Beverly Hills Beautiful Breasts & Breast Augmentation

Today, in myBeverly Hills office I saw a young woman who was interested in beautiful breasts with a  breast augmentation.  Like most women who just come in for consultation for breast augmentation, she has already had a desired size and incision.  Because many women in the city have friends or family members who have undergone breast augmentation, they often determine many of these factors based on their particular outcome.  Furthermore, they have already gone to several plastic surgeons who have convinced them that one way is particularly better than the other regarding implant size, position, placement, etc.  Of course, one of the dangers in applying someone else’s outcome to the way that you want your breasts done is that everybody’s body is different and everyone’s expectations are different.  Thus, I find it very helpful to take a great amount of time talking to patients about the upsides and downsides of larger versus smaller implants, silicone versus saline implants, subglandular or submuscular positioning of the implants, and surgical approach including transumbilical, inframammary, periareolar, and transaxillary.  For instance, a periareolar approach on a woman without skin may be a risk for poor scarring which will make certainly her and myself unhappy.  Women with already excellent pre-existing breast fold would benefit from very well-hidden scar in the inframammary crease below the breast.  Larger implants while can give somewhat of a lifting effect can also have problems such as bottoming out.  Saline implants while they are less expensive and can be placed with a smaller incision than their silicone cousins can lead to visible rippling which patients may find unappealing.  Thus, there are many factors that must be taken into consideration for breast augmentation.  While the operation itself is not terribly technically challenging, the thought process leading up to the breast augmentation is often the most crucial element in predicting an excellent outcome.  To make sure that I am on the same page with my patients, I often have them “try on” many different size implants under a sports bra and sometimes even see them in the office on a couple of occasions.  Without doubt, the more time you take with patients and the more you explain options, the happier they ultimately are with their outcome.