As its name suggests, breast
augmentation is performed to augment the bust size of patients, making
this particularly appealing to flat-chested women or those with AA and A cup.
Flat-chested women have very little tissue and fat, a
feature which must be given importance to achieve natural results and prevent
complications particularly wrinkling and rippling.
First and foremost, patients with small breasts should stay
away from textured implants that have a rough surface, a feature always found
in teardrop-shaped implants to prevent them from rotating and causing visible
deformity.
Some textured
implants also come in round shape.
The theory behind this is that the rough outer shell can prevent the tissue
from becoming too thick—a condition called capsular contracture—that it results
to deformity and pain. However, no
extensive study has proven this claim.
Textured implants, particularly those with large
“graininess,” should be avoided by flat-chested women because they face a
higher risk of palpable and visible wrinkling.
For this reason, they are generally advised to choose smooth implants,
which are also believed to last longer because they are less prone to “folding”
that can lead to rupture over time.
Aside from smooth shell, the breast
implants for flat-chested patients are ideally filled with silicone gel
rather than saline (or a sterile mixture of salt and water) to simulate the
feel of natural tissue—something which they definitely lack.
The result between the saline and silicone
implants is the same when there is an ample amount of tissue and fats,
although this is not the case if the breasts are very small as the saline
implants, more often than not, lead to an unusually round appearance.
A dome-shaped breast is one of the most common telltale
signs of plastic surgery, so it is not surprising that most patients do not
want this look.
Another technique to avoid the “fake” look is to choose the appropriate
implant size. The general rule is that
natural appearance is easily achieved if the breast volume mostly consists of
natural tissue rather than implants.
When plastic
surgeons refer to large breast implant, it often means a size that is
more than 600-700 cubic centimeters.
Meanwhile, the amount of tissue also dictates the most ideal
breast
augmentation technique. More often
than not, flat-chested women have undefined breast crease, making this incision
site more challenging, although not impossible.
Plastic surgeons are extra careful when using the breast
crease incision site on small-busted women to avoid a low- or high-riding scar.
