Discovering the Exceptional Skills of Dr. Raymond Goh: A Leading Plastic and Cosmetic Surgeon in Brisbane

 

Brisbane is home to many highly skilled and experienced plastic surgeons, and Dr. Raymond Goh is one of the best in the field. Dr. Goh is a highly qualified plastic and cosmetic surgeon who has been practicing in Brisbane for several years. He specializes in a wide range of plastic and cosmetic surgery procedures, including breast implants, body contouring, and facial rejuvenation.

Dr. Goh is known for his exceptional skills, attention to detail, and personalized approach to patient care. He takes the time to understand each patient's unique needs and goals, and develops a customized treatment plan to help them achieve their desired results. He is well-known for his ability to provide a natural-looking outcome and his patients are extremely satisfied with his services.

One of the most popular procedures that Dr. Goh performs is breast augmentation. Breast implants can help women achieve a more proportionate figure, boost self-confidence, and enhance their overall appearance. Dr. Goh uses the latest techniques and technologies to perform breast implant surgery, ensuring that the procedure is safe, effective, and results in a natural-looking outcome.

In addition to breast augmentation, Dr. Goh also offers other cosmetic surgery procedures such as liposuction, tummy tucks, facelifts, and eyelid surgery. All of these procedures can help to improve a patient's self-esteem and confidence. He also offers non-surgical treatments such as Botox and filler injections, which can help to reduce the signs of aging and enhance facial features.

When choosing a cosmetic surgeon in Brisbane, it's important to do your research and choose a qualified and experienced surgeon like Dr. Goh. He is one of the best cosmetic surgeons in Brisbane, who is known for his exceptional skills and personalized approach to patient care. He is dedicated to providing the best possible care to his patients and ensuring that they achieve their desired results.

In conclusion, Dr. Raymond Goh is a highly qualified plastic and cosmetic surgeon based in Brisbane. He specializes in a wide range of plastic and cosmetic surgery procedures, and is known for his exceptional skills, attention to detail, and personalized approach to patient care. He offers a wide range of services including breast augmentation, liposuction, tummy tucks, facelifts, and eyelid surgery, as well as non-surgical treatments like Botox and filler injections. If you are looking for the best cosmetic surgeon in Brisbane, Dr. Goh is an excellent choice.

WHICH INCISION?

Effect of Incision Choice on Outcomes in Primary Breast Augmentation

If you are thinking about having breast augmentation, one of the factors that needs consideration is the site of the incision (where the cut in the skin will be created to place the implant through).

The options for the incision in breast augmentation are:

1. inframammary (in the fold underneath the breast)
2. peri-areolar (around the nipple)
3. trans-axillary (arm-pit)
4. trans-umbilical

The trans-umbilical approach has many drawbacks and is seldom performed. The trans-axillary approach has a scar that’s well hidden; however, this approach does not allow the Breast Augmentation Surgeon Brisbane as good an access to the breast when compared with the inframammary or peri-areolar approach.

In my practice, the inframammary and peri-areolar incisions are the most commonly used approaches for breast augmentation. They each have their pros and cons, and I would discuss these with the patient during our consultation, taking into consideration the patient’s personal preference. Both incisions give good access to the breast, both for primary as well as secondary procedures if they are ever required. Both incisions can heal up to become almost indistinguishable.

A study conducted in 2011 by Professor Scott Spears showed that the incidence of capsular contracture, which is scarring around an Breast Implants Brisbane that can contract and cause symptoms, is highest with the transaxillary approach and lowest with the inframammary approach. One theory behind the cause of capsular contracture is bacterial contamination. The lower rate of capsular contracture with the inframammary approach may be related to the possible reduction in contamination by bacteria (theoretically, the the nipple or armpit can be a source of bacteria). The occurrence of capsular contracture can be unpredictable, and further studies on this condition are been carried out to determine ways of minimising their occurrence.

Mysteries of The Breast Lifted

“How do you LIFT my breasts?”

This was a question posed to me recently by a patient unhappy with the state of her breasts – her post-pregnancy, breast fed, sagging breasts.

The answer? Not with magic. But with consideration for each anatomical component of the breast, and the state at where they are compared to where they ideally should be. To break it up into simple terms to understand, let’s consider three components of the sagging breast:

1. The nipple

“Droopiness” of the breast is often termed breast ptosis. This relates to and is classified by the position of the nipple in relation to the breast it lies on. In the ideal breast, the nipple should be pointing forward, and positioned above the inframammary fold (the breast crease). With age and especially after breast feeding, the breast substance is reduced, and the supporting tissues of the breast begin to weaken, causing the nipple to sag and move south. One part of a breast lift (mastopexy) is to reposition the nipple back up to where it should be.

