Augmentation: Special Considerations; Advanced Art of Cosmetic Surgery

Advanced Art of Cosmetic Surgery Thomas M. DeWire, Sr., MD, FACS Specializing in Cosmetic Plastic Surgery Richmond, Virginia, USA


	Breast Implant Procedures
	*Breast Augmentation: Special Anatomical Considerations*

Special Circumstances Affecting Breast Augmentation Mammaplasty:
	Apart from the usual concerns about attainable shape, volume, and natural versus fake appearance of augmented breasts, there are several unique anatomical considerations that may impact the potential outcome of augmentation surgery. Some of these issues are discussed below on the linked pages. Since these anatomical factors are not readily changed, and some cannot be changed at all, the patient must be aware of the impact that these features may have on the final outcome, choice of implant type and the potential limitations that they may have on attainable volume, without having to sacrifice the best achievable shape.

Prominence of the upper chestwall with downward inclination of breasts:

The shape of the bony chestwall may have a significant impact on the shape of both the starting point, and on the attainable breast augmentation result, as well as the guiding the choice of the best breast implant dimensions to choose. I often use Mentor High Profile implants in situations where excessive bony prominence of the upper chestwall would otherwise cause excessive fullness of the upper breast if standard profile saline or silicone implants are used. Examples of this challenge are shown on the linked page that follows:
Upper Chestwall Prominence

Tubular or Tuberous Breast Anomaly (also known as constricted base deformity):

Starting point breast shape, proportion, and form has a large impact in determining the attainable breast augmentation result. In certain circumstances the starting point shape of the breasts will completely prevent a reasonable augmentation shape unless action is taken to reshape the breast tissue and skin distribution. Tubular , or Tuberous Malformation of the breast is one such situation, and is discussed on the linked page that follows:
Tubular or Tuberous Breast Malformation