes, ER+/PR+, HER2-
Log in to post a reply

Nov 22, 2012 02:38AM whippetmom wrote:

Merlcat: Your PS is choosing the right size for you. I would say 475 ccs or 500 ccs in Style 20/Allergan.

DISCLAIMER! I am not a physician or medical professional. The information provided is my own personal opinion. You must discuss every aspect of your reconstruction with your plastic surgeon. Dx 10/15/2008, IDC, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2-
Log in to post a reply

Nov 22, 2012 07:52AM sherry67 wrote:

Whippetmom,
I'm getting a second opinion from another PS regarding finishing my reconstruction due to cant wait for my Ps I call to get status update because the Sientra are on back order and they never call me back....the new one uses Mentor Memory Gel implants was woundering what you thought about this brand..are they as good as the Sientra implants..

Dx 12/2010, IDC, Right, 2cm, Stage IIB, Grade 3, 11/23 nodes, ER+/PR+, HER2+ Chemotherapy 3/4/2011 Abraxane (albumin-bound or nab-paclitaxel), Carboplatin (Paraplatin) Targeted Therapy 3/4/2011 Herceptin (trastuzumab) Surgery 7/28/2011 Mastectomy: Left, Right; Lymph node removal: Underarm/Axillary, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 9/4/2011 AC Radiation Therapy 11/22/2011 Breast, Lymph nodes Surgery 8/20/2012 Prophylactic ovary removal Surgery 2/15/2013 Reconstruction (left); Reconstruction (right) Surgery 7/9/2013 Reconstruction (left); Reconstruction (right) Hormonal Therapy 7/11/2014 Arimidex (anastrozole) Hormonal Therapy
Log in to post a reply

Nov 23, 2012 10:01AM Merlcat wrote:

Thank you so much for your input! It'll be interesting to see how much more saline my rs fills my the with next week when I go back.....

Dx 10/8/2012, DCIS, Stage 0, 0/4 nodes, ER+/PR+, HER2- Surgery 10/29/2012 Mastectomy: Right; Reconstruction (right): Tissue expander placement Surgery 1/23/2013 Reconstruction (right)
Log in to post a reply

Nov 24, 2012 04:38PM janiceg415 wrote:

I'm back and still unable to make a decision

I have been unhappy with the lack of size & projection since my 7/5/12 implant exchange for a uniMX,  on a f/u visit with my PS I told him that and he said he could do a revision. I asked what are you going to use "a bigger implant", he didn't clarify but said they have different shapes.  That was they extent of his answer, I have been less than pleased with the lack of communication.  So tentatively I was set up for revision 12/21 with him. 

But I decided to seek a 2nd opinion this time with a woman, who I absolutely adored.  I think she spent over and hour with me, going thru each aspect, including the lack of upper pole fullness, a divot on the side and the look of a "stuck on implant" lack of inframammary crease definition.   She did however, say that the mastoplexy side was a good job, and wouldn't want to touch that.    She suggested the possible removal of implant, place expander to generate more skin, and place larger implant/ with high profile, and fat grafting to upper and side of breast.    I was enthused by her plan but not so sure about changing back to an expander and going that route again.  She also was first to talk to me about fat grafting.  One problem with going with her is that I definitely have to wait for after 1st of year as she has no surgical openings (and I would like to be able to get this done in 2012 due to my deductible having been already met).

SINCE the two PS differed so very much, I thought I might as well get a 3rd opinion and see where that would go. 

Much to my surprise the 3rd PS (a male) said he thought my 1st PS did a pretty good job, he said that he could see some of the problems I spoke about, but said he would have felt badly if this was his work that I was unhappy with.  He said yes he could do some revision, but very slight.  He even suggested waiting for a bit to see if the implant changes how it looks.  He also said that maybe I would be a good candidate for the Sientra "gummy bear" implant as it has a more conical shape, however, these have not been available in my area as of yet (central Wisconsin) and didn't know when it would be. He also mentioned that I should check with my insurance company as all revisions may not be covered just because we think the breasts are not symmetrical.  He said that it could be considered more cosmetic than trying to just achieve symmetry, even though my original diag. was MX for dcis.  I have a foob created by a silicone implant I guess I should be happy with that.

SO as you can tell I am just as confused as I was to begin with.   ANY THOUGHTS ON THIS OVERLY LONG POST would be gladly welcomed.

