Achieving the Upper Pole and Cleavage You Want
Alright. After your breast implants are in is not the time to be talking to your surgeon about what your goals were. Consultation is a two-way street. You should be telling your surgeon, “I got this in mind.” And he should be telling you, “This is what it is going to take to achieve that,” or “That’s not possible given where you are with what we are talking about doing.”
Breast implants are sized in multiple different ways, but the most important way is the diameter of the implant itself. And that diameter has got to match your breast. If your implant is this wide, it doesn’t look good. But if you want to have fullness in this upper pole and the implant selected is only half as tall as your breast, you’re not going to get the results that you’re after. Most surgeons rely on what is called a base diameter, which is measured from the inner point of the breast to the outer point of the breast. You can also measure that from the midline in the fold down here to where your breast tissue rounds out up here when you push on it. I tend to think that’s a more reliable measurement simply because as breast age, they drop and they tend to widen. So this measurement by itself can end up with an implant that’s too wide in this dimension.
Whatever your surgeon does, you need to be aware of what your goals are and clearly say, “I don’t really want the fake look up here, I just want some fullness,” or “I want these round.” Because the implant choice is totally depended on input from you. Give us some clues and we can get you where you want to go.