When a patient comes in for a new breast augmentation consultation, it is
first and most important to understand their motivations. Once we have
achieved that, we like to get a better sense of their style and what they
find to be attractive. My part of the equation begins with understanding
the physical nature of their body and the balance that we can achieve.
Our philosophy on breast augmentation includes the concept of
biodimensional analysis. That is, breast implant size and shape should be
chosen to enhance your breast and not simply replace your breast. The first
component of any discussion on breast implant size begins with a
comprehensive review of your health and breast history. After completing
this health review, I and my staff will chronicle your breast history in
terms of cup size, including the changes in breast size if you have
accompanied pregnancy, weight gain, or weight loss.
I think it's really important to remember at this time that cup sizes are
not standardized and unfortunately cup size changes from brand to brand.
Thus, we will try to discuss breast sizing in terms of more finite
measures, like volume, width, and projection. The next step is recording a
series of physical measurements which will characterize the dimensions of
your chest, tissue amount, and position of your breast and your tissue
We will discuss with you the significance of these measurements and explain
how they will affect the choices that we make. Critical to breast implant
selection is that there is adequate space and tissue coverage to support
the size and weight of the implant. In our practice we place 99% of our
implants under the muscle and while doing so, a simple rule must be
observed. The implant width cannot exceed the width of the breast.
Secondly, the implant's projection, how much it stands out from your chest
cannot exceed the breast tissue's stretch. Thus, it is features like this
of your own anatomy and features of the implants themselves that come into
play in creating the optimal shape and the most pleasing aesthetics for