Janice UniMX 2/23/12 with TE, no lymph node involvement Dx 11/23/2011, DCIS, 1cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 12/9/2011 Lumpectomy: Left Surgery 1/20/2012 Lumpectomy: Left Surgery 2/23/2012 Mastectomy: Left; Lymph node removal: Underarm/Axillary, Left Surgery 7/5/2012 Reconstruction (left) Surgery 12/21/2012 Reconstruction (left) Hormonal Therapy Aromasin (exemestane)
Log in to post a reply

Nov 26, 2012 07:58PM whippetmom wrote:

janice:  I do not like the dismal perspective of PS #3.  Here is what the law provides:

Breast Reconstruction Defined

Breast reconstruction is covered under insurance as a result of the passage of the Women's Health and Cancer Rights Act of 1998. The law mandates insurance coverage for breast reconstruction and the alteration of the opposite breast for symmetry for women who have undergone mastectomy.

If you need to get it done this year, go to your original PS and have him clearly outline what he will do and what implant - volume and style - he intends to use.  Otherwise, go with the female PS and do what is necesssary to obtain the best result possible.  The PS submits the paperwork to the insurance company and it is all in the "coding" and verbiage they use which ensures coverage. 

Deborah

DISCLAIMER! I am not a physician or medical professional. The information provided is my own personal opinion. You must discuss every aspect of your reconstruction with your plastic surgeon. Dx 10/15/2008, IDC, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2-
Log in to post a reply

Nov 27, 2012 09:25AM janiceg415 wrote:

Thanks Deborah,

I did call the 1st PS and was told that he has ordered Mentor high-profile silicone implant in sizes from 535 - 590 ccs.  My expander was 133 LV-14 and the original implant is a smooth round 450cc moderate plus profile gel.  What are your thoughts on the implants sizes proposed?

I asked about fat grafting and was told it can be done, but like I've heard before it doesn't always take.  Does anyone know why that is and what is the percentage of optimal results?    He said he wouldn't do that at the same time of revision it would have to be at later date because of increased chance of infection.  

Can't wait to put this behind me and quit fretting about it all.

Janice UniMX 2/23/12 with TE, no lymph node involvement Dx 11/23/2011, DCIS, 1cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 12/9/2011 Lumpectomy: Left Surgery 1/20/2012 Lumpectomy: Left Surgery 2/23/2012 Mastectomy: Left; Lymph node removal: Underarm/Axillary, Left Surgery 7/5/2012 Reconstruction (left) Surgery 12/21/2012 Reconstruction (left) Hormonal Therapy Aromasin (exemestane)
Log in to post a reply

Nov 27, 2012 04:17PM , edited Feb 23, 2015 08:50PM by Moderators

Hi Deborah, I had LD surgery last Tuesday Nov 20.  I had TE in both sides but I would love your help with sizing and implant decision.  I am going to my follow up appointment with PS tomorrow and I will give you all the details when I get home.

I am 5'5", 120 lbs and small frame.  I have done really well with recover for only 7 days, all drains are out and I am feeling great, I love having some shape back.

thanks Nicole

Dx 6/24/2011, IDC, 1cm, Stage IIIA, Grade 2, 11/18 nodes, ER+/PR-, HER2+ Surgery 7/4/2011 Lumpectomy: Right Surgery 8/4/2011 Lumpectomy: Right; Lymph node removal: Underarm/Axillary, Right Chemotherapy 9/20/2011 Taxotere (docetaxel) Targeted Therapy 1/5/2012 Herceptin (trastuzumab) Surgery 3/9/2012 Mastectomy: Right Radiation Therapy 4/24/2012 Breast, Lymph nodes Surgery Mastectomy: Left; Prophylactic mastectomy: Left; Reconstruction (right): Latissimus dorsi flap, Tissue expander placement
Log in to post a reply

Nov 27, 2012 09:55PM Estel wrote:

Janice - I haven't had fat grafting I've just read a lot on here...you're body absorbs the fat. All our bodies are unique, though, and who knows at what rate your body will do it. It seems odd to me that he won't do it at the time of exchange? Do you have a history of infections? Personally, I would opt to go under anesthesia as little as possible and do it all at the same time...if you don't have extenuating circumstances. It seems like most women need two or three rounds of fat grafting for optimal results.

