Breast aesthetics, oneof the most popular plastic surgeries, is highly effective on self-confidenceas well as changing the physical appearance. The method and breast size to beused in breast aesthetics, which is an operation with a high success rate, aredetermined both according to the body type and expectations of the patient.
On the other hand, it is of great importanceto decide on the ideal breast aesthetics in terms of method and size before theoperation, since the dissatisfaction of the patients after the operation willrequire revision operations and these operations will be both economically andpsychologically wearing out.
So, how are breast prosthesis sizes or cupvalues determined when deciding on the ideal breast aesthetics? Regarding this,it is possible to make an explanation as follows:
What Is Breast Volume And How Is It Determined?
Bra size method is used when calculatingbreast volume. When calculating breast volume with this method, first thecircumference of the rib cage and secondly the circumference of the chest aretaken into account. Rib cage circumference is measured based on the lower foldof the breasts. Chest circumference is measured at the level of the nipples. Thevalue after measuring the rib cage indicates the bra size. Values for bras arecalculated as 60, 65, 70, 75 as a multiple of 5. In other words, if the measureis 72, it will be evaluated as 70, and if the measure is 84, it will beevaluated as 85.
To obtain the cup value, the chestcircumference measurement must be subtracted from the circumference of the ribcage.
The obtained values are classified between A and DD.
It is possible to explain these values with anexample. Let's say an individual has a chest circumference of 92 cm and a ribcage circumference of 77 cm. In this case, the bra size of the individual iscalculated as 75. The value of 15, obtained by subtracting 77 from 92,indicates the cup size. So it is C. A indicates the smallest breast size and DDthe largest breast size.
The said values are as follows:
- A: Less than 6.5 cm
- B: 6.5 cm to 13 cm
- C: 14 cm to 19.5 cm
- D: 19.5 cm to 26 cm
- DD: greater than 26 cm
What Are The Elements That Determine The Ideal Breast Aesthetics?
Factors such as the height, weight, age, bodyand breast structure of the patients are decisive for the ideal breastaesthetics. Factors such as the shape of the rib cage, the size of the breasts,and the sagging rate of the breasts are also among the factors that determinethe ideal breast aesthetics.
The factors to consider when deciding on the idealbreast aesthetics are:
Patients' Height, Weight And Age
The height, weight and age of the patients,which can also be evaluated as the general body structure, are the mostimportant factors in determining the breast aesthetics. Large prostheses can beused in cases where the patients are taller than normal and their weight ishigher than normal. Smaller breast prostheses can be used in short and thinpatients. For example, B cup breasts used in tall patients can create anaesthetically unpleasant appearance. Similarly, D cup breasts should not beused in short patients.
Shape Of The Rib Cage
What creates an aesthetic appearance is notonly the structure of the breasts, but also the condition of the rib cage andthe general structure of the body. In other words, the shape and body structureof the rib cage should be in harmony with the breasts. The fact that tall womenhave a narrow rib cage or short women have broad shoulders and rib cages areeffective in determining breast prostheses. For example, skeletal system problems such as scoliosis or kyphosis should be evaluated before choosing a prosthesis
Breast Size And Asymmetry
The size of the breasts is important for the result obtained to look natural. For example, if patients have enough breast tissue, prosthesis selection is much easier. However, in cases where there is not enough breast tissue, a natural appearance may not be obtained if large prostheses are placed.
In other words, the prosthesis to be placedmust be compatible with the existing breast tissue. However, if the placedprosthesis is larger than the breast tissue, a much more natural and curvedappearance can be obtained with soft tissue transfer.
On the other hand, breast asymmetry is seen inthe majority of women. In cases where this asymmetry is noticeable from theoutside, smaller prostheses can be used on the larger side of the breast orlarger prostheses on the smaller side. In addition to all these, factors suchas the ratio and distribution of the fat tissue in the breast, the elasticityand quality of the breast skin, the quality and structure of the cooperligaments, which are the supporting tissues of the breasts, are also effectivein determining the ideal breast aesthetics.
Sagging Ratio Of Breasts
With breast aesthetics, women not only havelarger, but also more upright breasts. The greater the sagging of the breasts,the larger the prosthesis to be used. In other words, if a breast augmentationsurgery is to be performed as well as a lifting operation, the size of theprostheses to be used may need to be somewhat larger. However, if there is skinloosening in patients and large prostheses are used despite this, sagging mayoccur over time. Therefore, it is important to consider this factor for thelong-term effect.
Of course, the most important factor indetermining the ideal breast aesthetics is patient expectations. However,necessary examinations should be made by the plastic surgeon, measurementsshould be made with 3D imaging techniques, and the ideal breast size should bedecided with the consultation of the patient and the surgeon.
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