Rancho Bernardo
Plastic & Cosmetic
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Enhancement of the Breast

Every patient is an individual and any surgical procedure has to be custom designed for that patient.

The female breast can be enhanced with:
Breast augmentation (breast implants)
Breast reduction
Breast lift (mastopexy)

Breast Augmentation
The choice of procedure depends on the patients goals and their anatomy. Breast augmentation is best suited for patients whose breasts are not ptotic ( droopy).
When the position of the nipple is below the infra mammary fold the breast is considered ptotic. The lower the nipple position the more ptotic the breast. In order to create perky breasts a mastopexy (breast lift) may be required. Breast implants push the breast gland forward and fill the breast envelope, but do not raise the nipple position.
Example of breast augmentation:

Click here for more information on breast augmentation surgery

How Do You Decide The Right Breast Size For You?

This is completely a personal choice. As a surgeon I am guided by certain aesthetic norms:

1. Breast implants increase the patient’s Bra Cup size. So if you are a 34 B cup and would like to be a C cup, you would need a 34 C cup bra. The “34” number is a measurement of your chest below the breasts.
2. You need to go up in size at least one cup size. If you do not go up at least, one cup size you will not notice a significant enlargement.
3. Women’s clothing is generally cut for the B – C women. A common complaint is that clothing does not fit properly. Going from a A cup to a DD cup will result in clothing not fitting because you were too small and now too big.
4. In my Opinion a Full B cup to a Small D Cup is happiness for most women. Clothing fits well. No patient with a C cup wants a smaller breast. In terms of body symmetry; the chest, waist and hips are generally balanced.
5. The right implant size is determined by calculating how much volume it will take to increase your cup size from your present cup size to the size you want to be. So if you are a A cup and would like to be a C cup, that is a two cup increase. Generally speaking each cup increase requires approximately 200 cc (ml) of volume. Implants start at 100 cc and go up by 25 cc jumps all the way up to 800 cc.

Click Here To Learn How to Pick the Right Implant Size for You

Breast Lift
A breast lift is used to raised the nipple position and tighten the breast envelope. The cup size is not changed, only skin is removed. An example of a breast lift:

Click here for more information on breast lift surgery

Breast Reduction
Breast Reduction is used to reduce the size of the breast. Patients generally request reductions because their breasts are so heavy that they cause neck and back pain, shoulder grooves and heat rash problems below the breast. The incisions for a reduction are similar to those for a lift, but the difference is that breast gland is removed.

Patient example of breast reductions:

Click here for more information on breast reduction surgery

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Call 858-451-3060 for your complimentary consultation.