Breast augmentation for plus size women. Could they achieve good results from this surgery?
It is important to note that no body contouring surgery is ideal for significantly overweight or obese patients who are susceptible to poor healing. Also, there is no point of improving one’s figure with the help of any surgical enhancement if the underlying problem is one’s inability to maintain a healthy weight.
Breast augmentation or any body contouring surgery entails getting closer to one’s weight goal through healthy and sustainable means, i.e., regular exercise and proper diet.
Meanwhile, diet fads, pills, and “extreme” weight loss programs must be avoided for at least 2-3 months because these may cause [temporary] malnutrition and poor healing after surgery.
While there is no weight limit on breast augmentation patients, the vast majority of surgeons will not operate on obese women because of the increased risk of poor healing, infection, and anesthesia-related complications.
Another issue is the implant size. To compensate for the large abdominal and chest girth, overweight patients will need implants that are significantly larger than what most women would use.
As of this writing, the biggest implants are about 800 cubic centimeters, which are too large for women of average build but not enough for significantly overweight individuals, particularly if they want a huge cup size increase.
The first step to achieve good results from breast augmentation is to reach one’s ideal weight through a sustainable, healthy lifestyle that must always include proper diet and regular exercise. While shedding the extra pounds could lead to drooping appearance and skin laxity, at least there is an option to reshape the breast before an implant is positioned.
Breast lift is occasionally performed prior to breast augmentation for plus size women, particularly if there is a drooping appearance or the nipple-areolar complex has sagged at the level or beyond the inframammary fold. It is important to note that using implants without properly addressing pre-existing tissue laxity can lead to larger, droopier breasts.
Aside from body frame (in terms of height and weight), the ideal implant size is also determined by age, lifestyle, chest/breast anatomy and dimension—and the most important of all—cosmetic goals. For this reason, an honest discussion between the surgeons and their patients is of paramount importance to achieve high satisfaction.