Understanding of the “ideal, beautiful, normal” is always the first step preceding any cosmetic breast enhancement surgery, such as breast augmentation, breast implants, breast lift or breast reduction in our Caribbean plastic surgery clinic at Trinidad Institute of Plastic Surgery, Trinidad and Tobago. Operating without that understanding is like flying a plane without navigation instruments.
The lecture below I used to give to residents in plastic surgery while I was still in academics. It is demonstrates how the aesthetic situation and the cosmetic objective influence the selection of surgical techniques for breast enhancement. The female breasts exist as part of the torso and body, not in isolation. A cosmetic or even reconstructive procedure such as reconstructing a breast after cancer operations should strive to bring the shape and size of the breast into harmony with the body. I refer to it as a natural, unoperated look when breast enhancement is concerned.
Breast aesthetics is a particularly important topic for breast augmentation and breast implant surgery. These procedures are most successful when the breasts are aesthetically ideal albeit small. The breast enhancement is then just a breast enlargement. A breast augmentation with breast implants performed in breasts more remote from the aesthetic ideal results in bigger breast, but often not in an aesthetic breast enhancement.
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