Just Got Here? An Urban Glossary For Breast Augmentation Terminology

By VVartanian

             uniboob

Don't know the difference between a BL and a TUBA? Think "drop and fluff" describes driving to the dog groomer on Sunday? And isn't "bottoming out" a term recently reserved for real estate?  

It's o.k. if you're confused. We're here to help. Here's a lickety-split vocabulary lesson so you can navigate your BA with educated ease.

BA: breast augmentation. Simply put, it's a SX intended to enlarge the breast via: 1. saline or silicone breast implants (also called augmentation mammoplasty) or 2. the transfer of body fat into the breast.

BL: breast lift.  Gravity gets to everything eventually -- including the girls. And, if you throw in a few breastfed babies (or a good amount of weight loss), you've created the perfect storm for breast sagging. A BL (or mastopexy), often performed with (or without) the insertion of implants, aims to tighten loose skin and restore your friends to a perky place. There's four procedures available for saying goodbye to sag: Crescent, Peri-areolar, Lollipop and Anchor.

Boob Greed: a post-op worry that you haven't gone big enough. As in, "...boob greed has now set in HARD. I feel like I may not have been completely honest with myself about what I wanted. I feel like they are still somewhat small..." says community member Melymel2305.

Boobie Blues: a period of low mood or sadness following BA surgery. Surgery is physically and emotionally taxing, and adding pain meds and lack of sleep to the mix may cause mild depression. As in, "Am I just being a big baby? I think I have boobie blues because I find myself crying and regretting the procedure," says community member Liz12. That said, as your body and mind heal, it's likely your mood will elevate -- but be sure to report the "blues" to your doctor, especially if your symptoms are severe.

Bottoming Out: when implants travel "south of the border". So, if you consider the crease under your breasts the "border" -- sometimes implants work their way below that line and they look like they are sliding down your chest wall. As in, "I am almost positive that my breasts have begun to bottom out... will they continue to drop or could they possibly stay the way they are now?... I dislike the way they look when I raise my arms." says community member 3886anon is a RealSelf Q & A.  

Bottoming out can sometimes happen with large implants (as your tissues may not support a heavy implant) or the surgically created "pocket" holding the implant is stretched out. The solution to a bottomed-out breast implant is a surgical revision.

BWD: Breast Width Diameter. The BWD is a pre-surgery measurement your surgeon uses to select the right size implant. To determine your BWD, the breast is measured from the cleavage to it's outer edge. Women's breasts usually range from 11-14 centimeters, and it's best to opt for an implant slightly narrower or the same size as your BWD.

Capsular Contracture: breasts that may look (and feel) rock hard. Implants don't typically "harden" after surgery - but there is some risk that they tissue that surrounds them can.  

Dr. E. Ronald Finger defines this phenomenon is a RealSelf Q & A saying: "Capsular contracture is when the tissue surrounding the implant gets more dense and tightens around the implant squeezing it."  

Plastic surgeon Steven H. Williams says there are four grades of capsular contracture - ranging from a Grade I (where the breast is soft and looks natural) to a Grade IV (where the breast is firm, painful and abnormal looking).  The correction for severe capsular contracture is the replacement of your implants.

cc: cubic centimeter. A cc is a measure that determines the size (or volume) of your breast implant.  Sizes range from 120 to 800 cc's, although mid-road 350 cc implants are the most popular. That said, if your breasts are asymmetrical pre-op - your PS may use two different sizes to create a more balanced look post-op.

D & F: drop & fluff. When implants are first placed - swelling and stretching of the pectoralis major muscle can push the implants upward, often creating an unnatural look. Eventually, as the body heals, the implants will "drop" into place and the tissues will soften and "fluff" -- this process can take several weeks.  

"There is always swelling after implant placement that will take at least three to four months to resolve and often as long as six to seven months... So try to be patient and wait for your size and shape to finalize," says plastic surgeon Dr. Margaret Skiles in a RealSelf Q & A.

Dual Plane: a commonly used surgical technique where the top part of the implant is placed under the muscle and the bottom half is covered by your breast tissue.  Says plastic surgeon, Dr. Brooke R. Seckel, "This allow[s] an upward rotation or lift of the breast, which is very helpful in breasts that have a little sag."   

