Why Your Tissue Matters in Breast Augmentation

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While it is true that modern breast implants come in different styles, projections or profiles, shapes, sizes, and filler materials—allowing us to deliver most of our patients’ motives and expectations—take note that your underlying anatomies such as your tissue will still have a large impact on the results after surgery.

Small-breasted, naturally thin, and “athletic” women are generally more prone to implant rippling and palpability due to the issue of “coverage.” Despite the “challenge,” one way to counteract this effect is to use silicone-filled implants whose cohesiveness closely resembles that of a natural tissue.

Saline implants, meanwhile, may look too rounded or “globular” when used by these patients lacking of soft tissue coverage due to the filler material that is only saline or sterile solution of salt water.

To further compensate for the lack of coverage, the silicone implants must be within the boundaries of the chest and breast measurement, and are positioned under the thick layer of pectoralis [chest] muscle.

Meanwhile, older women’s common concern is the thinning of their breast tissue, making them not just prone to visible rippling and palpability that usually affects the lateral and lower edge of the breast, but also to implant displacement leading to the bottomed-out appearance and excessive lateral bulge.

For these “patients,” they may require soft tissue thickener such as fat graft and/or acellular dermal matrix—e.g., Strattice which is derived from pig skin, and Alloderm which is created from donated human skin.


Tissue laxity also makes it challenging to achieve great cosmetic results from breast augmentation. Nevertheless, performing breast lift at the same time or at a later date is known to deliver the desired appearance.

Any form of asymmetry must be addressed or at least taken into account before breast augmentation. Hence, if you have snoopy deformity (or tubular breast) or uneven nipple-areola complex you will always need adjunct procedures to achieve natural-looking results. Failure to address these underlying problems will almost always lead to poor outcome and the need for revisions.

Simply put, there is no short cut in breast augmentation surgery.
Article by
Beverly Hills Plastic Surgeon