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It will eventually stretch and thin the skin and lead to earlier aging of the breast. If the skin is tight choosing an implant that is wider than the measured base or higher projecting forward will create a tight round fit. The next step in choosing the right “fit” depends on how loose or tight is the breast envelope. The surgeon should measure the width of the chest wall and then match the diameter of the implant to the chest wall. Further, it can be measured and is not subjective. As this diameter is related to the chest wall, it does not deflate with age. In other words the width of the pectoral muscle.

This diameter should span the woman”s chest wall from breast bone, centrally, to the outside front border of the axilla,or armpit. The dimension of the breast that does not deflate is the “ideal” width of the base of the breast.

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How to choose the right size implant: As a breast ages,from age,weight loss,pregnancies, or any combination of the three, at any age, the breast deflates. In the next several posts, I will give a simplified view of the objective choice of the four variables. There is enough scientific literature to support well drawn conclusions, we may anecdotally disagree but that is not what the science says. Think in terms of best fit in clothing or” hand to glove” or “pillow to pillow case.” There are four main variables that control the fit or look: Implant size, Implant type, placement under or over the muscle and incision location. Remember that what is being created is a “fit”. In the case of breast augmentation it might mean bigger, smaller, rounder or looser, because that is what we think looks best. Whenever we choose a variable that is not “objectively” ideal, we are making a subjective choice, which may or may not be wise. However, like all decisions, sometimes what we objectively know is best is not what we want and so we make subjective decisions. Posted on Septemby admin - Breast Proceduresīreast augmentation: why is it so misunderstood? The surgery of breast augmentation is really straightforward.

Understanding the Four Variables of Breast Augmentation