2. The breast tissue (parenchyma)

The size of the breast can wax and wane, influenced by weight changes, pregnancy, as well as normal hormonal variations throughout the menstrual cycle. Some women who have lost significant weight find that they’ve lost substance to their breasts. Post breast-feeding women experience a similar deflation of their breasts. A breast lift on its own will NOT correct loss of breast substance. The volume can only be restored through an augmentation, of which implants are the most common and preferred method.

3. The breast skin

The key factor here is to consider the elasticity of the breast skin. To help understand the correlation between skin elasticity and sagginess, here are two analogies:

Analogy 1: consider a brand new rubber balloon inflated and expanded with air. When a little bit of the air is released, the elastic balloon will reduce in size, but at all times maintain the general shape of the inflated balloon. Only when the air is nearly all out will the shape of the inflated balloon be lost. This is analogous to a youthful breast that for whatever reason has its volume reduced. When the volume reduction is minimal to moderate, the elasticity of the breast skin may be able to cope with maintaining the shape of the breast. However, if volume Breast Reduction Brisbane is large (such as in massive weight loss), the skin will not cope, and sagginess results.

Analogy 2: consider a plastic bag similarly filled with air. When the air is slowly released from this, the inelastic nature of the plastic bag does not allow for uniform shrinkage of the bag, and the bag becomes loose and out of shape immediately. This is analogous to the skin of the ageing, post-menopausal breast. The breast has lost its elasticity and ability to expand and retract according to the volume of the breast. In effect, the skin of the breast no longer has the tensile ability to hold the breast in shape. Stretching occurs, and sagginess results.

A Breast Lift in Brisbane will frequently involve tightening of the breast skin and removal of excess skin. This will often mean a scar on the breast as a consequence. It’s a trade-off. A saggy breast for a shapely breast with a scar. The scar is in general around the areolar and down to the breast crease, and will usually fade over time. The patient however must understand, and accept, that a scar will always be a scar, no matter how faint.

Each patient’s breasts must be assessed according to what it has and what it lacks. Not too infrequently, the right and left breasts are not equal – in volume, shape, or both. What concerns the patient and what she wishes to have is of utmost importance. A combination of clinical assessment, patient’s desires and what is clinically possible is conglomerated to formulate a surgical plan.

What You Need To Know Breast Reduction And Implants In Brisbane

Cosmetic surgeries have become popular for many reasons but the topmost reason is that it gives you that sense of beauty so that you can showcase your individuality and unique appearance. You can go for dental cosmetic, eyelash cosmetic, and beast cosmetic surgeries.

If you are looking for Breast Augmentation Surgeon Brisbane, then you should and must be looking for a good clinic but before that, you should and must know a few things about breast cosmetic surgeries.

Things to know about breast cosmetic surgery:

The first thing is that this particular field is quite dynamic and you have a lot of different types of procedures that you can go for, for example, you can go for augmentation while you are looking for resizing unevenly sized breasts.

You can go for breast reduction surgeries when you are looking for decreasing the size of breast that have grown for some or other reasons, you also have breast implants for which you need to Breast Implants Brisbane. Breast implants is a tricky process but through the help of good specialists, you can implant breasts and make them look natural and have that sensation that you lost.

Consult to know more:

When you are planning to go for breast augmentation or cosmetic surgeries, you will have to make sure that you are making the right decisions as far as procedures are concerned. You have to know your condition and find a procedure that suits your needs.

Whether you should be going for implants or reduction can be found out after the specialists have a look at your situation and weight all the options, hence, you should make sure that you find good clinics where you can consult and find out more about what you can expect.

The thing is that it would be always wise to have a clear idea about what you are looking for and what you can expect because, in that way, you will make sure that you are not overexciting things which could hamper your state of minds and state of being.

Getting better surgeons and results:

• You have to make sure that you are working with the best and these smartest surgeons that are experienced and you can find such experienced surgeons by looking in them through references or you can look for them on the web
• You have to make sure that you are verifying their credentials and finding out good they are in surgeries and their previous track record can get you a lot of info about how good they can be
• You must also be looking at how advanced they are and how good they are using the latest technology and tools, at the same time, you should also be looking at the cost of the surgeries and procedures

The crux of the matter is that whether you are looking for Breast Reduction Brisbane or implants, you must find good clinicians for the same and for that you should be following these tips as this tips can help you get clinics. 