BMX 2/2010 with immediate reconstruction. Exchanged with silicone implants 7/2010. Diagnosed with LE 9/2010 Dx 9/2009, DCIS, Stage 0, Grade 2, 0/2 nodes, ER+/PR+, HER2-
Log in to post a reply

Nov 28, 2012 02:21AM slinky wrote:

I am going to swap out my current implants to Sientra teardrop shaped.  I was told by the doctors office that the larger size in this style has not come out yet.  Their office will get them in February.  I currently have 650cc's and want the same size, but more projection.  I am hoping the ripples and divots I have will lessen with the Sientras.

I have had one round of fatgrafting, but the fat has hardened and turned into small lumps around my current implants.  Doc will do more fatgrating when he puts the new implants in - I just hope the fat doesn't lump up again. 

Log in to post a reply

Nov 28, 2012 04:34AM Chantal10 wrote:

I have rippling and it makes me crazy. Currently I have silicone. I have had 1 round of fat grafting and while it did fix one area, it reabsorbed in the other areas. My ps said he won't do it again. The ripples are too deep to fill. I don't have enough fat to transfer. The only suggestion he has is to switch the new sloped gummy implants, but it seems these implants have their own issues, ie heavier, firmer, can rotate. Anyone have any alternative advice? Maybe I should just give my self a hug and move on... Idk

Dx 11/20/2011, IDC, Stage I, 0/1 nodes, ER+/PR+, HER2- Surgery 1/5/2012 Mastectomy: Left, Right; Lymph node removal: Underarm/Axillary, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 3/8/2012 Reconstruction (left); Reconstruction (right) Surgery 7/5/2012 Reconstruction (left); Reconstruction (right) Surgery 7/30/2014 Lumpectomy: Right Dx 7/30/2014, IDC Surgery 9/4/2014 Lumpectomy: Right Surgery 9/9/2014 Lumpectomy: Right Hormonal Therapy 9/20/2014 Chemotherapy 10/20/2014 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy 2/10/2015 Breast, Lymph nodes, Bone Radiation Therapy Breast
Log in to post a reply

Nov 28, 2012 11:16AM Grier wrote:

Quick question about expanders and implants:  Do you need a Sientra expander to go to a Sientra implant or can you start with an Allergan expander and get a Sientra implant?  Or does the expander have to do more with what shape you are getting (teardrop vs. round).

Dx 8/22/2012, DCIS, Stage 0, Grade 3, 0/1 nodes, ER+/PR-, HER2+ Surgery 10/9/2012 Mastectomy: Left, Right; Lymph node removal: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 1/15/2013 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
Log in to post a reply

Nov 28, 2012 11:50AM , edited Nov 28, 2012 11:51AM by hawaiik


Implant choice
Hi Everyone,
I'm having my " exchange surgery " thurs 11/29 and wondered if you have any recommendations for implant choice. I currently have mentor smooth round spectrum saline adjustable implants. They are filled to 500 cc's. I am switching out to silicone. I think my surgeon likes mentor. I'd like more cleavage as I'm bony in the middle and have a depression at the top of my right implant which also slides slightly to the right when i lay down. Very small imperfections but since they can be improved I'm going for it .My rib cage is 29 1/2 inches 5' 3 & 5/8 inches tall 123 lbs Also having some scar tissue released and some fat transfer to fill in some areas. Also they are above the muscle. Thanks, Karen

ER 70% 1-2+, PR 50% 1-2+ BMX with DTI Recon SalineDec27 ,2011 , exchange surgery to silicone 11/29/2012 Surgery 8/1/2011 Lumpectomy: Left Dx 8/3/2011, DCIS, 1cm, Stage 0, Grade 2, 0/2 nodes, ER+/PR+ Surgery 12/27/2011 Mastectomy: Left, Right; Lymph node removal: Sentinel, Left; Reconstruction (left); Reconstruction (right) Surgery 11/29/2012 Reconstruction (left); Reconstruction (right)
Log in to post a reply

Nov 28, 2012 12:17PM annemarieh wrote:

Goodmorning Grier! I too am getting Sientra implants. Right now I have Natrelle TE. (I still have not discussed what shape of implants yet). Going back into OR friday to have some necrotic tissue removed. Good luck!!

