Breast Surgery Decisions You May Not Have Considered

Plastic Surgeon Explains What Needs to be Considered

According to a study completed by the American Society of Plastic Surgeons, breast augmentation was the most popular cosmetic surgery procedure in 2012. But before deciding to undergo the procedure, there are many components to consider. Board-certified plastic surgeon Dr. M Bradley Calobrace gives his advice for choices surrounding breast enhancement procedures.

“There are a lot of trade-offs that individuals must consider when having their breasts enhanced,” says Dr. Calobrace. “From size and implant type to perkiness, it’s crucial to analyze all of the decisions surrounding the surgery before diving in to come up with the best solution for you.”

Dr. Calobrace suggests breast augmentation patients consider the following:

  • Firm vs. Soft: The type of implant varies depending on both surgeon preferences and patient preferences as well. With a firmer implant, there is less wrinkling and dimpling, but there is also a less natural feel to the breast. Many women prefer the more natural shape and feel of silicone.
  • Implant Placement: Patients must consider whether they want the implant on top of or below the pectoral muscle. Typically, implants placed behind the breast tissue and on top of the muscle appear the most natural. However, consider all of the implant placement position as each offers varied effects on the rippling of skin and appearance of flexed muscles.
  • Physical Position: Women must also consider how high they would like the implant to be placed and how perky of an implant to select. Lifted, perky breasts give a youthful look while a teardrop shape may appear more natural.
  • Implant Texture: As a natural reaction to a foreign object in the body, the body forms scar tissue to protect itself, which may create hardening of the breasts and a rippling effect. Using a textured implant helps reduce the risk of excessive scar tissue and allows the scar tissue to adhere to the implant instead.
  • Nipple Replacement: Since there is no nipple stimulation, only one state is possible with breast augmentation. Patients must consider whether or not to keep the ‘headlights’ on when reconstruction is performed.

“Once you’ve decided on the factors above, patients can consider physical implant size options,” continues Dr. Calobrace. “Remember that bigger isn’t always better and pick something that will help you feel comfortable and confident.”

About Dr. Calobrace
M. Bradley Calobrace, M.D., FACS is a board-certified, Los-Angeles-trained Kentucky plastic surgeon who established Calobrace Plastic Surgery Center in an effort to bring the latest technology and techniques in plastic surgery to the Louisville area. Dr. Calobrace is board-certified by the American Board of Plastic Surgery and is a member of numerous professional organizations, including the American Society of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, Kentucky Society of Plastic Surgeons, and American College of Surgeons. He is a gratis clinical faculty member with the Department of Surgery at the University of Louisville and received teaching honors in 2007 for his participation in the plastic surgery residency. He was named one of Louisville’s “Top Docs” and “Best of Louisville” in Louisville Magazine and has also been featured in NewBeauty magazine. For more information visit

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