Our board-certified plastic surgeons are breast enhancement specialists who understand what beautiful, natural-looking breast augmentation results have in common. The following 5 surgical decisions are among their top priorities when they begin any new breast augmentation case:
1) The implants are placed precisely behind the natural breast position.
Each breast augmentation procedure has one critical aspect that is essential to creating the most natural, attractive result: The implants must be placed precisely and accurately behind the natural breast position. While this may seem obvious, it is not uncommon for women to hope breast augmentation will give them someone else’s breasts. This is not the case.
The breast crease, or inframammary fold, determines where the breasts naturally reside on a woman’s chest, and this should rarely be manipulated. This crease determines the space between the breasts and their inherent shape that is not fundamentally altered during augmentation, but merely enhanced. When reviewing before-and-after photos it quickly becomes clear that post-augmentation pictures have an undeniable similarity to the pre-surgery photos. This is the key to creating the most natural, attractive breast enhancement.
Implant placement mistakes
All too often, this basic premise is not followed. Common mistakes include:
- Dividing the pectoralis muscle attachments to the sternum, which can centralize the implants and create fake-looking, circular cleavage
- Over-dissecting the pocket laterally (to the sides), causing the implants to move too far apart
- Disrupting the inframammary folds (breast creases), which can cause bottoming out or a “double-bubble” deformity
- Inserting an implant diameter or profile that does not match the patient’s breast width
2) The implants are placed behind the pectoralis muscle.
Placing breast implants into a subpectoral (behind the pectoralis muscle) position generally achieves a more natural-looking, teardrop, sloping breast contour with less implant rippling and palpability in the upper pole.
In some patients, subglandular (above the muscle) placement can lead to a fake, circular appearance due to less tissue coverage in the upper pole. Dr. Wolfe’s TruBreast™ augmentation technique provides results that look and feel very natural with Motiva® implants placed above the muscle.
3) The implant diameter matches the patient’s natural breast diameter.
The best breast implant choices for each woman are those that have a diameter that matches the full width of her natural breast base. Implants that are too narrow fail to take full advantage of the breast width and fall short of creating the best shape possible. Implants that are overly wide extend too far to the side and detract from the overall breast aesthetics.
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4) A breast lift is performed when necessary.
Breast implants do not lift breasts, nor do they help “hold up” breasts undergoing a lifting procedure. Implants will create larger breasts and fill deflated upper poles. A breast lift improves the shape of sagging breasts while raising them on the chest. If a woman needs a breast lift and only has implants, the results will suffer considerably. It is critical that a mastopexy is performed when indicated to create beautiful breasts.
5) Scars are hidden and inconspicuous.
The scars from breast augmentation should be nicely hidden. The inframammary incision should be placed within or slightly above the breast crease so that it is covered by a bra or bikini. Over time, once faded, scars should be imperceptible naked. Alternatively, if the periareolar incisions are chosen, they should blend nicely at the precise edges of the areolae so the eye does not pick up on them. Read our related blog post about breast augmentation incision options.
If you still have questions about breast augmentation and would like them answered by some of the best breast augmentation surgeons in Denver, please request a consultation online, or call us at (303) 278-2600 to schedule your appointment at The Center for Cosmetic Surgery.
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