The ideal breast implants based on body type—What are the specific anatomies the surgeons take into account to deliver natural-looking results, meet their patient’s cosmetic goals, and minimize risk of complications all at the same time?
If the primary goal is to achieve natural results from breast augmentation via implants, a skilled surgeon will look at his patient from head to toe, measure body proportions such as the hip-to-waist ratio, and consider her height and body shape.
Aside from the body type, a good surgeon will also take into account his patient’s lifestyle and how she wants to be perceived by the people around her.
In small-framed women, a conservative sized implant is perceived to be the best way to achieve natural and proportionate results. Meanwhile, large augmentations—or using more than 500 cc—could predispose them to increased risk of unnatural breast contour, rippling, palpability, and other surgical stigmata.
Choosing the “conservative route” is even more important if the lean or small-framed patient is living an active lifestyle.
Leading Los Angeles plastic surgery expert Dr. Tarick Smaili warns that choosing disproportionately large breast implants could lead to back pain and poor posture, in addition to cosmetic-related problems such as rippling and palpability.
On the other hand, large-framed women—i.e., they are tall and with a strong build—can easily carry larger, heavier implants. In fact, some may even need to choose a size that is bigger than 500 cc to see a noticeable “cup” increase.
Of course, the safest maximum implant size is also determined by the pre-existing soft tissue coverage. While it may sound paradoxical, patients with little tissue to begin with should ideally choose smaller implants, while women with bigger “cup” can opt for larger augmentation.
Aside from the implant size, its vertical and horizontal measurement, projection, and shape should also reflect or at least contained within the patient’s preoperative anatomy.
Age is another deciding factor for choosing the ideal implant size. According to anecdotal reports and small surveys, “older” patients tend to choose a conservative amount of augmentation to avoid accelerated aging of the breasts.
It is important to get the “right” size the first time to avoid revisions. According to a recent study that involved around 200 patients who had breast augmentation, 13 percent wished they chose a bigger implant, while 2 percent thought their postop size was too big for their liking.
To recap, choosing breast implants based on body type, underlying breast and chest anatomies, cosmetic goals, age, and even lifestyle can play a crucial role in high patient satisfaction rate.