Breast enlargement – not too little, not too much
This question e. g. the size of the breast implant used during breast enlargement is addressed during the personal consultation with the surgeon at our Caribbean plastic surgery clinic at Trinidad Institute of Plastic Surgery. The endpoint (ideal size of the breast implant for breast enlargement) 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. This results in a fairly ideal breast implant size in breast enlargement.
Breast enlargement – one breast implant size does not fit all
The choice of size also takes into account tissue characteristics of the skin envelope, implant characteristics, existing breast tissue and dimension and fill of the breast 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 breast implant should not exceed the footprint of the breast tissue on the chest wall. Breast implant characteristics determine the distribution of the available volume inside the breast implant, its surface characteristics, firmness, projection etc.
Taking these factors into account in terms of a measurement and implant selection system aims at optimizing the results of breast enlargement while minimizing possible downsides.
Breast enlargement – what breast implant size is right for you ?
Plastic surgery in Trinidad, Caribbean, is all about the individual client. The art of a board certified plastic surgeon is crafting individualized solutions and then carrying them out as technically perfect as possible. An individualized solutions begins with exploration of the individual client’s desires and expectations. These are usually not numbers or cup sizes, but looks and the effects of appearance on self image and environment. Cup size and volumes are in reality just substitutes. Selection of breast implant size during consultation evolves around “I want such and such looks with such and such effect on myself and others and I think such and such increase in size of the breasts would do that”. Client and plastic surgeon have to find out together what these looks are:
- Enhancement – slightly fuller and firmer, emphasizing natural breast contour, changed appearance only noticeable by someone who feels or sees the uncovered breasts
- Augmentation – fuller, increased projection, augmented looks noticeable in swimsuit or bikini
- Enlargement – significant size increase, breast shape and size mostly determined by implant, not native breast tissue, noticeable change of appearance e. g. in business clothes
- Professional – a Baywatch type appearance, marked upper pole fullness, desired often if size of breasts plays a role in clients’ profession, size of breasts sufficient to turn heads and draw attention to breasts
Once the desired appearance is decided upon the selection of breast implant size for breast enlargement becomes an engineering problem – measurements of the client’s individual anatomy are used to select the best matching implant dimensions from the manufacturer’s catalogue with enough implant volume and projection to give the desired result. The latter is where the magic comes in one more time – it is a judgement call depending on the overall experience of the plastic surgeon with breast enlargements in general and with the implant system under consideration in particular.
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