The breasts are an important feminine organ from an aesthetic perspective and undergo significant changes throughout the years – beginning in the developmental stage, during pregnancies and breastfeeding, during weight changes, and during menopause.
During development, situations may arise in which breast tissue barely develops (hypomastia), or situations in which the breasts develop to be very large and heavy (macromastia). In less common situations abnormal development may occur, such as tubular breasts or drooping breasts.
In general, breast surgeries are performed after the completion of puberty, except in exceptional situations.
In cases where breast tissue has barely developed, breast augmentation surgery will be performed, usually using a silicone implant and sometimes using autologous fat.
In cases where the breasts are very large and heavy, breast reduction surgery will be performed, which is usually accompanied by a breast lift.
It is important to distinguish between breast tissue that never developed and breast tissue that became emptied following pregnancies, breastfeeding, or weight loss. In breast tissue that did not develop, a pocket must be created into which an implant or fat can be inserted to allow breast enlargement. In women whose breasts have emptied, such a pocket already exists, and the procedure is essentially a filling procedure – whether filling to the previous size or filling with additional volume according to the patient’s wishes and tissue condition.
Of course, the changes that breasts undergo over time do not involve volume changes alone but also include sagging and changes in position. In some cases filling alone may provide a certain lifting effect. However, in many cases a combination of lifting and filling is required in order to achieve the optimal result. The areola and nipple also change over time and often require reshaping as part of the surgery.
The decision regarding the type of surgery, the use of silicone implants or fat grafting, the volume, and the shape is determined during a comprehensive consultation, in which the patient’s wishes, physical condition, breast structure and shape, and tissue quality are examined.
Aligning expectations during this consultation is a central stage in achieving optimal results and high patient satisfaction.
What is your challenge?
Many women arrive for breast augmentation surgery with a clear image in mind of the size they desire. However, it is important to understand that the new breast must fit the existing body structure and take into account future changes in the body.
A size that does not match the width of the chest or the thickness of the tissue may create an unnatural result or cause problems in the future.
You should understand that the goal is not only enlargement but creating a proportional and natural breast.
