Breast augmentation with the placement of saline or silicone implants is one of the most popular plastic surgery procedures in Miami and the surrounding areas. Unfortunately, there is a lot of confusion amongst potential candidates about what exactly breast implants can do. Some of them assume that the placement of implants always results in a perkier breast appearance — alas, this is not true.
Below, trusted Miami breast augmentation surgeon Ary Krau clears up the confusion.
Volume vs. Shape and Perkiness
What breast augmentation candidates should understand is the difference between breast volume and breast shape/perkiness. Adding more volume to the breasts does not necessarily give them a perkier appearance. In some cases, it can actually do the exact opposite and make the breasts look saggier and droopier. The natural position of the breasts prior to breast augmentation surgery is largely what determines whether the breasts will look perky with implants.
Breasts that look naturally perky, but are too small for the patient’s liking, are very likely to remain perky after the placement of breast implants. The implants should not cause the breasts to droop or sag — they will simply add more fullness and projection in the upper and lower poles (i.e., regions) of the breasts. Likewise, breasts that are on the naturally small side and have a minimal amount of excess skin may look perkier after surgery because the implant “fills out” the empty skin envelope.
However, breasts that are small and noticeably saggy, with excess hanging skin, do not look perkier after the placement of implants. The implants settle at the bottom of the breasts and actually accentuate the sagging. Over time, the implants can stretch out the loose skin even more, giving the implants a dramatically droopy and aged appearance.
Achieving Larger and Perkier Breasts Simultaneously
Women that want bigger and perkier breasts with noticeable sagging can usually benefit from a combination breast augmentation-breast lift procedure.
During the operation, Dr. Krau trims loose skin and tightens the skin envelope to correct the sagging and give the breasts a perkier contour. He also places saline or silicone implants to add volume and fullness. The scarring from this operation is more extensive than breast augmentation alone, but most women are happy to trade the scars for a more beautiful breast appearance. Another benefit of combining procedures into one operation is that it can cut costs and overall downtime.
To discuss your breast surgery goals with Dr. Krau, please call or email our practice today and request a personal consultation.