BREAST AUGMENTATION COMPLICATIONS

Breast Augmentation Surgery: Potential Risks

Breast augmentation and breast lift (mastopexy) procedures can dramatically improve the femininity and self confidence of women seeking enhancement of their breasts. The majority of women having breast augmentation will travel through their procedure uneventfully. There are certain things after the operation that should be expected, such as swelling, mild to moderate discomfort, and temporary numbness – these should be communicated to the patient prior to surgery. The benefits of having a breast augmentation or lift should also be balanced with comprehensive discussion on the potential risks and complications of undergoing the procedure.

As common as it is, and as much as it is promoted, discussed, and popularised in social and popular media, the potential risks of breast augmentation and lift should never be trivialised. It is still a surgical procedure, and all surgical procedures carry potential risks. The list of possible complications of breast augmentation and Breast Lift in Brisbane is exhaustive, but the important ones include:

1. Bleeding. If bleeding is significant enough, this may warrant a return to the operating theatre, and evacuation of the haematoma (collection of blood) and identification and cessation of the source of bleeding. The signs of bleeding include an increase in pain and swelling/size of the breast. If this occurs, you should immediately contact your surgeon or hospital emergency department.
2. Infection. This is rare. However, if an infection develops around the implant becomes severe enough, it may be necessary to remove the implant and clean out the wound.
3. Numbness. This usually recovers after several weeks, but may persist for longer in some women.
4. Capsular Contracture. This is scarring around the implant which may be severe enough to cause symptoms. It can occur in the short term or many years after placement of the silicone implants. The body will naturally form a layer of scar tissue around the silicone implant – this is expected, normal, and is called a capsule. A capsular contracture occurs when the scar tissue becomes thick and firm enough to cause discomfort, palpable hardness, and visible deformity. A surgical procedure may be required (capsulectomy) to remove the capsule if symptoms are severe enough.
5. Asymmetry. There can be many reasons why breast may appear not exactly symmetrical after an augmentation or lift procedure. It may be related swelling, capsular contracture, or due to technical aspects of the pocket creation, pectorals muscle release, nipple positioning, degree of skin adjustment, and establishing the inframammary fold. The Breast Implants Brisbane may take several weeks to settle into their final position whilst the swelling dissipates, and it is important during this time that you diligently wear the supportive garment provided.
6. Complications related to the general anaesthesia. These include blood clots, chemical imbalances, and heart and lung related issues.

Whilst complications after breast augmentation and lift surgery are not common, when they do occur, they can impact upon the patient’s physical and emotional wellbeing, and cause a significant setback in their overall expectation. It is important at this time that the patient is fully informed of and understands what is occurring and the possible reasons behind it. Sometimes, however, a complication can occur without any clear reason and even after the most perfectly executed surgery. Whatever may be the case, it is important that the Breast Augmentation Surgeon Brisbane communicates to the patient how the problem can be fixed (if a secondary procedure is indicated) and what is to be expected.

Breast Implants or Breast Lift?

Many patients present for breast enhancement, but are unsure if what they require are Breast Implants Brisbane or if they require a lift (mastopexy) procedure, with or without implants. Of course, to be entirely sure, a complete assessment by a fully qualified plastic surgeon experienced in breast enhancement surgery is necessary. However, there are a few tips that patients can apply to get a fairly close idea as to which procedure is required to give them the result they are looking for.

The “look in the mirror” assessment:

Patients can gain a quick assessment just by looking at the mirror (with arms down by your side) or at photographs taken of them.

Try to avoid “selfies” of breasts as these are often taken at incorrect angles and distances, rendering them distorted and inaccurate.

When you look at the mirror, make a note of where you inframammary fold or breast crease is. The folds on each side may be at different levels, and this factor in breast asymmetry is common and can be considered normal.

Once you have determined where your breast fold is, take note of the following:

The NIPPLE position: is this ABOVE the fold, AT the fold, or BELOW the fold.

The bulk of your BREAST TISSUE: is this ABOVE the fold, AT the fold, or BELOW the fold.

Once the above questions have been answered, we have most of the necessary information required to determine which is the best operation to perform; this however has to be balanced with what result we’re aiming for, as there are sometimes limitations caused by the patient’s anatomy.

