"I will be meeting with a plastic surgeon to discuss having a Breast Augmentation. I want to achieve a very artificial look so that people can tell right away that they are fake. I know this sounds unusual but if I wanted a natural look I would keep what God gave me. I don’t mean that I want them to look asymmetrical, just extremely modified. So right now I am a 36B with a medium build. What tends to look more artificial: sub-glandular or sub-muscular? High or Moderate profile?"
DR. POUSTI: Breast implant size.
It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or “fake looking” means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient’s goals. The patient’s goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient’s goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.