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Thread: BA consultation

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    Senior Member Bridget83's Avatar
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    Default BA consultation

    So I'm having a consultation for a BA next week. I know there's a lot of topics in this, and I did do a search, but anyway, I'd like to ask a couple of more questions:

    1) I'm considering getting salines over the muscles due to less recovery time and also because they're supposed to move more natural.
    Are there any reasons why I shouldn't get them over the muscles? I'm not worried about the harder to read mammographies right now.

    2) Are there any questions you didn't ask your PS that you wish you had?

    3) Is it true that the armpit incision looks more natural, but takes a longer recovery time?

    I know the PS will answer those questions, but I'd like to hear some experiences before seeing him, so that I can think of more questions to ask him.
    Thanks

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    God/dess kitana's Avatar
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    Default Re: BA consultation

    I don't know about #'s 2 and 3, but #1 is a NO!!!!!!

    You totally want unders. I thought I wanted overs too, until I taked to my PS. Overs are a problem begging to happen. You don't get CC with unders. And that's a major bonus.

    But that's just me. I would get unders, and if possible co-gel silicones.
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    God/dess Vyanka's Avatar
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    Default Re: BA consultation

    Depending on your skin, if it's thin & your size is small to begin with...then imo, you shouldn't get salines over the mucsle. You'll see some rippling.

    If you want to go over the muscle, I think your best bet is to do it with co-gels. That is if you don't qualify for over/salines. Depending on your boobies.

    I'm debating on getting overs or unders with my redo, & I want co-gels. I have salines under the muscle and these things bother me. I can't really do much upper body work, or at times can't even open a simple jar bc it feels like they'll pop. But that's bc i'm a very petite girl. I don't know if it's bc the salines are too heavy or I shouldn't do unders at all??

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    Featured Member Crow's Avatar
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    Default Re: BA consultation

    I have over the muscle implants and frankly it's because I had so many problems with my first few sets that were under the muscle.

    I have a picture of my breasts on picture post and from what I've seen and the what people have told me they look more like real breasts and not the bullet tittie look that happens sometimes with unders.

    I've had no trouble with them and they sit and feel like a natural firm breast.

    You are correct, recovery time is excellent and I had little to no pain afterward. Perhaps that was just me. I still sat out the required time before I went back to work. You have to remember that this is surgery and a major invasion into your body. You have to let your self heal and recover before you stress it out at work.

    Happy new boobs. I hope you will enjoy yours as much as I have mine!

    PS: As for not getting the CC and largeness that you want, you have to remember a GOOD Doctor will not recommend anything that will NOT FIT YOUR FRAME. I am six feet tall so it's easy for me to carry off the larger breast and still not look like a reject from the milking farm.

    I have 850 cc's in both sides.

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    Featured Member Crystal_eyes's Avatar
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    Default Re: BA consultation


    I was thinking about getting mine done and was doing some research and came across this statement :

    About 60% of plastic surgeons put it over the muscle. Putting it under the muscle is very painful postoperatively, destroys the pectoralis muscle because it needs to be cut and does not offer any advantage to the patient. But it is quicker and easier to perform that way.

    From this site:

    http://www.perfectyourself.com/artic...p?page=2&pid=4

    What do you girls think ?

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    Veteran Member ksalerio's Avatar
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    Default Re: BA consultation

    1.) i got unders. Pretty natural looking & very soft

    pros on unders-Less ripling, supposedly more natural looking

    COns on unders-Cant work out your pecs as much and longer recovery period.


    Cons on overs-Ripples & capsular contractions are more common
    Last edited by ksalerio; 01-19-2006 at 07:35 AM. Reason: forgot cons on overs

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    Veteran Member ksalerio's Avatar
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    Default Re: BA consultation

    Also if you have less breast tissue to work with (like i did) unders are recomended

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    God/dess Emily's Avatar
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    Default Re: BA consultation

    unders!

    http://www.advanced-art.com/Breast-Aug-Over-Under.htm

    the only reason I'd consider overs is if I wanted huge volume implants or to fill sag without a lift.

