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In breast augmentation it is critical to pick a
natural implant for the patient.!
Most of my patients are looking for a natural
result, and what people notice is that breasts are
too small, or too big. If its a perfect woman, she
would be born with a C cup. Then you don’t even
notice the breasts, you take in the whole ﬁgure.!
The critical determinant is the measure of the size
of your chest. So in other words you want to
measure where the cleavage starts in the midline,
and where the breast just covers the outer part of
the chest. That diameter should be the correct
diameter of the implant. And every implant has a
If you pick a diameter too small, you’re going to
have a wide cleavage even with the breasts out. If
you pick a diameter too big, it doesn’t ﬁt, and you
get that artiﬁcial ring at the top of the breasts that
most patients don’t want.!
So once we ﬁnd the correct diameter, then we talk
to the patients. Do you want a full C? One implant above that, or a small C, one implant below
With every one, you are going to have different widths of their chests, so everyone is going to
have a unique implant size to give them the absolutely most natural C cup.!
Almost all my patients, the implants are put in below the muscle. Three reasons: less apt to feel
the edge of it, massaging acts of the muscles keep it soft, and it is better for mammography in
later years because it separates the breast tissue from the breast.!
If you go into the muscle, that’s probably the part of the experience that can make you most
sore, and takes time to recover from, and it is usually just the ﬁrst 72 hours. It usually feels like
you over worked out. So what I tell my patients is that in the ﬁrst 72 hours, we will give them
some valium, which is a muscle relaxant, usually a light pain pill, but by 72 hours you should be
on just extra strength Tylenol.!
Most of my patients can return to work within four to ﬁve days. Heavy exercise is two to four
This blog post is based on an interview of Dr. Mark Prysi about Determining Breast Implant
Sizes and Location at the 2014 ASAPS conference in San Francisco, CA.