Fat Transfer: a "natural" option for breast augmentation. This "scarless" BA method involves gently liposuctioning fat from the abdomen and thighs and re-injecting it into the breasts.

Frankenboob/Spongebob Square Boob: the high "rectangular" or "square" appearance of breasts immediately after surgery. As in, "I am 4 days post-op from a BA (425 and 475 HP silicone implants) and have the dreaded squareboobs..." says community member breastochangeo. But, like our buddy (see morning boob), Frankenboob doesn't stick around for good. As the post-op swelling resolves, it's likely that the breasts will drop, soften and look less... boxy.

Gummy Bear: a highly cohesive silicone gel breast implant. Silicone implants have been around since the '60s - and have improved in their "cohesiveness" (or the cross-linking of silicone bonds that give the gel increased firmness). And, in 2012, the 5th generation silicone (or gummy bear) implant slid into the spotlight.   

Gummy bear benefits include: the ability to retain their shape over time, less risk for rippling and and little chance for silicone leakage -- all due to their consistency, which is thicker and "gummier" than 4th generation silicone implants.   

UHP/HP/MHP: Ultra High Profile/Allergan Style 45, High Profile, Moderate Profile. Profile is how far your implants project (or stick out) from your chest. High and ultra high profile profiles command a bit more, well, "presence" than moderate profile implants.  As in, "I am currently about a month post BA with 260 cc HP silicone implants," says community member slightpanic.  

Morning Boob: implants that temporarily harden upon awakening. As in, "I had a BA two weeks ago... I wake up every morning with my breasts feeling engorged like they did when I was breast feeding," says RealSelf community member BlackBeauty.  

Although, plastic surgeon, Dr. Richard Tholen says in a RealSelf Q & A that, "morning boob" is not forever... "Early in [BA] recovery --  you do not swing or use your arms very much [at night] -- and your pectoralis muscles tighten up to try to return to their previously unstretched state. Morning firmness results. Your muscles will reach a new steady state as time goes by -- and this morning firmness will go away permanently."

pre-op & post-op: pre-operative and post-operative. As in, "I was a saggy 32 AA after breastfeeding twins pre-op and now that I'm post-op -- I'm loving life and my full C's/small D's."

PS: plastic surgeon. The physician whose hands transform B cups to DD's on a daily basis.

Round: an implant with a symmetrical shape. Implant shapes come in two variations: round or teardrop (also known as anatomical or contour) shaped. Round implants are equally full at the top and bottom. Below is an example of a smooth, round saline implant.

Smooth: what the outer shell of your implant may feel like. Implant shells comes in two varieties: smooth or textured. Textured implants were initially intended to reduce the risk of (see capsular contracture) and keep the implant from shifting (or flipping) out of position.

Saline: what may be inside your implant – part one. Saline implants have a silicone shell filled with sterile salt water (a fluid similar to what’s already in your body).  So what makes saline different from silicone? Plastic surgeon, Dr. Arthur Cambiero says in a RealSelf Q & A, “Silicone feels and looks more natural and [you can see and feel] ripples [or the natural folds of the implant] less. Saline feels and looks a little less natural and ripples more. The incision is smaller with saline and bigger with silicone.”

Silicone: what may be inside your implant – part two. Silicone implants have a silicone shell filled with a “squishy” gel-like substance comparable to natural breast tissue.  (Also see gummy bear – but be warned it’s got little to do with animal-shaped candy). Below is an example of a smooth round silicone implant.

SX: surgery. Make sure your surgeon is board-certified in PS way before you sign on for any aesthetic SX.

Tear-Drop Shaped Implants: an anatomical or contour-shaped implant. This implant shape is pre-formed to resemble the sloping "tear-drop" quality of a natural breast.

Transaxillary, Periareolar, Crease/Inframammary or TUBA: BA incision sites. There's more that one way to get an implant to its final destination. You can insert the implant through an incision in your armpit (transaxillary), near the nipple (periareolar), under your breast (crease/inframammary) or even go for the somewhat controversial TUBA (a.k.a. trans-umbilical breast augmentation) which enters via your belly button.  