    The good thing about the armpit incision is that you can get totally under the muscle. All this is good, as you can see in the chart.

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    Featured Member Crystal_eyes's Avatar
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    Default Re: BA consultation

    Yes but is it that surgeon are ''selling '' unders because they want it to be faster so they can have more patients and make more money. See because I know alot of those doctors are there for the money (obviously) so i'm starting to wonder. I will have a consultation with one of the best doctor in america and I know he's not this kind of doctor (money hungry) I'll see what he as to say. Thanx for your awnsers if anyone else have comments it will be appreciated.

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    God/dess Emily's Avatar
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    Default Re: BA consultation

    yes, always a good thing to go to a reputable surgeon with a loooooong list of happy clients. Make sure he's patient and answers all your questions. If he's the type of doctor that will turn you away because you have unrealistic expectations, that's a good thing! He's more worried about his reputation than the money from one surgery.

    Ultimately they are all in it for the money, but the good surgeons just charge more for the same procedures because they have the demand to sustain it.

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    Veteran Member Jenna78's Avatar
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    Default Re: BA consultation

    For #1 I think under the muscle was best for me, but a good PS and looking at lots of pictures of girls with your height/weight/frame before will help you decide. For #2 I think that often girls who get the armpit incision have boobs that are off the the sides, under their armpits, which I don't like personally. I suggest you go to implantinfo.com and do a search in the pictures there for girls that looked similiar to how you look now and see how their boobs turned out with different incisions, implants, etc. I was obsessed with this board for about a year, and have great boobs now because of all my research. Good Luck!

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    Senior Member Bridget83's Avatar
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    Default Re: BA consultation

    Thanks ladies!

    I actually had my consultation on December 21st, and we decided I'll go with unders, armit incision, 375 cc, salines. Anyway, I definitely don't want my boobs to look off the sides, I still have to go to my pre-op consultation, and I'll ask him, and also, I think I'll change the size, maybe I'll have 425 cc, not sure yet. 375cc are supposed to be a D on my frame, but I've seen some pictures, and they don't look that big.

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    God/dess Emily's Avatar
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    Default Re: BA consultation

    the reason that implants go to the sides is not because of the placement...it's because the woman's chest wall is really pronounced.

    When you get implants, you're basically getting an enlarged version of what you had before. So if your boobs were really far apart, they still will be after surgery.

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    Senior Member April's Avatar
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    Default Re: BA consultation

    Quote Originally Posted by kitana
    You totally want unders. I thought I wanted overs too, until I taked to my PS. Overs are a problem begging to happen. You don't get CC with unders. And that's a major bonus.
    If your PS told you that you don't get CC (Capsulare Contracture) with under the muscle implants, don't use him! This is totally untrue. I've had my implants done 3 times, the first two times they were under the muscle, and I developed CC both times. My last surgery was over the muscle and no CC! I think I have very developed pec muscles which was causing excessive movement of the implants (during the healing time) which caused bleeding, which lead to the CC problems (just my theory). The truth is that implants placed under the muscle have a smaller risk of developing CC, if you look at statistics, but based on my experiences, this is not going to be true for everyone.

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    Senior Member April's Avatar
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    Default Re: BA consultation

    Quote Originally Posted by Crystal_eyes
    About 60% of plastic surgeons put it over the muscle. Putting it under the muscle is very painful postoperatively, destroys the pectoralis muscle because it needs to be cut and does not offer any advantage to the patient. But it is quicker and easier to perform that way.

