Creating a Slight Breast Enhancement
Conservative patients do present to me for breast augmentation. They are most concerned about maintaining a natural appearance with a subtle change in breast size in order to simply fill out their bra; however, not become disproportionately large. For this subset of patients, I have found using small style 15 moderate plus Allergen silicone gel implants, using the dual plane technique through a periareolar approach, to be very useful. Patients who are ectomorphic with minimal amounts of breast tissue and have thin pectoralis major muscles and ask for a very, very natural augmentation result would do well with these moderate plus silicone gel implants. In general, patients often will only go up one cup size from a full “A” to a full “B” and these patients do well with the mid range moderate plus gel implants placed underneath the pectoralis major muscle. Tight compressive Dr. Linder Bras in extra small are worn for four weeks with an upper pole compression band in order to reduce upper pole fullness, soften the muscle and lower the implant to a natural position. The settling process takes approximately four to six weeks.
Patients from Asia and Korea often ask for this subtle increase in breast size and have been extraordinarily happy with the style 15 gel implants. Sizes on these patients can range from 158 cc to 213 cc. The base diameter of a 176 cc moderate plus style 15 is only 10.3 cm, while the projection is 3.4 cm. This leads to an extraordinarily natural result that this set of patients is quite happy with.