SIZE ISN’T ALWAYS THE DRIVING FACTOR WHEN IT COMES TO BREAST AUGMENTATION SAYS SYDNEY COSMETIC SURGEON DR COLIN MOORE. TARA CASEY REPORTS.
For many women, breast augmentation can help recapture the look and feel of their breasts prior to ageing and before breastfeeding took its toll. Rather than seeking a bust that is significantly larger than their own, many women simply want to enhance their natural assets by balancing their figure and restoring the contours of their youth.
‘Today, it’s not uncommon for women to request a “natural” look,’ says Sydney cosmetic surgeon Dr Moore. ‘However, what this means to each patient can vary greatly.
‘Sometimes patients describe an aesthetic which I know is unachievable because of the their physical limitations,’ he says.
When planning a procedure, therefore, it is important to take a number of measurements to ensure the implant size and position are best suited to each individual.
‘The basic dimensions of the breast are taken into account, including the breast base, height and overall width,’ says Dr Moore. ‘The distance from the nipple to the inframammary crease (underneath the breast) is influential in the appearance of a perky breast,’ he says.
By also measuring the relevant proportions of the figure, it is possible to determine the best breast size for the patient to enhance the rest of the body. ‘For example, the slope of the breasts should be the same as the angle of the slope of the buttocks,’ explains Dr Moore. ‘These measurements can be used as an aesthetic guide combined with the surgeon’s artistic eye.’
After childbirth, many women want to recapture how their breasts looked before having children, where breastfeeding a baby has caused slight breast atrophy or ptosis (sagging).
‘In such cases it is possible to perform a breast lift (mastopexy) first,’ says Dr Moore. ‘Depending on the patient, this can then be combined with a small polyurethane-covered breast implant to restore lost volume,’ he adds.
Dr Moore believes polyurethane-coated breast implants have provided a significant breakthrough in the breast augmentation procedure. ‘In addition to achieving a very natural-looking result, these implants have been shown to greatly reduce the risk of capsular contracture, rotation and migration,’ he says. ‘All breast implants have the risk of rippling, moving and experiencing capsular contraction, but there is only one percent risk of capsular contraction with polyurethane- coated implants compared to a 10 percent risk with saline and silicone implants,’ he says.
With so many choices in terms of implant size, shape, projection and material, an experienced surgeon can help guide women as to the best breast to enhance their body. ‘It comes down to the proportions of the figure and the desired result of each patient,’ concludes Dr Moore. ‘These days patients are much more educated about their options and are seeking an approach that will give them the most desirable results, no matter what their chosen aesthetic.