Breast augmentation: why is it so misunderstood? The surgery of breast augmentation is really straightforward. However, like all decisions, sometimes what we objectively know is best is not what we want and so we make subjective decisions. In the case of breast augmentation it might mean bigger, smaller, rounder or looser, because that is what we think looks best. There is enough scientific literature to support well drawn conclusions, we may anecdotally disagree but that is not what the science says.
So buyer beware. In the next several posts, I will give a simplified view of the objective choice of the four variables. So here is the first one:. How to choose the right size implant: As a breast ages,from age,weight loss,pregnancies, or any combination of the three, at any age, the breast deflates. In other words the width of the pectoral muscle.
As this diameter is related to the chest wall, it does not deflate with age. Further, it can be measured and is not subjective. The surgeon should measure the width of the chest wall and then match the diameter of the implant to the chest wall.
If the skin is tight choosing an implant that is wider than the measured base or higher projecting forward will create a tight round fit. It will eventually stretch and thin the skin and lead to earlier aging of the breast. If on the other hand the skin is loose, the excess must be filled up by either choosing an implant that is wider than the measured base or takes up the excess skin by projecting more forward. This means moderate or higher projection implants.
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Remember that fit can be measured just like clothing to determine look. Best fit means best judgement. Different looks can be created by manipulating fit, that is subjective. It may be worth the trade as long as it does not increase the risk of the surgery. The second variable in achieving a great result from the surgery is choosing wether the implant goes under the muscle or over the muscle.
