September 2024
Modern Breast Augmentation:
Subtle, Natural, and Customized
In the world of cosmetic surgery, breast augmentation has long been one of the most popular procedures. But like all things beauty, trends and surgical techniques are ever-evolving, moving toward more natural, subtle, and body-friendly approaches. Today, the focus is on enhancing breast volume and achieving an optimal look that aligns with the body’s natural contours and fits an active, modern lifestyle. From subfascial placement to advanced implant technologies like gummy bear breast implants and fat transfer breast augmentation, here's what you need to know about modern breast augmentation surgery.
Subfascial Augmentation: The Active Woman's Choice
For women who lead an active lifestyle and are into exercises like yoga, pilates, CrossFit, or tennis, traditional breast implant surgery under the muscle (submuscular placement) can sometimes lead to a less-than-ideal outcome. One of the most common concerns? Animation deformity—the visible distortion of the breast when the pectoral muscles are engaged during exercise.
Enter subfascial augmentation. This surgical technique places the implant beneath the fascia (a thin connective tissue layer) but above the muscle. It offers a stable, natural-looking breast shape while avoiding the dynamic movement and distortion often seen with submuscular implants during physical activities. For those who prioritize both aesthetic goals and an active lifestyle, subfascial augmentation can be a game-changer.
Internal Bra Support: Preventing "Bottoming Out"
One of the challenges of breast augmentation, especially over time, is maintaining the implant’s position. Over time, some women may experience bottoming out, where the implant shifts downward, creating an unnatural appearance and reducing upper pole fullness.
To counter this, plastic surgeons are increasingly using internal bra support systems like DuraSorb or Galaflex. These are bioresorbable mesh materials that act as an internal scaffold, providing support to the implant as the natural breast tissue heals and strengthens over time. Think of it as a long-term structural enhancement that supports the breast tissue, preventing sagging or downward displacement. This innovation is especially beneficial for women with thinner tissue or those opting for larger breasts.
Size Matters: Less is More
Gone are the days of over-the-top cleavage and high-profile, full upper poles that scream “augmented.” The new trend is all about subtle enhancement—smaller implant size, less volume, and a more natural appearance.
Rather than aiming for a highly pronounced look, many women today are opting for more athletic, teardrop implants that complement the body’s natural proportions. This trend emphasizes a shape that aligns with aesthetic goals, featuring a softer, more tapered appearance that looks and feels authentic. With less focus on dramatic cleavage, the goal is an elegant, understated result—breasts that enhance the figure without dominating it.
This shift toward "less is more" not only suits women looking for a more natural result but also fits with modern aesthetics, where balance and body harmony are prioritized over exaggerated enhancement.
The Future of Implants: 6th-Generation Silicone and Beyond
When it comes to types of breast implants, the future is bright. The latest generation of silicone implants—often referred to as “gummy bear” implants—are designed to be softer, more cohesive, and more natural-feeling than ever before. These 6th-generation silicone gel implants are not only safer (they hold their shape even if ruptured), but they also provide a more consistent, long-term result.
In addition to these improvements, an exciting innovation is on the horizon: Motiva implants. These implants, already widely used in Europe, are known for being lighter and more resistant to capsular contracture, a common complication in breast augmentation surgery. Motiva implants represent the next step in implant technology, offering both improved safety and superior aesthetic results. For women considering augmentation soon, these implants could soon offer even better options to achieve the perfect balance of form, feel, and durability.
Fat Grafting: The Perfect Complement
For women with thinner natural breast tissue or those seeking the most natural appearance possible, fat transfer breast augmentation is becoming an increasingly popular addition to breast augmentation. By transferring a patient’s fat—typically from areas like the abdomen or thighs—board-certified plastic surgeons can use this fat to conceal the edges of implants, smooth out transitions, and enhance fullness in a subtle, more organic way.
Fat grafting is particularly beneficial for creating a soft, natural contour and helping to hide any visible implant edges that might occur, especially in thinner patients. This technique not only improves the appearance of the breast but also has the added benefit of refining the donor areas, providing a dual sculpting effect. With this approach, implants can be placed with precision, while the fat ensures a smooth, natural look and feel.
Achieving the Optimal Look
Modern breast augmentation has come a long way from the days of simply increasing size. Today’s techniques and technologies prioritize natural aesthetics, long-term support, and seamless integration with an active lifestyle. Whether it’s the innovative use of subfascial implant placement to avoid animation deformity, internal bra support systems like DuraSorb to prevent bottoming out, or the use of fat grafting to soften the look, the options available now allow for a highly customized approach to breast augmentation.
With the evolution of 6th-generation silicone implants and the soon-to-be-available Motiva implants, the future of breast augmentation is focused on enhancing not just appearance, but also long-term satisfaction and overall body harmony. For the modern woman, achieving the perfect look isn’t about doing more—it’s about doing it smarter, more naturally, and with a focus on feeling just as confident at the gym as you do on the beach.
Breast Augmentation Before and After in Dallas, Texas- Dr. John Burns, MD, FACS
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Breast Augmentation Before and After in Dallas, Texas- Dr. John Burns, MD, FACS
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