According to national data, the most common reason for reoperation after breast augmentation is not implant rupture, infection, or scarring…it is size change!
“I wish i had bigger boobs” seems to always be something I hear during breast augmentation consultations.
It is all too common for women to undergo breast augmentation yet some girls still feel like they want to be bigger. As a board certified plastic surgeon specializes in cosmetic breast surgery, this makes me crazy because it is preventable.
Discuss “I Wish I Had Bigger Boobs” with Your Surgeon
So, how do you avoid becoming one of those “I wish I had bigger breasts” with my breast implants? It is all about proper selection of the implant size. This means an in-depth discussion with your surgeon about your expectations. You should bring a photograph to demonstrate what you want to look like.
This last point is important because I have had several women who have come to me saying things like “I want to be natural looking” or “I just want to be fuller, but I don’t want people to notice”.
This all sounds reasonable until they whip out a picture of Pamela Anderson Breast Augmentation to show me what they want! Clearly in this case there is a disconnect between what they want and what they say. Do you want have big boobs or do you want to be just a little fuller? These are things you should be clear about before you even arrive for your first consultation.
Next, your plastic surgeon should give you implants to try on. You should see how you look and feel with the new look. Sometimes, your surgeon will even let you take the breast implants home for a few days so that you guys can “test drive” your new breasts. Trying on the implants is a million times better than any expensive imaging program that your surgeon may use.
Also important is to understand how the implant will look after it is “inside” your body. Breast implants tend to look slightly smaller after they are inserted during surgery.
I notice that the implants look about 10% smaller. This means that if you like the way a 350 cc implant looks when you try it on, it may appear more like a 325 cc implant after surgery. In this case, you should consider having a 375 cc implant placed.
Discussion Between You and Your Surgeon about Bigger Boobs
So, as you can see, a good discussion between you and your surgeon about breast implant size and breast implant type should prevent you from being unhappy with your breast size afterwards. Many patients often have questions and would like to see breast augmentation before and after photos.
Breast Augmentations are a major component of my practice, and I pay particular attention to sizing the implant so that my patients are happy afterwards.
During our first visit, we discuss the surgery, the risks, and implant size. There is a lot to think about so I do not make anybody commit to the implant size to create small boobs or big breasts. If there is any doubt about size, my patients will return again specifically to discuss implant size and not be distracted by all the other details about surgery that we go over.
I also allow my patients to return as many times as they want to try on implants before surgery.
To date, I have had no woman return for reoperation purely because she thinks she chest is “too small” or they have small breasts after having their breast augmentation.
Avoid Bottoming Out
If a breast implant “bottoms out”, it drops below the normal breast fold. This causes the nipple to turn upward and appear near the top of the breast mound instead of over the center. Also, as the breast implant drops lower, the flat upper pole of the breast becomes flatter.
The cause of this is usually over aggressive dissection of the breast fold. If the surgeon disrupts the support structures of the normal breast fold, the fold weakens and cannot support the weight of the breast implant. Large and heavy breast implants may make this problem more likely.
Repair of this problem involves reconstructing the breast fold. This can be done with carefully placed internal sutures. Recently, surgeons are now using acellular dermis – either human or pig dermis – to help strengthen these internal sutures and to help support the breast implant in the normal position and prevent it from sliding lower.
Keep in mind that these materials provide great results and are recommended, but it can add about $2,000 to the cost of your breast augmentation surgery.
“Bottoming Out” is unfortunately common with breast implants and while we have very good and effective ways of repairing it, it is best not to suffer from this at all. Like everything in life, the key is prevention. Your surgeon must respect the breast fold of larger breasts.
The breast fold is a normal anatomic structure and care must be taken to not damage it during a breast augmentation (boob job). I should mention that it is standard to have to slightly lower the fold to accommodate breast implants, but this needs to be done carefully.
Also, very large implants which cause you to have large breasts in very thin women should be avoided because of this possible possible problem. This is a one of the breast augmentation complications your surgeon will discuss with you.
Questions and Answers
Is it possible to increase breast size?
The sole method for achieving a permanent alteration in breast size involves undergoing cosmetic surgery, a procedure accompanied by potential risks and a significant financial cost.
Typically, medical professionals advise girls to delay surgery until their development has reached full maturity. *Names have been altered to safeguard user confidentiality.
What causes bigger breasts?
Breast size can be influenced by a variety of factors, including genetics, hormonal changes, pregnancy, breastfeeding, and changes in weight.
Can breasts grow in 20s?
Around the age of 20, you will likely bid farewell to the discomforts of puberty. However, it’s important to note that your breast growth cycle doesn’t come to an end at this point. Changes in weight and hormone fluctuations can continue to cause fluctuations in your cup size throughout your twenties.
Why are my breasts suddenly getting bigger in my 20s?
The size of your breasts can undergo alterations during your twenties, thirties, and beyond, especially when there are weight fluctuations. This is due to the fact that a portion of your breast composition includes fatty breast tissue.
Are fake Boobs worth it?
Numerous women seeking breast implants often struggle with self-consciousness regarding their breast size and shape. Through a single, straightforward surgical procedure, it becomes possible to swiftly boost self-esteem, empowering you to embrace life with renewed confidence.
What size is a large breasts?
Based on the data published and the findings from this study, it is advisable to classify patients with a cup size of D, double d or larger, or a bra size of 18 or greater, as individuals with large breasts, while considering all other patients as being of average boob size or b cup.
Contact Our Office
If you feel you have been flat chested your whole life and are tired of wearing a push up bra contact Dr. Matthew Schulma to learn more about breast augmentation. Dr. Schulman also offers breast reduction if you have bigger breast and prefer to have small breast.