In general, if your nipple and most of your breast tissue lies above the breast fold, then you should get a very good and long-lasting result with implants alone. On the flip side, if your nipple and most of your breast tissue lies below the fold, then you will NOT be able to get a good result with implants alone, no matter how large they are. You will in this case require a breast lift, with or without implants (depending on what volume you wish to achieve).

The tricky judgement call arises when the nipple AND/OR the bulk of the breast tissue lies AT around the breast fold level. These “borderline” situations demand one other important question to be answered: What size or volume increase are you looking for?

In cases of borderline droopiness, the patient MAY be able to get away with a reasonable result with an implant alone; however, the caveat is that implant must be of a large enough size that will allow the loose lower skin to be filled. The result of such an approach may give a satisfactory result, but it certainly won’t be as “perky” a result when compared with a lift or the result gained with implants in a non-droopy patient. If you are a borderline case and only looking for a small increase in size/volume, then a lift is often advised.

The trade off with a lift (with or without implants) is, of course, the inevitable scarring. A breast lift (or mastopexy) involves elevating the nipple areolar complex to a higher, more desirable position, removal of lax breast tissue, and tightening of the breast skin envelope. This will result in circular scar around the nipple areola, a vertical scar down the centre of the breast, and often a horizontal scar across the breast fold. This scarring in most patient will fade with time and become quite inconspicuous.

So there you have it. A quick and simple analytical process that enables you a fairly good idea to see if you are a good candidate for breast implants alone or if you require a breast lift. Remember, nothing beats a comprehensive assessment with an experienced Breast Implants Surgeon Brisbane. Know what kind of result you are looking for in terms of SHAPE and SIZE. Discuss these with your surgeon to see if they are achievable. There are many other factors (such as skin quality, breast tissue composition, tubular deformity etc) that play a part in the decision making process, and your pre-existing anatomy may also limit what can be achieved.

The ideal breasts, with a full rounded lower pole contour and the nipple areolar complex positioned at the apex of the breast. Both nipple and bulk of breast tissue lies above the breast crease.

Severe breast ptosis (droopiness) where both the nipple and bulk of breast tissue lies below the breast crease. This will definitely require a lift procedure, with or without an implant.

Breast asymmetry with pseudo-ptosis (nipple ok, breast tissue droop) on the left side. The right side will do fine with an implant alone. The left side however, with the nipple above the fold, but with the bulk of the breast tissue starting to fall below the fold, will either need an implant large enough to fill out the lax lower breast tissue or a smaller implant together with a Breast Lift in Brisbane.

Breast Augmentation Goals

In any cosmetic surgery consultation, one of the most important things to establish from the very onset are the patient’s wishes and goals.

In Breast Augmentation, this means that the surgeon must understand and determine the kind of result the patient is hoping for, in terms of breast shape and size. After surgical goals have been established, it then becomes easier for both Breast Augmentation Surgeon Brisbane and patient to work through the type and size of implant, pocket placement, and surgical technique to be applied in order to achieve the best result.

To make it easier in my consultations, I like to think of the goal (or final result) from breast augmentation as broken into four categories. Most patients will fall into one of these goals:

1. “You’ve got breasts”

This is a small and subtle increase in size. You do not want anyone to know that you have had breast augmentation, and people around you may not notice the change.

2. “Nice breasts”

This is a natural result, with a gentle slopping upper pole, and a round lower pole. There is often little hint to others that your breasts have been surgically enhanced.

3. “Are they real?”

The breasts are large, but may still be accepted as just falling within what nature can endow. There is fullness and roundness in the upper pole and sides.

4. “They are not real”

Size rules here – as big as can be done – the breasts are disproportionally large compared to your body. Patients in this category wish to have the “fake” look.

Remember, for each patient, there is a safe range of implant shapes and sizes that can be used to augment the breasts. Once you venture beyond this safe range, the risks of future complications such as displacement and capsular contracture dramatically increases. The final result gained from breast augmentation is a very subjective matter. The eventual size of implant used is often chosen by the patient; however, it is the surgeon’s role to guide the patient in making this decision based on the patients wishes and their breast anatomy.

Breast Implants Surgeon Brisbane, Breast Reconstruction Brisbane

How Plastic Surgery Helps In Correcting Body Image And Reconstruction?

Plastic and cosmetic surgery are becoming quite popular these days. These are mostly surgical techniques which helps in better enhancement of certain features and body parts. The plastic surgery specialist must have years of experience and maintain standard practices with state-of-the-art infrastructural facilities. 

