{"id":2490,"date":"2019-03-16T10:09:51","date_gmt":"2019-03-16T08:09:51","guid":{"rendered":"https:\/\/www.sylvaindavid.com\/?page_id=2490"},"modified":"2020-10-09T11:07:37","modified_gmt":"2020-10-09T09:07:37","slug":"taille-protheses-mammaire","status":"publish","type":"page","link":"https:\/\/www.sylvaindavid.com\/en\/chirurgie-seins\/taille-protheses-mammaire\/","title":{"rendered":"Choosing your breast forms: Size and position"},"content":{"rendered":"
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How do I choose the right volume for my breast implants?<\/h1>\n

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Implant augmentation is suitable both for women with \"underdeveloped\" breast hypotrophy and for those who have lost their gland as a result of pregnancy or weight loss.\u00a0<\/span>The procedure involves the insertion, through a small incision (under the breast, under the areola or in the axillary fossa), of a prosthesis placed either under your gland or under your pectoral muscle. A good assessment of your condition will enable you, after an initial consultation, to determine the access route, implantation site, type and volume of prosthesis best suited to your needs.<\/p>\n

The question many women ask themselves: which volume to choose?<\/h2>\n

The choice of implant volume is the patient's responsibility, but Dr. Sylvain David is here to help.<\/p>\n

Depending on the dimensions of your thorax<\/strong>the breast shape<\/strong>,\u00a0<\/strong>of your size<\/strong> and your weight<\/strong>\u00a0and above all your expectations<\/strong> I'd recommend it.<\/p>\n

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There are 2 methods to help you simulate the procedure:<\/em><\/strong><\/h3>\n

Trial prostheses or templates:<\/strong><\/p>\n

During your consultation, you can try out various templates as a reference.\u00a0<\/span><\/p>\n

Dr. David will insert the trial implants in a bra to simulate postoperative volume.<\/p>\n

On average, Dr. David places breast implants ranging from 200 cc to 400 cc.<\/p>\n

3D simulation by Crisalix:<\/strong><\/p>\n

Doctor David performs a 3D simulation of your breasts using a scanner and shows you the results.<\/p>\n

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The criteria used by the\u00a0Doctor David<\/span>\u00a0to choose the ideal breast implant:<\/strong><\/em><\/h3>\n
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  • It will determine the width of your preoperative breast and the ideal width of your postoperative breast.<\/li>\n
  • He will assess the distance between the two breasts and whether it is possible to bring them closer together by choosing the ideal implant diameter.<\/li>\n
  • Vertically, too, the diameter of the implant determines the height of the breast.<\/li>\n
  • The optimal implant projection will be determined by the patient's desired volume, the ideal implant diameter, and whether or not sagging skin needs to be tightened in the case of breast ptosis.<\/li>\n
  • In the case of tuberous breasts or tuberoid breasts \"not having all the criteria of tuberous breasts\", the implant volume must be adapted.<\/li>\n
  • Another criterion to take into account: the higher the breast, the greater the volume.<\/li>\n<\/ul>\n
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    A special case: Mammary asymmetry is common. If it's slight, there's no need to correct it, but if it's significant, the surgeon will have to carry out a very precise examination to determine 2 different implant sizes: For example, 2 different volumes but the same diameter, or 2 equal volumes and compensation with a fat transfer.<\/div>\n

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    How can you avoid being disappointed by a breast size that's too small or too large?<\/h2>\n

    At the consultation, you may bring any breast photos you wish.<\/p>\n

    2 consultations are required to determine your ideal breast volume using trial prostheses and 3D simulation.<\/p>\n

    Dr. David will also advise you on the ideal breast size based on the above-mentioned criteria.<\/p>\n

    Is there a risk in using implants that are too small?<\/h3>\n

    If the breast implants are too small, the diameter may not be sufficient to reduce the gap between the breasts, and the breast may lack curvature.<\/p>\n

    Choosing a prosthesis volume that is too small may be responsible for certain imperfections, such as a wide intermammary valley (spread breasts<\/strong>), a lack of curves<\/strong> in the d\u00e9collet\u00e9 or in the lower and outer pole of the breast.<\/p>\n

    Is there a risk in using implants that are too large?<\/h3>\n

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    If the patient is too demanding, I may refuse to perform the procedure, as there are risks involved in fitting an implant that is too large.<\/p>\n

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    • Unnatural result<\/li>\n
    • Breast too round at the top<\/li>\n
    • Excessive volume weighs on the lower part of the breast, causing it to droop (\"ptosis\").<\/li>\n<\/ul>\n\n\t\t<\/div> \n\t<\/div> <\/div><\/div><\/div>
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