Girls With The Mostest

Carissa21674

If this is ok with you doc, I thought I'd post this thread so questions here can be posted directly to you. It would be appreciated if you could answer some in your free time.

G W T M · Posted: Sat Jan 27, 2007 6:32 pm Post subject:

I have a question for him..What is your opinion on nipple placement? How many inches from collar bone is saggy? I read all different opinions

Gail27 · Posted: Sun Jan 28, 2007 12:57 pm Post subject:

Posted: Sun Jan 28, 2007 4:42 am Post subject: Question for Dr Disaia

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I am glad we have a PS on here now because I have a question for you.
First of all I have scoliosis and because of it one side of my ribcage looks a little caved in {hope you understand what I mean}, or one side projects less than the other. My PS put a larger implant in the smaller breast one breast was a small B the other was a small A, now the smaller breast looks a little bigger around than the other but has less projection and it is noticable. My question is could I get a moderate plus implant that has the same width as the other implant but of course more projection? Would that work or not? I looked at a website before that had the width and diameter {projection} of moderate and moderate plus implants and found one of each that has the same witdth and the about the same differance in the projection as my breast so it seems like it would make up for my chest wall problem.
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drdisaia · Posted: Sun Jan 28, 2007 1:08 pm Post subject:

drdisaia · Posted: Sun Jan 28, 2007 1:16 pm Post subject:

Carissa21674 · Posted: Sun Jan 28, 2007 1:20 pm Post subject:

Gail, perrsonally, I wouldnt switch to mod plus just in one breast. Even though the dimensions of the implant may be somewhat similar, it may make you larger on one side and you'll still be dealing with symmetrical issues. Also, different cc amounts from different types of implants have different fill volumes which may mean that one breast would be noticeably firmer than the other even more so than now.

I think you look great now and would stick with what you got.

suebsue · Posted: Sun Jan 28, 2007 4:35 pm Post subject:

Dr., first, thanks again for joining us and posting as time allows.

I thought I'd ask a question that could help women who haven't yet had their procedures (and for those of us who foresee a redo at some point down the road).

In my opinion, after choosing size, the second biggest hurdle is selecting implant profile. Do you have any absolute rules of thumb that you use in recommending a certain profile? For example, women with ribcages wider than "x" should never have HPs? Or smaller than "y" should ONLY get HPs?

In my personal experience, my PS recommended HPs for my 34" wide ribcage. While I questionned him about it, his thought was any other profile might hang unnaturally in to my armpits. The good news is, they aren't in my armpits, the bad news is, I have a bit of the "grapefruit stuck on the chest look" IMO.

I imagine there are several issues to factor in including the size of the implants (had I gotten 450cc implants, I would think they would look less grapefruit-ish)...just wondered if you had any easy tips for helping women select their profile type...?

TIA!
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Sue

Carissa21674 · Posted: Sun Jan 28, 2007 4:43 pm Post subject:

Sue, I"ll definitely let him field this question but from what I"ve learned the BWD value is a big factor as well. Sometimes you can get a person who has a 32" ribcage thus wearing a 36 band size and yet the BWD value may only be 11-5-12 and fare better with a high profile or even mod plus implant OR you can have someone with a 29" ribcage and yet have a BWD value of 13-13.5 and fare better with a moderate profile implant. Also, current cup size and desired cup size will play into this equation as well.

suebsue · Posted: Sun Jan 28, 2007 6:31 pm Post subject:

Carissa21674 · Posted: Sun Jan 28, 2007 7:04 pm Post subject:

Awwww. thanks! I was just throwing out numbers to make a point that not everyone with a narrow ribcage will do better with high profiles just as not everyone with a somewhat larger ribcage will fare better with moderate. It's more or less your natural breast that is a big determining factor (width and shape). :b*n:

Gail27 · Posted: Sun Jan 28, 2007 7:39 pm Post subject:

drdisaia Posted: Sun Jan 28, 2007 6:16 pm Post subject:

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Gail27 wrote:
Posted: Sun Jan 28, 2007 4:42 am Post subject: Question for Dr Disaia

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I am glad we have a PS on here now because I have a question for you.
First of all I have scoliosis and because of it one side of my ribcage looks a little caved in {hope you understand what I mean}, or one side projects less than the other. My PS put a larger implant in the smaller breast one breast was a small B the other was a small A, now the smaller breast looks a little bigger around than the other but has less projection and it is noticable. My question is could I get a moderate plus implant that has the same width as the other implant but of course more projection? Would that work or not? I looked at a website before that had the width and diameter {projection} of moderate and moderate plus implants and found one of each that has the same witdth and the about the same differance in the projection as my breast so it seems like it would make up for my chest wall problem.

