Even before the first documented breast augmentation surgery was performed in 1895, countless people have attempted to define what constitutes the ideal breast shape. Most often they focus on the relative fullness of the upper and lower breasts or on the relative position of the nipple and areola. Recent studies, however, have suggested that other features, such as the intermammary distance, may also play an important role in the perceived attractiveness of the breasts. A recent article published in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS), reported that 95 percent of participants selected images with a narrower distance between breasts to be more aesthetically pleasing. This study goes on to report that some potential breast augmentation complications involving the area between the breasts can be minimized or even eliminated by combining breast implants with selective parasternal fat grafting techniques.
Breast augmentation surgery on smaller, more athletic women can often pose certain challenges. With very little subcutaneous soft tissue, such as fat or excess skin, in the chest, it is more likely that the implants may appear unnatural. It is possible that improperly sized implants may create a noticeable medial border, producing a pronounced separation between the breasts. While several different techniques can be used to correct these concerns during breast revision surgery or implant removal, it is undoubtedly preferable to improve the final appearance of the breasts initially, which can often be done with fat transfer techniques.
Careful placement of fat between the sternum and implant on both sides can provide a significant cosmetic advantage in some patients, producing a smoother transition between the breasts and avoiding the artificial “separated breasts” appearance. In this approach, a small amount of the patient’s own fat is removed via liposuction from elsewhere in the body—such as the thighs or abdomen. After processing, these fat cells can be carefully injected along the inner (medial) borders of the breasts, achieving a more natural shape, and softening the “medial transition zone” between the sternum (breastbone) and the implant edges. The study mentioned above determined that breast augmentation performed in conjunction with this fat transfer technique reduces the intermammary distance and provides more attractive and natural-looking breast augmentation results.
If you are interested in breast reconstruction, or in any of the cosmetic procedures that I perform, contact the office to schedule a consultation today. Also, don’t forget to connect with me, Dr. James Namnoum, on Facebook, Twitter, and Google+ for more plastic surgery news and updates.