Form Stable Textured Cohesive Overs?

Smalls77 · 06-14-2009, 03:57 AM

I am 5' 2" and weigh 115 pounds. My ribcage is 30" and my BWD is 12 cm. I have a large B or small C cup. My problem is I have Pectus Excavatum. My boobs are not full and fall to the side of my dent.

My PS recommends Level 2 textured cohesive HP implants over the muscle. I would like to be a C+ or baby D, but full. I hope when I look down I see full breasts instead of my dent. My dent is not that bad, but it still bothers me.

I am a little concerned because overs are not common. I am in the military stationed overseas and do not have many options. I live in Europe and they primarily use overs here. I lucked out because we have a board certified plastic surgeon here who has agreed to do my surgery. I do have to pay for it, which I have no problem doing. The military stopped doing free plastic surgery.

Before my consult I was set on smooth silicone unders, but am very confused now. I appreciate any assistance you can give me in this matter.

Dr. Pelletiere · 06-18-2009, 12:36 PM

If you have any sort of breast tissue, which it sounds like you do, then there is no reason for an anatomical implant. Your own breast tissue will form a natural shape as it pulls down on the implant itself. You also do not need the texturing. The ultra cohesive implants only come in anatomical and textured so that they do not rotate in the pocket at all. These devices were actually designed more for breast reconstruction, or women who are a true A cup with little to no breast tissue at all. They do a good job, but are not for everyone. In terms of subglandular, I would not place them in that position - with your excavatum, it is nice to have some muscle coverage medially to help add some tissue over the medial implants. Otherwise, you may be very thin over those implants. Also with excavatum, you will want to go a little bigger then you plan - the excavatum will "eat" up part of the implant just masking that area. The one plus to having excavatum is that you will always have nice cleavage with the implants in. It is probably worth looking around at other surgeons just to get an opinion. The ASPS website does list european surgeons who are corresponding members, so it would be a good place to start (www.plasticsurgery.org).

delia21 · 06-18-2009, 12:45 PM

I have the textured cohesives and love them! I feel super safe with them and they look and feel great. I have unders though, dont know how overs would feel. I would recommend them, they are lovely!

Margit · 06-19-2009, 04:22 PM

hi!
that's what i have and i'm really happy with them. so, don't worry, yours will be fine too!

CanadianGirl · 06-20-2009, 05:10 PM

Hi I also just got round textured silicone unders, just wondering if you massaged yours? I'm 10 days post op, but not sure if I should be massaging or if this will damage them? Thanks, CanadianGirl

06-14-2009, 03:57 AM	#1
Smalls77 Join Date: Jun 2009 Location: Spangdahlem Germany Posts: 203 Thanks: 127 Thanked 86 Times in 74 Posts	Form Stable Textured Cohesive Overs? I am 5' 2" and weigh 115 pounds. My ribcage is 30" and my BWD is 12 cm. I have a large B or small C cup. My problem is I have Pectus Excavatum. My boobs are not full and fall to the side of my dent. My PS recommends Level 2 textured cohesive HP implants over the muscle. I would like to be a C+ or baby D, but full. I hope when I look down I see full breasts instead of my dent. My dent is not that bad, but it still bothers me. I am a little concerned because overs are not common. I am in the military stationed overseas and do not have many options. I live in Europe and they primarily use overs here. I lucked out because we have a board certified plastic surgeon here who has agreed to do my surgery. I do have to pay for it, which I have no problem doing. The military stopped doing free plastic surgery. Before my consult I was set on smooth silicone unders, but am very confused now. I appreciate any assistance you can give me in this matter.

06-18-2009, 12:36 PM	#2
Dr. Pelletiere Certified by the ABPS Join Date: Jun 2008 Posts: 413 Thanks: 3 Thanked 328 Times in 193 Posts	If you have any sort of breast tissue, which it sounds like you do, then there is no reason for an anatomical implant. Your own breast tissue will form a natural shape as it pulls down on the implant itself. You also do not need the texturing. The ultra cohesive implants only come in anatomical and textured so that they do not rotate in the pocket at all. These devices were actually designed more for breast reconstruction, or women who are a true A cup with little to no breast tissue at all. They do a good job, but are not for everyone. In terms of subglandular, I would not place them in that position - with your excavatum, it is nice to have some muscle coverage medially to help add some tissue over the medial implants. Otherwise, you may be very thin over those implants. Also with excavatum, you will want to go a little bigger then you plan - the excavatum will "eat" up part of the implant just masking that area. The one plus to having excavatum is that you will always have nice cleavage with the implants in. It is probably worth looking around at other surgeons just to get an opinion. The ASPS website does list european surgeons who are corresponding members, so it would be a good place to start (www.plasticsurgery.org). __________________ The above messages are not intended to substitute for direct medical advice or patient care. Proper medical/patient care can only come with direct patient interaction and a full examination. If you cannot accept this policy, please ignore my messages. Dr. Pelletiere specializes in aesthetic and reconstructive surgery in and around Chicago. Christopher V. Pelletiere, MD 1602 Colonial Parkway Inverness, Illinois 60067 847.358.9444 office@pelletieresurgery.com www.pelletieresurgery.com

06-18-2009, 12:45 PM	#3
delia21 Join Date: Nov 2008 Location: Vienna, Austria Posts: 560 Thanks: 272 Thanked 175 Times in 165 Posts	I have the textured cohesives and love them! I feel super safe with them and they look and feel great. I have unders though, dont know how overs would feel. I would recommend them, they are lovely! __________________ pre: 34A/AA, ribcage 27" 345 cc's stage 3 cohesive silicone, anatomical HP's post: 34C/D love my boobies

06-19-2009, 04:22 PM	#4
Margit Join Date: Jan 2009 Location: France Posts: 185 Thanks: 22 Thanked 81 Times in 63 Posts	hi! that's what i have and i'm really happy with them. so, don't worry, yours will be fine too! __________________ 5"9; 63kg/138lbs (at breast augmentation time) 295cc, silicone, anatomical, textured, above muscle, crease inserted. AA before breast augmentation; C post breast augmentation public album

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06-20-2009, 05:10 PM	#5
CanadianGirl Join Date: Jun 2009 Location: Toronto Ontario Posts: 2 Thanks: 0 Thanked 0 Times in 0 Posts	Hi I also just got round textured silicone unders, just wondering if you massaged yours? I'm 10 days post op, but not sure if I should be massaging or if this will damage them? Thanks, CanadianGirl