Breast augmentation surgery enhances both the size and shape of the breasts, with the outcome largely dependent on the size and shape of the implant used. Often the selection of the specific implants is more difficult than the actual decision to go forward with the procedure.
Because breast augmentation as a cosmetic surgical procedure has become standardized after decades of use, and due to refinements in the production and filling of implants, it is possible to exactly match implant to body type to achieve a natural-appearing result.
During the consultation phase of the procedure, the surgeon will measure the patient’s body and give them a realistic range within which changes are possible. Normally, this is the time when the patient’s expectations are brought in line with truly achievable results.
A frequently stated goal in breast augmentation surgery is the desire to obtain a more proportional appearance. The most common change is an increase from a Size A breast cup to a size C, and in fact, surgeons advise not going up more than two cup sizes to retain a natural appearance.
Round implants are the most popular type of implant shape because they provide the most natural look and feel of the two options. Additionally, round implants typically have the fewest amount of potential complications associated with it. However, round implants generally offers less control over long-term superior pole fullness for patients. The superior pole refers to the upper portion of the breast.
While it is important to listen to the surgeon, do not simply allow the doctor to chose the size and shape of the final implant without making your own wishes known. You are the person who will be living with the results of the procedure.
One good method for determining the type of outcome you desire is to use padded bras and inserts that mimic breast size and shape. If you can come close to how you believe you would like to look with implants, this will help the surgeon in making more accurate measurements and in providing you with the best selection of potential implants from which to choose.
Implants for simple augmentation are rounded so they may be incorporated into the natural contour of the existing breast tissue. There are also anatomical or tear drop implants that are best suited for patients who have had a mastectomy or who have been injured. In these cases the augmentation is actually a reconstruction, which means differing standards apply to potential outcome and patient expectations.
In normal breast augmentation procedures, round implants return the most natural look and feel, and there are few complications associated with the devices because they can be accurately and well placed.
Anatomical implants are shaped like a tear drop. They differ in terms of texture and the requirements for natural positioning, so should one of these implants rotate, a revision surgery is normally required. These implants are mostly used in patients who have had a mastectomy or experienced some sort of an injury. In many instances the procedure is actually a reconstruction.
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