Correct Body Image through Breast Procedures 

One of the main reason women choose to go for breast implantation is to increase self-confidence and body image. Most woman undergo the breast implants Brisbane to increase or alter the size of the breast. The size of the breast can be enhanced mostly by placing silicone implants in under breast tissues. 

There are different types of procedures which helps in correct the size and shape of the breast. At times, this process is even important for correcting and reconstruction after a breast cancer surgery. The surgical procedure must be done using excellent standard practices. 

• The breast enhancement procedures helps in increasing the size of the breast. It accentuate the shape of the breast and makes it look fuller. 
• The sagging breast can be pushed up and lifted with the breast lift procedure. This helps in restoring the natural shape of the breast and firmness. 
• The breast reduction process helps in reducing the breast size. It helps in making the breast smaller and firmer. This relives pain and ache issues.
• The reduction process helps in reducing discomfort caused by heavy breast. The breast Implants Surgeon Brisbane helps in increasing size of smaller breasts. 

The breast surgery and procedures are the most common correction procedures. This process helps in reconstruction of the breast and gives a firmer, natural shape. The reconstruction and implant helps in surgically implanting breast in women who have lost one or both breast due to cancer. 

Enhance the Facial Features for Better Appearance 

Cosmetic surgery is one of the best ways to enhance facial features and look gorgeous. It helps in correcting the shape of the nose, get fuller lips as well as even change facial bone structure. There are different types of facial features which enhances the overall appearance and look. 

One of the most common one is Rhinoplasty which is basically nose surgery. This procedure is conducted to reshape the nose and get a more appealing shape. It is not only to enhance the facial features but even for correcting issues related to breathing. This process involves reducing size of the nose. 

The process is carried only by sculpting and modifying the nasal tissue. The thickness of the nasal structure is altered, and it even helps in correcting nasal issues. It helps in bringing a balance in the nasal feature, remove elongated point or nose tip or help in reconstruction of nose after accidents. 

Experienced Plastic Surgeons Help with Safe Procedure 

It is important to contact a professional and highly experience plastic surgeon clinic for the process. A Rhinoplasty Surgeon will check a number of things and analyze the nose shape before conducting the procedure. The process takes time for healing and recovery after the surgery has been performed and completed. 

How Plastic Surgery can Help with Reconstruction of Body Positivity?

Cosmetic surgery has helped in setting advanced standards and body transformation. Dr Raymond Goh is a renowned and trusted center for plastic and cosmetic surgery. The plastic surgery is a big decision in life, and it can also be life changing. It is important to know the procedures before its undertaking. 

Choosing Experienced and Qualified plastic surgeon

There are many cases when plastic and cosmetic surgery has heavily gone wrong. It not only leads to disappointment but further bodily problems. Reconstructive and plastic surgeon Brisbane must be experienced, qualified and a precision while performing the surgery and procedure. 

• It is important to know the expertise of a surgeon. Make sure to take a consultation session before confirming the surgical procedure. Knowledge and skills are both equally important. 
• It is important to check for the results and look at before and after images of people who have undergone the surgery with help of the plastic surgeon. It is important to check for patient feedback.
• There is nothing that beats experience. Plastic surgeon must be an expert in his field and have practiced the process of surgery to perfection. 
• It is important to visit and contact a surgeon who has a good reputation. A reputed clinic have advanced techniques and procedures in place. 

Improve Face Aesthetics and Corrections

Our face is an important part of our body. It gives us our identification and makes us feel confident. With help of facial surgery, it helps in enhancing several features and correcting facial attributes. The rhinoplasty surgeon helps in changing the shape of the nose through surgery.

This procedure is not only important for changing the appearance and features but helps in complete nose reconstruction. There are many people who suffer from breathing issues due to the shape of the nose or some blockage. The process of rhinoplasty helps in reconstructing the nose that ensures improved breathing. 

One of the majorly performed surgery is the facelift which helps in reducing the signs of aging and helps in restoring the youthfulness of the face. With stress and excessive exposure to pollutants, the face tends to show effect of aging with wrinkles. The facelift helps in removing wrinkles and fine lines.

The facelift helps in reducing sagging skin and lifting the loose skin on face and neck. It also helps in removal of the fat deposits accumulated around the face. It helps in giving more prominence to the jaw line and majorly helps in tightening skin.

Body Improvement and Positivity  

The breast Implants Brisbane at Dr Raymond Goh clinic has helped in lifting sagging breast and give a body correction. The fatty tissues around the body and breast is not easy to remove and one of the best ways is through these corrective surgery procedures.

