Trends in breast augmentation are greatly influenced by media, social and cultural-based beauty standards, and prevalent lifestyle. Nonetheless, all efforts are made to create results that will satisfy the patients on a long-term basis.
While some trends in breast augmentation come and go, there remain some well-entrenched guidelines that aim to promote patient safety. For instance, board-certified plastic surgeons only use FDA-approved breast implants whose manufacturers are mandated to participate in longitudinal studies to further determine the safety and long-term effects of their medical products.
Leading Los Angeles plastic surgeon Dr. Tarick Smiley says that a growing number of breast augmentation patients today are choosing a more conservative implant size, leading to a more natural proportion.
The conservative implant size range is also becoming popular as more women these days follow a healthy, active lifestyle. In the past, it was not uncommon for patients to ask for significant augmentation (i.e., bigger than D cup) even though the size would not match their physique.
Some patients are more concerned about the breast shape than the size, making them an ideal candidate for conservative-sized implants. A survey published in Evolution and Human Behaviour has suggested that while men’s preference in breast size greatly varies, almost everyone agrees that no matter what the size is, the aesthetically pleasing ones are always “perky.”
Hence, many breast augmentations today are performed concurrently with mastopexy (i.e., breast lift). The idea is to correct the droopy appearance and the insufficient “cup size” in one surgery.
And since there is a strong inclination to natural-looking results, many surgeons nowadays complement breast augmentation with fat grafting or injection. The idea is to create additional soft tissue padding to further conceal the implant edges, resulting in softer feel and more teardrop breast contour.
Nonetheless, fat grafting is rarely used as a primary method in breast augmentation, although many surgeons believe that it is a powerful supplemental tool in order to make the results more natural.
A simultaneous fat grafting is often warranted if the patients have very poor cleavage and little soft tissue coverage. Some women with pre-existing deformities (due to previous surgeries or congenital defects) can also benefit from this supplementary procedure.