Some of the points made in the first few sections on the topic of breast augmentation are best illustrated with a little video segment. The natural breast can only somewhat be mimicked by breast implants. Sometimes the choices women make on goal size have an effect on how natural the outcome appears. Similarly, the choice of implant placement Above (as in Subglandular Breast Augmentation) or Below (as in Submuscular Breast Augmentation) the pectoral muscles (particularly when using saline-filled implants). Thin women such as the young lady below (not my patient) usually have very little breast and muscle tissue prior to surgery. The placement of even a moderate-sized implant in this sort of case will lead to an un-natural appearance at least for a few months even if the pectoral muscle is utilized to cover the implant. If the implant is placed over the pectoral muscles, the fullness in the upper part of the chest never really subsides. A very clear line is apparent where the implant "starts" on the patient's chest. The implants may seem "mounted" to the chest not moving with the patient's movement.

Personally, I am no a fan of this kind of result. I almost always seek to limit the size of the implant (within reason) and place it under the pectoral muscle to "soften" this upper chest "ledge" that is seen in the "Over The Muscle" placement. Take into account that for very thin patients, the use of the muscle can only somewhat soften the stark look of the implant below. Smaller implants tend to move better than really large ones as the chest tissues have room to allow them to bounce slightly when the woman walks or runs.  

The Answer: Don't make the implant so large or accept a somewhat more foreign-looking breast.

The Compromise:  Smaller implants don't result in larger bra cup sizes and don't make for as full a cleavage.    

Look at the video segment below by clicking on one of the links. A window will open from which you can get the video. Play it a few times.
 
 

MORE ON THE  AUGMENTED BREAST This woman at the right has obvious breast implants. She is quite thin with breasts that project a good deal from her chest. She also has a fair distance between her breasts. She is lovely but her breasts seem a bit odd (my opinion).      Back to the Main Breast Augmentation Section

Vid File Backup

See how the young ladies' breasts move little as she spins around. Also, notice their shape almost like half an orange. They seem to project too much.  

There are two likely causes here:
 

• The patient was quite thin prior to surgery and the surgery was relatively soon (maybe a few months at most) before this video was made. The implants could be under the muscle in which case as her tissues relax, she would have improved aesthetics. 
• The patient might be a few years out from surgery in which case the implants are "Over the Muscle" and this stiffness is likely permanent. I certainly hope not as she is an otherwise very attractive woman.

A natural breast is soft. A natural breast bounces somewhat with movement. When proper restraint is used, often these characteristics can be obtained with breast augmentation. There are compromises here, so the patient's wishes within reason are considered.

Please note that this information (as well as that on all my pages) is offered freely to individuals considering cosmetic surgery (even if they are not able to see me for their plastic surgery). No rights are granted (this is my intellectual property) and it is not to be reprinted or copied without the author's prior written consent. Understand that some of the information presented may be a matter of professional opinion. Although efforts have been made to assure accuracy, no guarantees are expressed or implied. The video segment above was obtained from the internet. If its copyright owners wish it removed from this web page, please e-mail the author and it will be done.