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Ask Dr. Revis (Florida) In this forum, you can ask Florida plastic surgeon, Dr. Don Revis, questions about breast augmentation and other plastic surgery procedures.

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Old 10-29-2009, 11:06 AM   #1
 
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The "pencil test"?

Good afternoon Dr. Revis,

I was wondering what your opinion was on the "pencil test", where a breast is considered saggy if you are able to hold a pencil in your crease and have it stay once your hands are no longer supporting it.

I ask this because I had a breast augmentation in March 2008 (480cc saline, smooth/round, complete submuscular). My left breast dropped much quicker than my right, the implant is much more palpable, and rippling is very visible on the outside edge. In my opinion, it does not have a nice shape and does not sit high enough on my chest. I am able to hold a few pencils in my crease! LOL! My PS is 6 hours away and we have communicated through email, but through the pics I have sent him, he seems to see no problem. My right has never dropped completely, and all that he suggests is lowering that one to match the left. My suggestion of a lift was disregarded.

I visited another surgeon about 3 hours away, who suggested a full anchor lift on both of my breasts to get them how I'd prefer them. I'd just like to have a nice slope that doesn't start INCHES down from my armpit, and a roundness to the bottom of the breast, so I can go braless if I'd like without looking like I need support.

I have included a few photos if you wouldn't mind taking a look, as your opinion would be very much appreciated. Thanks for your time!

Before:



Around 1 year:



Right:



Left:

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Old 10-29-2009, 04:42 PM   #2
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Pencil Test

GTood afternoon,

It's really difficult to say without photos- your pictures didn't come through, but you're welcome to send them to me through my website if you wish.

There are all kinds of breasts, and some 18 year olds with very nice B cups can hold a pencil beneath their breasts.

It sounds as though you may need a lift or an internal bra to support your implants. If your PS is not interested in or experienced in revisions, I would keep looking!

Best wishes,
Don Revis, MD
www.BreastAugmentationRevision.com
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