Refinements in breast augmentation: How to obtain aesthetic and natural results

Abstract

Breast augmentation is a very popular operation in aesthetic surgery, in spite of the ban on silicone gel implants by the FDA; in the USA, the number of patients looking for larger breasts has increased in last decade [1, 3]. The ultimate objective in this procedure is to obtain an aesthetic result and fulfill patients' desires [8]. The ideal breast shape and volume vary considerably in different countries and are influenced by culture and fashion, an important factor being the surgeon's criteria. It is my strong belief that we, as plastic surgeons, should follow universal patterns of beauty. A beautiful breast must look natural and in proportion with the rest of the body; unfortunately a number of patients have erroneous ideas about this and are sometimes fixed with the impression that the bigger the breasts the more attractive they are. Hammond [6, 10] and others agree with the opinion that larger implants will give more complications and less natural results especially in thin patients; therefore, it is very important that the surgeon orients the patient before the procedure. © 2008 Springer-Verlag Berlin Heidelberg.