Dr. Charles Sarosy a San Diego cosmetic surgeon says that more patients are asking for natural looking breast augmentation. Dr. Sarosy says, “I’ve been in business for over 20 years, and the current trend is definitely a more natural look. I remember 15 years ago many of our patients coming in with pictures of Pamela Anderson wanting very large breasts like her. Now they are bringing in social media images of models with much smaller breasts, the C range is the norm now. But when it comes to the buttocks many women now want large butts like the Kardashian, the Brazilian butt lift has really taken off because of Kim Kardashian”. Times have certainly changed, but the numbers for breast augmentation is still very strong. The American Society of Plastic Surgeons reporting 286,000 breast augmentation procedures last year.
Dr. Sarosy offers a number of options for breast implants. He goes on to say, “Each style of implant has pros and cons. Round implants are the mainstay of most cosmetic breast augmentation. Choosing the correct proportion and size is necessary to give a good result. Teardrops can sometimes rotate and be more feelable because they are textured. In my own practice I favor the smooth round cohesive implants, but I always go over the options with my patients”
Dr. Sarosy prefers to place the breast implants under the muscle, it offers a more natural look because the muscle drapes gently over the top of the implant. When implants are placed above the muscle, particularly in the very thin patient, the result can look very unnatural, but that is a look some patients want. There is also clear evidence that capsular contracture rates and infection are lower when implants are placed under the muscle and is better for mammography. For my athletic patients, when they go to the gym and bench press or weight lift, the implants will look less natural above the muscle. For patients who might want a breast lift in the future, above the muscle implant separates the breast tissue from the muscle. If the patient wants a lift in the future the blood supply to the nipple and the areola is more in jeopardy.
Dr. Sarosy keeps silicone gel implants of all sizes available for patients to try on in a testing bra. This is not a perfect teaching tool because under the muscle implants tend to lose some projection, but most patients find it helpful. Dr. Sarosy suggests bringing a friend or loved one to the consultation and to bring a few a few different shirts. He suggests as you look at implants you think about the relationship between the width of the breast and the width of the shoulders and hips. Two wide will make you look top heavy, too narrow will make the breasts look like torpedoes. I personally like to see the outer curve the breast have balance with the curve of the hip. Once we hone in on the right diameter we then look at the projection of the breast which changes the cup size. At the correct diameter we can use a high moderate or low profile implant depending upon the patients goals.
Photographs of your goals are helpful, but they don’t always tell the whole story. In addition Dr. Sarosy offers a large breast augmentation before and after gallery to view.
Dr. Sarosy just opened a new fully accredited cosmetic surgery center in San Diego. He has a summer special running through the end of August for Saline Breast Implants for $3995 and $4995 for Silicone. Call his office for details.
