CosBeauty is the #BeautyAddict's guide to lifestyle, health and beauty in Australia.
In this issue:
- The Breast Report - your guide to augmentation
- Put an end to bad hair days
- 24 hour makeup, products that last
- Sex appeal - do you have it?
feature B reasts have been cultural, political and fashion icons, helped launch social movements and started showbiz careers. They come in all sorts of shapes and sizes, and thanks to the marvels of modern cosmetic surgery, breast implant surgery can give you the breasts Mother Nature did not. Breast implants are available to suit the needs and preferences of just about every patient. Some women seek implant surgery to correct congenital or developmental anatomical abnormalities, while others are striving to repair the toll of age or breastfeeding by restoring their breasts to a more youthful and upright position. Other women simply want to have a larger size bust, which is more proportionate to their overall body size. Implants may also be required to reconstruct a damaged or missing breast, which has sustained injury, illness or mastectomy. There are countless reasons women undergo breast augmentation and each one has unique importance to the individual. Careful discussion of your expectations and concerns with your chosen surgeon, along with planning and assessment, can help to achieve a successful outcome and natural-looking results. You should thoroughly discuss your goals and motivations with a surgeon you trust and with whom you feel comfortable. Listening to your surgeon’s feedback and advice will go a long way in ensuring expectations and motivations are realistic. Satisfaction with breast augmentation results ultimately depends on your understanding of the capabilities and limitations of the procedure.
WHAT MAKES A BEAUTIFUL BREAST? The assessment of physical beauty varies enormously across both time and cultures. What one person considers sexy or beautiful might be far removed from what another perceives as attractive. However, there remain widely held standards of physical attractiveness, and achieving a positive aesthetic outcome is crucial to the success of cosmetic procedures. When it comes to assessing the breasts, you may be forgiven for thinking it’s all about size. Indeed, breast augmentation involves adding volume to the bust, but a satisfactory augmentation is about a whole lot more than just adding volume. ‘There is no such thing as the ‘perfect’ breast,’ says British plastic surgeon Dr Paul Banwell. ‘However, there are four aesthetic guidelines that can help surgeons deliver a beautiful-looking breast.’ These guidelines, which refer to the proportions of the upper and lower breast, their slope as well as the position of the nipple were investigated by a group of London Plastic Surgeons at the University College and Royal Free Hospitals. In a study entitled ‘Concepts in Aesthetic Breast Dimensions: Analysis of the Ideal Breast’, Mallucci et al used computer measurements to examine the dimensions and proportions of 100 pairs of natural (non-enhanced) breasts deemed attractive, and identifi ed four features common to all. ‘The study revealed that in all cases the level of the nipple lay at a point 20 degrees above the horizontal where, on average, the proportion of the breast below it represented 55 per cent of overall volume of the breast and above it 45 per cent,’ explains Dr Banwell. ‘In most cases, the upper pole was either concave or straight, and the lower pole of the breast was convex, creating a full curve.’ The UK group also analysed images of the breasts of ordinary women both before and after implant surgery to establish whether, if a breast deviates from these measurements, it becomes less attractive. The answer, they found, was that it does, regardless of size. However, Dr Banwell is keen to reinforce the importance of tailoring breast shape and size to the individual proportions and circumstances of each patient. ‘A one-size-fi ts all approach is not appropriate,’ he says. ‘We have a way of assessing the aesthetics we’re trying to achieve with a breast augmentation, but it’s important to do that via a tailor-made approach.’ This involves detailed measurement, careful discussion with each patient and judicious selection of the optimal implant shape, texture and method of placement. ‘Every breast is different in terms of its shape and size and in terms of its characteristics,’ says Dr Banwell. ‘The surgeon has to assess that and then needs to make a judgement based upon the patient’s wishes in terms of what they want to achieve versus what can actually be achieved.’ With so many media infl uences, today it is even more important to marry your wishes, as the patient, with what is both realistic and achievable. ‘It’s all about having realistic expectations of improvement,’ he says. ‘Communication with the patient is therefore so important. The patient needs to fully understand what’s involved, and if there is any discrepancy between what they want and what can actually be achieved, it’s the responsibility of the surgeon to point that out.’ The education and knowledge of patients has changed in the past decade or so, and they are becoming increasingly discerning about the shape and type of implants they want. However, the most common request remains: for breasts to be ‘natural-looking’. With an experienced and skilled surgeon and the right expectations, you can look forward to the most natural-looking, aesthetically pleasing breast augmentations for your individual requirements. www.cosbeauty.com.au 101