    From this site:

    http://www.perfectyourself.com/artic...p?page=2&pid=4

    What do you girls think ?
    Sounds like this surgeon is a little biased towards over the muscle. I have over the muscle too, and prefer this position for myself (more natural look, not the bullet look, as someone else stated, also, less movement when muscles are flexed), but some of what he is saying doesn't make sense. The pectoralis muscle is not "destroyed". Most of the time there is no effect on the strength of the muscle from this type of surgery, but sometimes there is some damage to the muscle and some loss of strenth. Also, I do not understand how going under the muscle would be "quicker and easier" to do than over the muscle. How can that be when in order to put the implant behind the muscle, the surgeon has to go through skin, breast tissue, and muscle, instead of just skin and breast tissue to place it over the muscle?

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    Senior Member April's Avatar
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    Default Re: BA consultation

    Quote Originally Posted by Emily
    the reason that implants go to the sides is not because of the placement...it's because the woman's chest wall is really pronounced.
    Pocket placement has some to do with it, the right surgeon can excise the muscle on the insides of the breasts to help achieve more cleavage, but this is tricky business, if overdone, you can wind up with Breadloafing (or uniboob, where the implants actually touch each other, there is no seperation. I think for fear of this, most surgeons do not even attempt it.

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    Senior Member FantasyGirl's Avatar
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    Default Re: BA consultation

    You can get cc with any placement. Stats show that overs have a slightly greater chance than unders. The studies my doctor told me was overs at about 12% and unders at about 10%

    I got complete unders plus I got co-gels. My PS said it was too early at the time to say if co-gels offered less chance of cc but at least with co-gels I know they won't deflate which is one of the major reasons for re-doing a BA that I won;t have to worry about.

    Goodluck in whatever decision you make but if you can get co-gels, I highly recommend them, thay have been used for many many years in other countries.

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    Senior Member ReleaseTheBats's Avatar
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    Default Re: BA consultation

    My surgeon told me that if you are going under the muscle, an armpit incision can cause implants to pull out to the sides and end up far apart. He says this is due to only being able to make a pocket in the muscle from the far outside angle rather then coming from underneath. He said eventually your muscles heal and can push the implants to the side a bit.

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    Senior Member ReleaseTheBats's Avatar
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    Default Re: BA consultation

    "Yes but is it that surgeon are ''selling '' unders because they want it to be faster so they can have more patients and make more money. "

    How does this make sense? I'd imagine it would actually take more time to create pockets for the implants under the muscle because muscle is a lot tougher to cut through then breast tissue is. Muscle is also a lot deeper inside the body.

    Also, from what I hear, have researched, and seems like is the majority of doctors these days, especially more reputable doctors prefer under the muscle.

    If someone is frightend to go under the muscle because of the fear of a long painful recovery, I'd say not too worry about it too much. I mean, I'm sure you could always have complications and not heal as well as I did, but I'm am 2 weeks post op (my surgery stats are under the muscle, saline mentor moderate plus, 700 cc's, nipple *not areola but actual nipple* incision) and the only time I have any minimal soreness or tightness at all is when I first wake up in the morning, and this goes a way after I get up and move a round a bit. My first day was the only day of severe pain, but I was on a lot of drugs so I slept through most of it. The first week was full of extreme muscle tightness and it made it uncomfortable and hard to sit myself up, but it wasn't actually very painful at all. My periods are worse then my augmentation recovery was (granted I have really bad periods).

    By the way, I got my stitches out on Thursday, and my nipple incision made it so I have no noticable scarring at all! I don't think there are a lot of doctors trained to do this incision, but I'd recommend it if you can find a reputable doctor that is. The only other "scarless" incision is the tuba (belly button) and that leaves alot of scar tissue inside your stomach which could be bad if you wanted lipo or could run the risk of causing difficulties in your womb stretching during pregancy. I'm sure I'm biased with all this, and the nipple incision runs the risk of losing nipple sensitivity (mine is back two weeks post op), but I'm just stating my opinion.

    Hope I helped somebody.

    <3
    Veronica

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    Featured Member Crystal_eyes's Avatar
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    Default Re: BA consultation

    What is nipple incisions ?


    I have no idea why this doctor was saying that ?? I don't really know how they make the surgery but I read that and it surprised me too.

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