Breast augmentation is to increase breast size and, depending on the type of implant chosen, to make breast perkier. In addition, the use of implants enhances the contour of the breasts, and as I tell all my patients, the curves and proportions of the patient’s silhouette are more important than the raw figures pertaining to the implants.
For breasts that have become saggy or ‘bottom heavy’, a breast lift (mastopexy) may be required. This is a more involved procedure than breast augmentation, and requires more operating time and is less predictable; thus, it is much more expensive, also.
Occasionally large breast implants may be used to avoid getting a breast lift, but all too often, the results are either suboptimal or have a short period of acceptability before gravity wins. Thus, for patients with droopy and empty breasts, an ‘augmented mastopexy’ which is a combined ‘boob job and boob lift’ is necessary. In this procedure, in addition to making breasts perkier and reducing the apparent height of the chest, volume is given (or restored) to the breasts and, as a bonus, the amount of stretch marks may also be reduced.
It is important to consider numerous facets of the patient’s health, lifestyle, personality, and aspirations – not just the expected aesthetic outcome – when undertaking elective surgery, and I pride myself on this aspect.
With ‘breast’ regards,