Surgery with Symmetry

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The 6th feature of Beautiful Breasts

Breast augmentation by Dr. Tim Neavin with silicone breast implants to improve size and shape.

Breast augmentation by Dr. Tim Neavin with silicone breast implants to improve size and shape.

Beautiful breasts come in all shapes, sizes, and colors.  Some are prettier than others. With plastic surgery, most breasts can be modified to look more attractive.  But what are the features that make pretty breasts pretty?  Here is a list of 5.  What is the 6th critical element?

1. Size

It has been said that the French saying goes, “The perfect size breast fits into a wine glass”.White or red, I do not know.  However, I do know that when it comes to size, bigger isn’t always better – even in America. Size can be an important feature of beautiful breasts, but the ideal range varies quite significantly cultures and time periods.  Flappers of the 1920s ideally donned perky A cups.  And in just a couple decades, busty pin-up dolls dominated the sexy scene.

The 80s again saw a downsize just a tad, with sex symbols such as Farah Faucet and Christie Brinkley.  And the 90s exploded with over-inflated D cups (hello, Pam Anderson) spearheaded by plastic surgeons armed with bigger and better breast implants.    It would be another decade and a half or so before we have trended back into C world (not to be confused with “Sea World”).

2. Shape

Perhaps less opinions exist when it comes to breast shape. Almost universally and unanimously perky beats droopy and day of the week.   However, the spectrum of droopy is quite large, and can range from a mild deflation of breast volume as we commonly see following pregnancy to a state where the nipples point toward Peru. Perky is youthful and hence reads “fertile” inside the deep recesses of the male brain that has been wired to impregnate “suitable” mates. Breast augmentation can restore perkiness (improve shape)  while also increasing breast size. For perky breasts, click here.

3. Symmetry

Breasts come in pairs. In fact, they are best considered as one aesthetic unit. While none are perfectly symmetrical, we tend to find matching breasts more attractive than ones that are unequal in size and shape. Nipple and areola size and position, volume, and breast fold locations are the main breast reference points that can be easily compared automatically without an ounce of thought. Most women don’t have twin breasts. They are generally sisters. Some are unfortunately distant cousins. What are yours?

4. Feel

Fat feels the softest but in high proportions, yields droopier breasts. As one ages, the proportion of fat and fibrous tissue increases. Breasts are generally composed of 2 to 3 elements: fibrous tissue, fat, saline, or silicone.  An exception would be the breast that has had a mastectomy.  Here, the breast tissue is removed and is generally replaced with either tissue from another part of the body or a breast implant.  Sometimes both.

Young, fibrous breasts can certainly feel more firm than silicone and saline (if the implant shell is under filled). The new generation silicone breast implants feel remarkably like healthy, fibrous breasts. In fact, many gropers have been fooled – so I’m told. Saline breast implants are usually overfilled to reduce visible rippling. This generates full, perky breasts that are more firm than the surrounding breast tissue. Thus, saline is usually not the preferred breast implant if natural feeling breasts are the priority.

5. Skin

Nipples and areola can be viewed as the bulls-eye of the breast. They are a true staring point. Thus, they must be considered when evaluating breast aesthetics. While there is no magic measurement for areola size, plastic surgeons often reduce them to 42 mm in  diameter to improve their appearance when they have expanded due to weight gain, pregnancy, or age. Nipple position is critical. Aesthetically, they are best situated above the breast fold and at a distance 19 to 21 cm from the notch at the top of the sternum.   And at least according to a study in 1955 by Penn, the nipples should also be distanced 19 to 21 cm from each other forming – you guessed it – and equilateral triangle.

6. And what is your #6? Please share!


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