                            

Unders & Overs: where your surgeon decides to place your implants. Implants are inserted under or over the chest muscle that is commonly buffed out in weight lifters. This muscle, called the pectoralis major, rests over the rib cage and underneath the breasts.  

So, if your PS placed an implant "under" your pecs, you've got an "under" or sub pectoral -- and an "over" or a subglandular  is placed above those muscles. That said, many PS prefer unders as they look softer and less "done" and there's decreased risk of rippling and capsular contracture. It's also easier to see breast cancer via mammogram with unders. The red arrow in the below photo points to the pectoralis muscle.

Uni-Boob: symmastia or uni-boob happens when, "at rest, your implants touch (i.e., the skin over them touches in the [middle])," says plastic surgeon Dr. Alan M. Engler in a RealSelf Q & A.  As in, "I am 4 weeks post-op and I'm scared that I have a uni-boob, but my PS keeps telling me it's swollen and too soon to worry," says commmunity member JewelHer, in a RealSelf Q & A. Correction of symmastia requires a surgical procedure and often, implant replacement.  

Upper & Lower Pole: upper and lower breast. This term does not reference Santa's home -- although it does help if you envision your breast like a globe. The upper pole is above the nipple while the lower pole is below the nipple.  

Some women prefer "upper pole fullness" and chose implants that result in very full, round or "high" cleavage. As in, "Help!  My [surgery] is Thursday and I don't have my implant decided upon!  I am 29, 5'2" and having an anchor lift with silicone unders.  I want upper pole fullness without looking too fake.  Should I go with a lower cc and higher profile..." says community member Twngrls.

Zingers: tingling, burning post-op breast pain. As in, "Today I was driving home and felt the zingers! WOW! Talk about sensitive nipples!" says community member FitLuv.  

According to plastic surgeon Dr. Lavinia Chong, these "intermittent burning, sharp, episodic sensations starting from the rib cage and radiating towards the nipple" are alaming to the patient -- but not unusual.  In fact, they are common after sensory nerves have been stretched over an implant, and will resolve three to six months.

Did we leave anything off our list? Let us know in the comments section below!

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This answered so many questions for me.
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Very informative
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yes this guide was very helpful. thank you
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great list!
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Synmastia is a condition characterized by a loss of tissue separation along the mid chest; which leads to the two breasts connecting along the medial pole of the chest.
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I see BWD a lot, took me a while to figure it out.
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That's a good one.  We'll add it next!

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BWD is now on the list..  take a look!   Hope this helps!

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This answered so many questions that I have had while reading others' reviews. Thank you!!
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Sure thing!  Let us know if you come across other terms that need a definition. We're happy to add them to the list! 

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Another fact pertaining to the breast: the "breast footprint" on the chest may be high in the middloe or low. It's like the entire breast were stamped on the doll from the factory! It has been my observation that Irish women often have a lowerer "foot print." This can be still quite beautiful, but most important, it can't be changed. As the saying goes, It is what it is." This isn't sagging, which is just what happens with nursing, weight gain and loss, too much sun exposure, etc. An uplift doesn't change the foot print, it may put it back where it was. The addition of an implant may help to raise it back to it's original foot print. One promising method is fat grafting. Lots of possibilities there.
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Thanks! What's dual plane?
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Great question! We shall need to add this to our guide. Dual plane implant placement is a partial submuscular and partial subglandular position. This very common. Here is a link from our Doctor Q&A explaining this in more detail.

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Just added above!  Thanks for letting us know!

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Thanks for sharing this,it's very helpful!!!
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Thanks for that . . Knew bits but not everything. . Feel I know and can now recognise some of the issues myself . . Ie square boob! X
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Think it's super helpful! Nice work
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Hey, thanks! 

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This is awesome! It's going to help so many ladies out there.

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Wonderful guide with lots of humor. Good job! Drawings are realistic too.
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Thanks, Dr. Finger!  Please let us know if we left anything off! 

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I love this!  Such a helpful guide.

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