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difficult to achieve equal size breasts with silicone

Dr. Hochstein answers your questions on breast augmentation, and all other breast surgeries including breast lifts, and breast reduction. Dr. Hochstein also specializes in tummy tucks.

difficult to achieve equal size breasts with silicone

Postby deborahl79 » Mon Mar 02, 2009 9:25 am

I am going to my 1st consultation this Thursday and I am really interested on using silicone instead of saline. My main concern is that I have one breast larger that the other & I know salines are filled during surgery so its easier to make them equal in size. How difficult is it for a ps to get the right size in silicone before surgery to be able to have equal sized breasts? I am probably having a lift also, in case that matters.
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Postby Dr.Hochstein » Tue Mar 03, 2009 10:16 pm

This should not be an issue at all. During your lift an assymetric amount of breast tissue can be removed to create symmetry prior to implant placement. Then by using the same size implant you should end up with much better symmetry.
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Dr. Hochstein
http://www.lhochsteinmd.com
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Postby deborahl79 » Wed Mar 04, 2009 6:17 am

Thanks for your help. I guess that does makes a sense. I have just been concerned about picking a size and then still being uneven. Thanks again for taking the time to answer.
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Postby deborahl79 » Fri Mar 06, 2009 7:36 am

Well I went for a consultation yesterday & the PS said I definatly need anchor lift, that my left has more volume but my right sags lower, He said he usually inserts the implants first (behind muscle) then works on getting equal size. He also said I have plenty of tissue & especially since they will be behind the muscle that it isn't necessary to pay the extra $2000 for silicone, but it is up to me. Do you think thats is true that if you already have volume & plenty of tissue that saline behind the muscle will be ok?? Also he said that sometimes its better to have implant done after the lift has healed becasue the lift is to heal & tighten & the implant are to fill & stretch & basically they are opposites of each other & seperatly might get better results. Again he said this is up to me. I prefer to do it all together (also having tt, mr & lipo) because it is difficult for me to get time off of work. So what do you think????
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Postby Dr.Hochstein » Fri Mar 06, 2009 9:09 am

I think doing both surgeries simultaneously makes sense. Silicone implants cost an extra $1000 for the pair, not $2000. Unless my patients want particularly large implants there is no reason to stage the procedure. Everything should be done at once if possible.
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Postby deborahl79 » Fri Mar 06, 2009 9:12 am

I thought they were usually about $1000 more, hmmmm I have a few freinds that work there and one said that $2000 is what they pay for them, mentor smooth moderate plus profile 475cc. Do you think it would be ok with the saline if I have plenty of tissue & volume already plus they will be under the muscle?
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Postby Dr.Hochstein » Fri Mar 06, 2009 9:15 am

I still prefer silicone but it does not come in 475cc. You will have to choose between 450cc and 500cc.
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