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Breast augmentation surgery can balance existing asymmetries and change the line of a woman's body so that her proportions more closely approximate her personal ideal. Most women who undergo breast augmentation do so to achieve a larger and fuller bust.

Breast augmentation, however, does not mandate an extreme change in breast size.  Many of Dr. Belsley's clients undergo breast augmentation primarily to achieve a more aesthetically pleasing breast shape, increasing the size of their breasts only modestly.

The new proportion achieved with breast augmentation surgery is aesthetically pleasing to the client and can often allow her to shine like never before in many of today's most stunning fashions.

Contracture revision with sub-pectoral 330 cc saline implants and breast lift

before
after

This case depicts a 30 year old woman who had undergone breast augmentation with 300 cc smooth, round saline implants placed above the pectoralis muscles via a periareolar incision by another surgeon approximately one year prior to her consultation with Dr. Belsley.

Her Grade IV capsular contracture was revised by exchanging her implants and placing the new 330 cc smooth, round saline implants below the pectoralis muscle and performing a vertical or "lollipop" incision breast lift. The post-operative photographs depict her appearance just under one year after her corrective surgery.

Tuberous breast deformity

before
after

This case depicts a 24 year old woman with a tuberous breast deformity who underwent breast augmentation with 330 cc smooth, round, saline implants placed beneath the pectoralis muscles via a periareolar approach.

Her areolas were reduced simultaneously, necessitating an incision completely around the perimeter of the areola.The post-operative photographs depict her appearance at two weeks after surgery.

Dr. Belsley's Philosophy of Breast Augmentation

When it comes to deciding what approximate breast size you wish to achieve, the best advice I can give you is that you should be guided by your physical frame.  Indeed, you may in fact be limited by it.  In my practice, I select implants based upon your chest measurements, the quality of your breast skin and the size of your breasts prior to surgery.

I perform breast augmentation through a peri-areolar or inframammary approach and I place that vast majority of implants at least partially beneath the pectoralis muscle.  My patients are welcome to select either saline or silicone filled breast implants.  Silicone filled implants can in some cases achieve a more natural feel and may be a particularly attractive option for women with less breast tissue prior to surgery. 

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Cosmetic breast augmentation is different from reconstruction

This procedure is distinct from “reconstruction” after an injury or removal of a breast. It is usually performed when the patient is dissatisfied with the size of her breasts, she may have been teased at school, or suffered negative comments from male companions, or may think she would “present” better in the job market if she had a better figure. As in all forms of aesthetic surgery, the surgeon must be aware of the patient’s expectations and psyche.

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