Which Do you Prefer? Natural or Fake-looking Breasts?
The majority of women requesting initial breast augmentation are scared of losing a “natural” look. They want to have a prominent bust line without looking like the proverbial “pair of boobs walking in the room”. Yet, other women wish to “wow the crowd” with a voluptuous bust. Both types of women are frequent patients in my office and thus, a patient’s expected outcome, is always discussed during an initial cosmetic surgery consultation. Each patient’s cosmetic procedure is personalized to the individual’s wants and desires, not by me.
In regards to achieving a natural-looking breast augmentation, the most salient issue in avoiding the “fake” look is maintaining the implant on the chest wall. It is never natural appearing to have a breast that is larger than the chest. When the implant is larger than the chest (vis a vis recent Pamela Anderson, Heidi Montag, Katie Price, etc.), it is impossible to hide the breast with any type of clothing. If you do not wear a bra, the implant immediately moves laterally off the chest, which showcases the implant rather than the breast. If you do wear a bra, the implant is moved upwards and towards the midline of the body, giving the “touching my chin” look. Neither of these appear natural, and regardless of type of clothing or swimwear, the implant will be visibly present and noticeable. That is the “fake look”. Or, as some women refer to it as “the grapefruit” look.
Having said that, over 1/3 of my patients request the “fake look”. There is nothing to be taken away from it. And no, very few of them are adult film stars, burlesque dancers, or strippers. Most of them are young professionals, and all of them have very good reasons for their requests.When addressing patients who want a sizeable but natural bust line, the concept of breast profile becomes critical. Breast implant profile allows me to place a larger implant on the chest wall without losing that natural appearance. There are “high-profile” and “low-profile breast implants. Taken together with chest wall size, muscular tone, and current breast size and shape, the appropriate profile and implant size is estimated prior to surgery.