Hi everyone!
Here we are in O.R. 1, this is the number
one operating room here at The Plastic Surgery
Clinic, and what a lot of people have asked
me to talk about is implant projection.
So, people want to know, what is the difference
between low projection, medium projection,
moderate plus projection, and high projection?
What does that mean?
Lots of people think that projection means
how high the implant stands.
It doesn't.
Projection means how far out the implant projects
or sticks forward in the frontways direction.
Let me show you 2 different implants.
So these implants, these 2 implants are both
400cc implants.
But this implant is a high projecting implant,
and this implant is a moderate projecting
implant.
So you see this implant sticks out more in
the front to back direction than this implant
does.
But they're both 400cc's.
Now, if they're both 400cc's the higher projecting
implant is also narrower.
So if you look at these 2 implants you see
how this one is narrower than that one.
So how do we decide which implant to use?
Well, remember, here at The Plastic Surgery
Clinic, our number one motto is making people
look natural.
So the number of cc's is not as important
as the look.
So our goal is to do 2 things: we want to
create a breast which is natural looking,
and has a beautiful shape, and that means
we need to pick the projection to match the
patient.
So what we do is we measure the width of the
breast, we have special calipers which is
a special measuring device which measures
the width of the breast, we figure out how
wide the implant can be, and match the width
of the implant to the width of the patient's
breast.
Then we figure out how much projection they
need to get the volume they want.
And so we'll pick either a moderate projecting
implant, or a moderate plus projecting implant,
or a high projecting implant.
Now, high projecting implants are generally
for people who have very narrow chests but
want a fairly significant size, and they are
really great at getting you a large size if
you're small.
The trouble is, they're not quite as natural
as the moderate projecting implant.
The problem with the moderate implant, though,
is that it's wide but not very projecting.
And so most implant companies now have something
in between called the moderate plus projecting
implant and that's the implant that we use
the most often.
Halfway between moderate, halfway between
high, but still gives a natural look.
But remember, all of those decisions are customized
to your needs and desires and what you want,
and so in some patients we use moderate, in
some patients we use moderate plus, and in
some people we use high, but always the decision
is to make it look natural, because that's
what we want.
Thanks for watching.
