Breast augmentation is a surgical procedure to enhance the size and shape of a woman’s breasts. There are a number of variables to consider in tailoring the operation for the individual and a few of these are discussed below, along with my preferences based on an experience of more than 1,000 augmentation procedures.
Size is the number one concern of most women. There is generally no problem increasing the bust two or even three cup sizes, but tight skin or a small frame may impose limitations. Implants are not measured in cup sizes because the same implant will look different in each individual due to height, weight, preoperative bra size, the shape of the ribs, and other variables. I ask my patients to bring in a picture illustrating the size they are considering. If I feel the size is not possible to achieve, I explain this before planning surgery.
Implants come in a variety of textures and shape. Smooth implants have a slick surface that allows them to move around in the surgically created pocket. Textured implants have a rough surface that makes them stick like Velcro to the pocket. Textured implants were developed in hopes of diminishing capsular contracture, the phenomenon that can make the implant feel hard, but they have some disadvantages, such as causing wrinkles on their surface and being harder to replace.
The standard implant shape is round, but contoured or teardrop-shaped implants are also available. Contoured implants were developed with the thought that they would more closely resemble the shape of a natural breast, but studies have shown just the opposite: either type of implant has a desirable bottom-heavy appearance with a woman standing, but only the round implants flatten naturally when a woman is lying down. In addition, all contoured implants have a textured surface to keep them from turning sideways or upside down in the pocket, a risk not present with round implants.
Placement “over” or “under” the muscle, saline versus silicone, and incision choices will be covered in Part Two of this article.
For more information, please call Edward Pechter, MD, at 661-255-2151, e-mail drpechter@aol.com or visit www.drpechter.com . The office is located 25880 Tournament Road, Suite 217 in Valencia.