How much is enough and how much is too much ?
This question is addressed during the personal consultation with the surgeon. The endpoint is generally the fill achieved in the upper pole of the breast. This should give a pleasant slightly convex appearance when viewed to the side. Imagine a funnel going into the breast and volume being added to the breast through this funnel. Gradually the soft tissue envelope is filled – first at the lower pole, then centrally and finally at the upper pole. Once the upper pole fill is noticeable, the endpoint is reached and no more volume should be added.
The choice of size takes into account tissue characteristics of the skin envelope, implant characteristics, existing breast tissue and dimension and fill of the implant. Tissue characteristics of the envelope determine the maximum safe stretch and thus the maximum volume necessary to fill this envelope. Part of the fill is provided by the existing breast tissue. The base width of the implant should not exceed the footprint of the breast tissue on the chest wall. Implant characteristics determine the distribution of the available volume inside the implant, its surface characteristics, firmness, projection etc.
Taking these factors into account in terms of a measurement and implant selection system aims at avoiding the majority of undesirable effects of breast augmentation. While resulting in aesthetically improved breast appearance the effects of implant visibility, discernible rippling, thinning of skin and breast tissue due to excessive volume and thus weight of the implant are avoided.
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Posts (63)
1. A Cleft Pastiche
2. A Cure for Migraine Headaches: Botox, Nerve Decompression, Brow Lifting and Septoplasty
3. Abdominoplasty (Tummy Tuck)
4. Aesthetic Craniomaxillofacial Surgery of the Midface
5. Applied Aesthetics of the Female Breast
6. Autologous Breast Augmentation with Fat Grafting
7. Autologous Breast Augmentation with Micro Fat Grafting and External Expansion
8. Blepharoplasty – Eyelid Reshaping and Eyelid Tightening
9. Botox in Aesthetic Medicine
10. Breast Augmentation and Enhancement – Breast Implants
11. Breast Implants for Breast Augmentation and Enhancement: Teardrops, Gummy Bears, Furry Brazilians and the Baywatch
12. Breast Lift (Mastopexy)
13. Breast Reconstruction
14. Breast Reduction – Before and After
15. Breast Reduction – Reduction Mammaplasty
16. Breast Reduction – Techniques and Indications
17. Candidate Selection for Abdominal Wall Contouring
18. CEO Announcement: Aesthetic Medicine and Skin Therapy
19. CEO Announcement: New Plastic Surgery and Cosmetic Surgery Forum at Trinidad Institute of Plastic Surgery
20. CEO Announcement: Telemedicine and Virtual Consultations at Trinidad Institute of Plastic Surgery
21. Cleft Lip and Palate – Yardsticks for Perfection
22. Correcting Crooked Noses and Faces
23. Cosmetic and Plastic Surgery Abroad for the Medical Tourist
24. Craniofacial Surgery
25. Denise’s (Bridgetown/Barbados) Experience at Trinidad Institute of Plastic Surgery
26. Electrical Injuries – The “Great Masquerader” in Burn Surgery
27. Face Lift – Rhytidectomy – Rhytidoplasty
28. Fronto-orbital advancement for correction of craniosynostosis
29. Gunshot Injuries of the Hand
30. Healthgrades
31. Incisions for Breast Augmentation
32. Kayla’s (Georgetown/Guyana) Experience at Trinidad Institute of Plastic Surgery
33. Laser skin rejuvenation in dark skin types
34. Laser Tattoo Removal in Dark Skin Types
35. Lip Enhancement
36. Liposuction – Lipoplasty – Liposculpture
37. Malar Bags and Festoons
38. Maria’s (Port-of-Spain, Trinidad) Experience at Trinidad Institute of Plastic Surgery
39. Midface Lift
40. Mini Abdominoplasty
41. Optimal Implant Size for Breast Augmentations and Enhancements
42. Options in Breast Reconstruction
43. PIP Implants – Removal or Exchange after Breast Augmentation
44. Plastic Surgery – A Plastic Surgeon’s Perspective
45. Rhinoplasty – Nose Reshaping
46. Simone’s (Bridgetown, Barbados) Experience at Trinidad Institute of Plastic Surgery
47. Six Packs and the Male Abdominal Wall
48. Skin therapist Areana Emmanuel featured
49. Skin Therapy and Aesthetic Medicine Service Menu September 2010
50. Smoothing the Wrinkles
51. Specialist Treatment of Burn Injuries
52. Structural Abdominoplasty – Tummy Tuck
53. Tendon Problems in the Fingers and Hand – Trigger Finger, Trigger Thumb and de Quervain’s Disease
54. The Art of Reducing Excessive Sweating
55. The Culture of Aesthetic Surgery
56. Trinidad Institute of Plastic Surgery Featured in Caribbean Belle Magazine
57. Trinidad Institute of Plastic Surgery in Caribbean Beat Magazine
58. Verdine’s (Miami/FL) Experience at Trinidad Institute of Plastic Surgery
59. Vertical Breast Reduction and Breast Lifting with Short Scars
60. What is cosmetic surgery, what is reconstructive surgery, what is everything in between ?
61. What is the cost of … ? And why are there consultations ?
62. Worst Wrists
63. Writing for the gallery
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