Dx 2/18/2010, DCIS, 1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2- Radiation Therapy Breast
Log in to post a reply

Nov 28, 2012 01:22PM julee_stayin_strong wrote:

Going in for my second fill today. I'm wondering about all the excess fat i have under my armpit, i am over weight, but is this just excess swelling or am i going to have a "mini-muffin top" under my arm??? i am only 3wks out of surgery. it seems like my boob is just to the side, maybe it is too soon to really tell??? let me know what you guys think. THANK YOU!!!Laughing

Dx 5/18/2011, IDC, 3cm, Stage IIIA, Grade 2, 12/20 nodes, ER+/PR+, HER2- Surgery 6/17/2011 Mastectomy: Right Chemotherapy 7/11/2011 AC + T (Taxol) Radiation Therapy 12/19/2011 Breast, Lymph nodes Hormonal Therapy 2/14/2012 Surgery 11/6/2012 Reconstruction (right): Latissimus dorsi flap, Tissue expander placement Surgery 3/19/2013 Reconstruction (right) Surgery 7/18/2013 Prophylactic ovary removal
Log in to post a reply

Nov 28, 2012 02:35PM sherry67 wrote:

Grier,
I'm getting sientra implants and do not have there expanders...good luck

Dx 12/2010, IDC, Right, 2cm, Stage IIB, Grade 3, 11/23 nodes, ER+/PR+, HER2+ Chemotherapy 3/4/2011 Abraxane (albumin-bound or nab-paclitaxel), Carboplatin (Paraplatin) Targeted Therapy 3/4/2011 Herceptin (trastuzumab) Surgery 7/28/2011 Mastectomy: Left, Right; Lymph node removal: Underarm/Axillary, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 9/4/2011 AC Radiation Therapy 11/22/2011 Breast, Lymph nodes Surgery 8/20/2012 Prophylactic ovary removal Surgery 2/15/2013 Reconstruction (left); Reconstruction (right) Surgery 7/9/2013 Reconstruction (left); Reconstruction (right) Hormonal Therapy 7/11/2014 Arimidex (anastrozole) Hormonal Therapy
Log in to post a reply

Nov 28, 2012 05:27PM Layla2525 wrote:

How can a person get the tear drop gummy bears? Are they approved for use in USA?

bmx w/TE on 2/13/12,exchange to Mentor high profile 600cc gel implants on 08/30/12,07/01/2013,new Natrelle 45 gel,replaced Mentors due to capsule. Dx 12/19/2011, IDC, 1cm, Stage I, Grade 1, 0/2 nodes, ER+/PR+, HER2-
Log in to post a reply

Nov 29, 2012 03:02AM , edited Nov 29, 2012 03:04AM by Chantal10

Hi layla2525, yes, they are approved since April, at least in California, but I believe it's nationwide, actually sure of it. You have to weigh pros and cons. Silicon, softer, not as "heavy", but can ripple, esp if you are thin or thin chested.. The tear drops are much firmer, "heavier", and can, but not always, rotate and they generally lessen the ripple factor.

Dx 11/20/2011, IDC, Stage I, 0/1 nodes, ER+/PR+, HER2- Surgery 1/5/2012 Mastectomy: Left, Right; Lymph node removal: Underarm/Axillary, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 3/8/2012 Reconstruction (left); Reconstruction (right) Surgery 7/5/2012 Reconstruction (left); Reconstruction (right) Surgery 7/30/2014 Lumpectomy: Right Dx 7/30/2014, IDC Surgery 9/4/2014 Lumpectomy: Right Surgery 9/9/2014 Lumpectomy: Right Hormonal Therapy 9/20/2014 Chemotherapy 10/20/2014 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy 2/10/2015 Breast, Lymph nodes, Bone Radiation Therapy Breast
Log in to post a reply

Nov 29, 2012 03:12AM cailindearg wrote:

I just got the tear drop silicone Sientra implants 2 weeks ago. I'm assuming they are the same as "gummy bears", they are approved in the US. Originally my PS was talking about saline implants but I said I was interested in these silicone "tear drop" shaped implants. He just ordered them and my insurance approved it. I think they became available in the spring of this year.

