Just wanted to say thanks for putting myself and my husband at ease at my consult. Your confidence, patience and kind words of encouragement were exactly what we needed to make this decision. I look forward to seeing you in June!

Thanks, TH

One of the most important aspects of this site is to teach women that their pre-existing anatomy is one of the most important determinants in how their breast will look. The full C delimma is difficult to grasp for several reasons. There is no industry standard for bra sizes, women will be fit differently at different stores and wear different sizes of bra bought on the same day, in the same mall, purchased at different stores or even the same department store. Since I do not wear bras nor buy them, I am not the industry expert either. What is best is to take all of these bras and history of bra wearing and physical exam to aide in determining which implant size will provide the ‘look and feel’ that they are looking for. If you achieve that, then does it matter if you are wearing a full C? or a small D? Perhaps at some store the result yields a ‘medium C’. The point is that it really does not matter what size bra you wear, it is how it looks on you.

If you have natural tissue and wear a small B cup, then you would need a different breast implant size than a woman who wears a double A. What also adds to this problem is that as your breast gets larger it gets wider and this may require a back size increase. So a woman may come in wearing a 34 A/B and afterwards wears a 36 C. She may look and feel great in that bra size. Now if she tried on a 34 back, she may be a 34D. It may not feel comfortable so she opts for the 36 C bra. This example happens and is common. So she is happy in both bras but she still only has the one set of breasts. Remember your body and knowing what ‘look’ you want is more important than the number. I make a point of this on my site, because there are not many bra size lettes or numbers. That is not the point of this surgery. It is how you would look.

As for breast feeding? I tell them that breast feeding is a personal choice that would benefit the baby. While the breasts may take a ‘hit’ they typically do not get ‘destroyed’. As I mentioned above, most women will not require additional breast implants surgery after a pregnancy. It more pregnancies are planned, then the risks for secondary breast surgery will go up. If you want to consider breast implants or revisions to breast implants, I recommend that you get back to your regular weight and condition. This way I will have the best chance to provide you the aesthetic enhancement that you are looking for.

I have performed breast augmentation using all of the current popular techniques. Those being the inframammary, periareolar and transaxillary approaches.  These 3 ways have their own pluses and minuses, visit the breast implant incisions page in breast implant info section.  I have not done it two ways which, in my opinion are too risky and less likely to deliver the type of consistent breast augmentation results that my patients travel for me to deliver. The first way that I would not perform a breast augmentation is through the belly button. I have a friend in Beverly Hills that does it that way and he believes that it is fine. It is too unpredictable and not precise enough for me to use. I would not use it on my wife, so I will not use it on anyone else. It is a blind procedure in that the plastic surgeon can not see what he/she is doing and is ‘gambling’ that the equipment will be in the correct place and hopefully the muscle will be torn away just right, and that all of the bleeding that they will have will eventually stop. Since they can not see what they are doing, it is truely nothing more than an educated guess. This is not right for me or my patients. In general, it is a marketing tool that is naturally appealing to women desire no scar. The problem is when something is not correct, and a second surgery is needed (perhaps as an emergency) then the woman would have a larger scar and more expenses than they should have had if the breast augmentation was done in a more controlled fashion to begin with.  The armpit incision (transaxillary) is a good and safe incision when used with an endoscope, it is nearly equally as bad as the belly button incision because it too is a blind procedure and has the same risk profile. It too is a marketing tool that is too risky for me. In my practice which specializes in breast augmentations and secondary breast surgery revisions, I see too many women who have had problems with these two approaches.  In my mind, I like to see what I am doing, feel what I am doing, cut what and where I want to cut, and compare sides simultaneously. The inframammary or below the breast incision allows me to do this and offer breast augmentation results that my patients want and expect.

The breast augmentation videos will be added to with more surgeries, demonstrations and explanations of various aspects relating to breast implants. The breast augmentation forum is for the visitors to contribute and help the web site get more exposure and help other women considering breast implants. There is a most commonly asked questions  section with detailed answers. If a reader can not find the answer or wants more detail, then the ask the plastic surgeon section allows them to post their question and plastic surgeon, Dr. Michael J.  Brown will answer it. The web site is very exciting and informative. It will continue to expand and improve with the contribution of the readership.

After the augmentation tanning the breast should be done covering the incisions for at least a month is best.