Scoliosis makes it hard to get a good match. One breast always tends to "hang" a bit to the side. While you can try dimensional changes with one side, they may or may not make significant difference.

Thank you Dr Disaia for answering. Thank you Carrisa for your opinion. My left breast tends to hang to the side {originally bigger} and has more projection than the right breast. The left breast projects about 4 cm's farther than the right one.
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drdisaia · Posted: Mon Jan 29, 2007 10:29 am Post subject:

sissy · Posted: Mon Jan 29, 2007 2:56 pm Post subject:

Peepersrosebud · Posted: Wed Jan 31, 2007 11:21 am Post subject:

This is interesting & really great to have a PS here!!!!

I always thought gels jiggled more as well. I have salines for 3 & 1/2 years now & they look so natural. When I redo in a few years I really REALLY, wanted gels. Mainly because 1. I worry about deflation, 2. I have some rippling (when I lean forward) which I knew I would have because I had very little breast tissue & thin fair skin, 3. I was hoping gels would help alleviate some of the rippling. And the best reason of them all I want them BIGGER! Ha! I still kick myself for not going with the 500cc's the PS suggested! Grrrr!

I LOVE the width of my mods! So I am sure I will stay with mods. Mother nature cursed me with a wide sternum :yio: .

Sorry I couldn't think of a question.......yet........just comments.
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<--- 1st BA
REDO 10/11/07 to Mentor Mod+ Memory Gel 700cc Now a 32H/30I--->

drdisaia · Posted: Tue Feb 13, 2007 10:36 am Post subject:

Hello all,

I hope you are doing well. Will check back later.
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Best Regards,

John Di Saia MD
Orange County, Ca.
www.ocbody.com

Boobsnj · Posted: Wed Feb 14, 2007 10:30 pm Post subject:

Hi Doc!

Thank you so much for taking the time and answering questions. I have one for you.

Before ba i was a 36b/c, my left breast was bigger also "hanged" more. I have tubulous not tubulor breasts? Not sure if I am explaining that correctly. However, Because I wear a 36 or 38 bra size, and I am broad, the dr. gave me Moderate + profiles, 500cc's filled to 585 in my right and 600 in my left. It brought me to a 36DD/E...I am happy with my size, my cleavage. However, my left breast has a bad double bubble and nipples go out towards my underarms. I told my ps that I don't have headlights I have blinkers

... I know this is due to my anatomy and not necessarily his doing with the surgery. But I also feel that my left crease is lower and is not as defined as my right. He said he would have to give me an areola lift on both sides and he can then move my nipples over more towards the center. However, this will cost me another $5300.
I am devestated with this. I paid a lot of money to begin with and even though he discussed the possibility of a lift before my surgery. I don't feel that I should have to endure all the cost. He said, because my breast are tubulous (elongated shape but not puffy nipples) that it is much more challenging to place the implants and the left one was also hanging more and the crease was higher so he had to even them out. I just wanted another dr.s opinion. In pictures they look much worse. But if need be I can send you them just to get an opinion. Thank you so much for your time and honest answers.
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drdisaia · Posted: Thu Feb 15, 2007 1:53 am Post subject:

Boobsnj · Posted: Thu Feb 15, 2007 9:10 pm Post subject:

drdisaia · Posted: Thu Feb 15, 2007 9:26 pm Post subject:

lashyja82 · Posted: Fri Feb 16, 2007 4:58 pm Post subject:

Welcome Dr DiSaia! I'm a fan of your blog (I'm the same girl who posted comments on the Saline vs Silicone topic.

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http://mtwg.blogspot.com/