Dx 5/21/2012, DCIS, Stage 0, Grade 3, ER-/PR-
Log in to post a reply

Nov 30, 2012 09:30AM Merlcat wrote:

Woohoo! I am SO excited...PS is pleased with my healing and ROM, filled another 60 ccs and now PS, husband and I are please with size, SO January 23/13, I am having this brick of a TE replaced with cohesive gel implant, fat grafting ( yay, I get to ditch the little wad of fat I have at the top of my leg near my hip) and a lift on the other side

Dx 10/8/2012, DCIS, Stage 0, 0/4 nodes, ER+/PR+, HER2- Surgery 10/29/2012 Mastectomy: Right; Reconstruction (right): Tissue expander placement Surgery 1/23/2013 Reconstruction (right)
Log in to post a reply

Nov 30, 2012 01:44PM kayb wrote:

Mericat - How exciting! I think having this all move forward is so healing to our psyches. You'll be rid of that brick and feeling squishy in no time!

DX May/2010, synchronous bilateral cancer, IDC, ER+/PR+, HER2+
Log in to post a reply

Nov 30, 2012 04:46PM whippetmom wrote:

Nicole: I need your TE information. Please read #3 in the thread header.

DISCLAIMER! I am not a physician or medical professional. The information provided is my own personal opinion. You must discuss every aspect of your reconstruction with your plastic surgeon. Dx 10/15/2008, IDC, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2-
Log in to post a reply

Nov 30, 2012 05:21PM whippetmom wrote:

Chantal: I do not think you are a good candidate for gummies, now that you have had silicone rounds. Some of the principal investigators and users of the gummies feel that in a woman who previously had rounds, the anatomicals just were not rendering a satisfactory result. I am wondering if the pockets are too large for the implants. What volume and STYLE do you have currently? What volume and style of TEs did you have? Maybe we can figure this out.

DISCLAIMER! I am not a physician or medical professional. The information provided is my own personal opinion. You must discuss every aspect of your reconstruction with your plastic surgeon. Dx 10/15/2008, IDC, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2-
Log in to post a reply

Nov 30, 2012 10:13PM , edited Feb 23, 2015 08:50PM by Moderators

thanks :)

I am 5'5", 124 lbs, ribcage measurement 32.5

tissue expander 133 MV 12 (I think they are Allergan)

at surgery the planwas to fill 60cc, but they could only do 30 cc, they said I am too thin and that my skin was turning purple, so they took some out leaving 30 cc in each one.



Dx 6/24/2011, IDC, 1cm, Stage IIIA, Grade 2, 11/18 nodes, ER+/PR-, HER2+ Surgery 7/4/2011 Lumpectomy: Right Surgery 8/4/2011 Lumpectomy: Right; Lymph node removal: Underarm/Axillary, Right Chemotherapy 9/20/2011 Taxotere (docetaxel) Targeted Therapy 1/5/2012 Herceptin (trastuzumab) Surgery 3/9/2012 Mastectomy: Right Radiation Therapy 4/24/2012 Breast, Lymph nodes Surgery Mastectomy: Left; Prophylactic mastectomy: Left; Reconstruction (right): Latissimus dorsi flap, Tissue expander placement
Log in to post a reply

Nov 30, 2012 10:55PM Estel wrote:

Nicole - I'm about your size...they put 50cc's in me at first and I was really tight.

Remember as you go through the fill process they can take it out anytime if it hurts too badly. I found muscle relaxers to be more helpful than narcotics for pain (Flexeril or Valium). But we all are different.

You're in the best place for support, advice and encouragement.

BMX 2/2010 with immediate reconstruction. Exchanged with silicone implants 7/2010. Diagnosed with LE 9/2010 Dx 9/2009, DCIS, Stage 0, Grade 2, 0/2 nodes, ER+/PR+, HER2-
Log in to post a reply

Nov 30, 2012 11:29PM whippetmom wrote:

Nicole:  Let's see how you do with subsequent fills.  A Style 20 HP implant with a volume of 425 ccs would be the very minimum I would recommend for you in terms of implant volume.  But I would like for you to report back with future fills and let us know how you are doing and how your skin is doing as you expand.  It also would be possible to go with a Style 15, which is a midrange projection implant - with a volume of around 371 ccs.

Deborah

DISCLAIMER! I am not a physician or medical professional. The information provided is my own personal opinion. You must discuss every aspect of your reconstruction with your plastic surgeon. Dx 10/15/2008, IDC, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2-

Page 241 of 441 (13,217 results)