The process of liposuction is an important process which helps in removal of the excess fat in the body. The breast augmentation Surgeon Brisbane helps in giving a good shape to the breast. The tummy tuck helps in removing the fat and the sagging loose skin for a complete positive body. 

Why is Revision Rhinoplasty Tougher?

Revision rhinoplasty, also commonly referred to as secondary rhinoplasty, is any time the nose has surgery performed on it after the first surgery. Revision rhinoplasty is more often than not more difficult to perform than a primary (first time) procedure. It takes more time to complete, will often require materials gained from other parts of the body, and requires more knowledge, experience, and technical skills on the surgeon’s side.

So why is secondary rhinoplasty much tougher to perform? Well, to begin with, the anatomy is no longer pristine, but rather, there will often be an abundance of thick, hard scar tissue from the previous operation. Scar tissue obscures the natural tissue planes that separate the various cartilages, bone, and soft tissue within the nose. Precise and careful dissection is often painstakingly necessary to separate the scar tissue from normal structures of the nose.
Defining the normal existing anatomy of the nose is only the beginning and this alone can take hours. Once the existing anatomy of the nose has been clearly defined, the surgeon then has to assess what’s present, what’s absent, what’s normal, and what’s abnormal. This assessment is followed by correlation with the current clinical picture and what is the desired final outcome. To achieve this desired result, the surgeon then has to begin formulating a plan to “re-build” the nose.

The nose is like a tent, supported by its poles. Underneath the skin of the nose, there are inter-related cartilage structures that give shape to the nose. More importantly, these cartilages also keep the nostrils open and allows a patent airway to breathe through. Not uncommonly, a revision rhinoplasty case will present a nose that lacks structural support. Imagine a tent which has weak tent poles. A nose like this will lack strength and is at risk of collapse. One of the reasons why this type of nose may lack support may be due to over-removal of tissue from the previous operation.
To restore structural support to the nose, one has to find material (usually cartilage) to build and also support the construct of the nose. The cartilage that is used is often taken from the septum (the structure that runs down the middle of the nose), the ear, or the rib. “Harvesting” this cartilage material is another factor which adds to the complexity and time required for a revision rhinoplasty. It also adds to another scar on the patient.

At the outset at any rhinoplasty, one has to devise a plan together with the patient that aims to achieve the ideal outcome through one, first, and final, procedure. That been said, as with any other surgery, there is always the chance that the outcome achieved may not be 100% in line with what the patient expects. Complications can occur, and revision surgery is always a possibility. With nose surgery, both surgeon and patient need to be extra patient before they evaluate the final result. Swelling in the nose can persist for many months after surgery, especially in men and in thick skinned people.
One must be careful not to rush into performing a revision before the final shape of the nose is realised. The shape and function of the nose will continue to change and often improve as swelling subsides and the scar mature. Regular follow up between the patient and surgeon is therefore crucial to ensure that the patient is progressing in the right direction. 

Breast Augmentation Goals

In any cosmetic surgery consultation, one of the most important things to establish from the very onset are the patient’s wishes and goals.

In Breast Augmentation, this means that the surgeon must understand and determine the kind of result the patient is hoping for, in terms of breast shape and size. After surgical goals have been established, it then becomes easier for both surgeon and patient to work through the type and size of implant, pocket placement, and surgical technique to be applied in order to achieve the best result.

To make it easier in my consultations, I like to think of the goal (or final result) from breast augmentation as broken into four categories. Most patients will fall into one of these goals:

1. “You’ve got breasts”
   This is a small and subtle increase in size. You do not want anyone to know that you have had breast augmentation, and people around you may not notice the change.
2. “Nice breasts”
   This is a natural result, with a gentle slopping upper pole, and a round lower pole. There is often little hint to others that your breasts have been surgically enhanced.
3. “Are they real?”
   The breasts are large, but may still be accepted as just falling within what nature can endow. There is fullness and roundness in the upper pole and sides.
4. “They are not real”
   Size rules here – as big as can be done – the breasts are disproportionally large compared to your body. Patients in this category wish to have the “fake” look.

Remember, for each patient, there is a safe range of implant shapes and sizes that can be used to augment the breasts. Once you venture beyond this safe range, the risks of future complications such as displacement and capsular contracture dramatically increases. The final result gained from breast augmentation is a very subjective matter. The eventual size of implant used is often chosen by the patient; however, it is the surgeon’s role to guide the patient in making this decision based on the patients wishes and their breast anatomy.