SYDNEY COSMETIC SURGEON DR COLIN MOORE SAYS CHOOSING THE CORRECT IMPLANT IS ESSENTIAL IN CREATING SUPERIOR BREAST AUGMENTATION. GEMMA GARKUT REPORTS.
There are many different techniques in performing breast augmentation but, according to cosmetic surgeon Dr Colin Moore, Silimed polyurethane-coated P-URE implants have provided a significant breakthrough in the procedure. ‘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,’ he says. ‘In my experience, polyurethane coated implants, also known as “furry Brazilians”, produce the most natural-looking results.’
Dr Moore says women seeking breast augmentation don’t necessarily wish for breasts that are excessively larger than their own – they are looking to enhance their natural assets through balancing their figure. ‘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 I often perform a breast lift first, combined with a small polyurethane covered breast implant to restore lost volume,’ he explains.
While most women request the ‘natural’ look, Dr Moore says the idea of this aesthetic can vary from patient to patient. ‘Sometimes patients describe an aesthetic which I know is unachievable because of the patient’s physical limitations. By measuring the proportions of the figure we can 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, but of course these measurements are used as an aesthetic guide combined with the surgeon’s artistic eye,’ Dr Moore explains.
The basic dimensions of the breast are taken into account, including the breast base, height and overall width. ‘The distance from the nipple to the inframammary crease is influential in the appearance of a perky breast,’ says Dr Moore. ‘During a breast lift (also known as a mastopexy) the nipple is repositioned to restore the attractive proportions of the breast.’
Patients wear a specially designed sports bra for six weeks post procedure, and Dr Moore advises that patients sleep on their back during this time to let the implants get used to their new position in the body. ‘I used to be a big believer in the anatomical or teardrop shaped implants, but I’ve also experienced fantastic results using round shaped polyurethane implants,’ says Dr Moore. ‘It comes down to the desired result of the patient, but generally anatomical implants produce a more natural-looking breast shape. I prefer to perform breast augmentation under general anaesthetic as this is much more comfortable for the patient in my experience.’
Dr Moore explains that all breast implants have the risk of rippling, moving and experiencing capsular contraction, but he says the risk of these is much less with polyurethane coated implants. ‘There is only one percent risk of capsular contraction with polyurethane coated implants, which is very minimal and a significant difference from the 10 percent risk associated with saline and silicone implants,’ he says. ‘This is one of the many reasons I believe every patient deserves the option of choosing polyurethane implants. With the right surgeon and the proper patient consultation, I believe they can create superior results