Current Trend in Breast Implant Size

The trend in cosmetic surgery nowadays is the natural look.  This is particularly true in breast augmentation that most patients are choosing implants which come in “conservative sizes.”

Anecdotal evidence shows that a significant number of patients choose breast implant sizes (described in cubic centimeter) between 350cc and 500cc.  They can provide enough volume especially in the upper poles without leading to inappropriately large, grapefruit-shaped breasts.

Women should remember that cc alone does not determine the final size, although in many cases a 150-200cc can increase the breast to one cup. 

(Important note:  Implants with a size of 250-350cc may transform a petite lady’s AA cup to D cup, while the same size may only increase the bust size of a larger and/or taller lady by a cup or two.)

Large breast implants usually start at 600cc, and women with a large body frame more often than not have no problem using them.  This is particularly true if they have sufficient amounts of breast tissue and fat, reducing the risk of visible and palpable wrinkling.

By contrast, large implants can be very problematic for thin and petite women not only because they often lead to a “heavy top look,” but they also result to higher risk of wrinkling and rippling.

Also, when large implants are used on thin women or patients with very little tissue, more often than not their breasts appear unusually round—the most common telltale sign of plastic surgery.

Meanwhile, there are two kinds of breast implants used in the US:  the saline implant which is filled with a sterile mixture of salt and water, and the silicone implant which contains a cohesive gel.

Currently, breast manufacturers in the US do not produce silicone implants larger than 850cc, even if there is no law prohibiting them to do so.  This is because common sense tells that excessively large sizes can lead to chronic back pain, longer recovery, stretch marks, and bottoming out which will eventually force a patient to downsize her implants.

But some saline implants, which are filled once inside the breast pocket, are larger than 850cc.  However, they are rarely used as [ethical] plastic surgeons will not push the body’s limit for the sake of aesthetic goals.  

Contrary to popular belief, patients can achieve a prominent cleavage without having to choose larger implants.  In fact, some smaller implants can provide this sexy feature by offering more projection.

Teen Mom Farrah Abraham Proud to Be on Best Cosmetic Surgery List

It is not uncommon for celebrities to deny having plastic surgery even if the result is blatant or sometimes to the point of looking “fake.”  However, this is not the case of Farrah Abraham who is proud to make it on UsWeekly’s 2011 list of best cosmetic surgery.

The celebrity mom, who was featured in MTV’s reality show 16 and Pregnant, tweeted: “Thank you USWeekyly for including me on 2011 BEST: Plastic surgeries.”

After giving birth, Abraham underwent breast augmentation surgery to increase her bust size from cup size A to C.  Despite criticism for having the procedure at a relatively young age, she said that she is happy with her decision.

Los Angeles leading plastic surgeon Dr. Tarick Smaili, who did not treat Abraham, said that she is a good example of natural-looking breasts after plastic surgery.

“The good thing about her breast implant size is that it complements her body and perfectly fits her small frame.  She did not go overboard as some celebrities have done in the past by using large implants that often result to the heavy top look,” Smaili said.

During the 1990s, the cosmetic surgeon said the trend in breast augmentation was the “bigger the better,” despite the unnatural look it gave to some patients, particularly those with small frame.

But nowadays, Smaili said that he is seeing more patients asking for revisions to “downsize their breast implant and achieve a more natural look.”

“I think the trend today is the natural bust size.  Just enough volume especially in the upper poles of the breasts to create more cleavage.  People should know that not all patients who ask for breast augmentation solely want to enlarge their breasts; in fact, a significant number of my patients just want to regain the lost volume caused by pregnancy,” Smaili said.

The cosmetic surgeon added that 300 to 350 cubic centimeter (cc) of breast implant size is often enough to create the natural look, although he warned that factors such as waistline, chest width, natural fat and tissue, and overall body frame should also be considered when deciding for the “right” implant size.

Citing Abraham’s breast augmentation, Smaili lauded her decision to stick “to a realistic size considering her small frame and thin arms.”

“Patients like her are easy to work with.  They know their body and consider its limitation.  While we always remind our patients that going for extremely large implants have many disadvantages, there are some who are still persistent about this.  But any self-respecting and ethical surgeons would have to turn these women down because we should not push the body’s limit—that’s my rule,” Smaili said.

50 Years After Silicone Breast Implants Were Introduced

It was in the early 1960s when Thomas Cronin and his team have developed the world’s first silicone breast implants.  The idea started when they noticed that plastic bags used by the blood banks have the same softness of a breast.

When Cronin attended a plastic surgery meeting, one of his colleagues told him about a new company which had a new product that can be made into solid and liquid form, with a variety of viscosity.  Another great thing about the device was the extreme compatibility with the human tissue.

The medical-grade silicone can be turned into a solid form which will serve as the shell, while the cohesive silicone gel will act as the filling.  This material then paved way for the invention of silicone-filled breast implant, one of the most commonly used devices in cosmetic plastic surgery to date.

After creating the first prototype of silicone breast implant, the device was implanted into a dog.  The trial worked okay and so Cronin and his colleagues started to look for a woman who would be interested to have the first breast augmentation surgery through the new device.

The plastic surgeons found a willing test subject: Timmy Lindsey.  Now she is 80 years old and working in a care home in Texas.

At the time, no one would have ever imagined that breast augmentation surgery would become one of the most popular cosmetic surgeries worldwide.  In fact, a 2010 survey conducted by the American Society of Plastic Surgeons showed that 296,000 procedures were performed in the US.

It has been estimated that 5 to 10 million women worldwide had breast augmentation surgery for cosmetic reasons, although a significant number also had it to reconstruct their breasts after mastectomy (or cancer surgery), and for transsexual people to transition from male to female.

While breast augmentation is popular in the US and UK, this is not the case in some countries which have their own standard of beauty.  For example, the procedure is not as popular in Brazil because most people there prefer large buttocks rather than big breasts.

Today, most women who seek for cosmetic breast augmentation are categorized into two groups: those with small breasts who want to increase their bust size, and those mothers who have deflated-looking bosoms which are caused by childbirth.

In the US and most European countries, breast augmentation for cosmetic reasons can only be conducted for patients aged 18 years and older.