Hard, Circular Breasts - How to Avoid the Victoria Beckham/Tori Spelling Look

Question

what gives breast that hard circular look? that is something that looks very unnatural to me and what i dont want. is it the placement or the surgeon that makes them look like that?

Otto Joseph Placik, MD · Answer

A hard circular appearance can be due to over the muscle placement, thin body habitus, a high profile or overinflated implant or even a capsular contracture to name a few.

Ali Sajjadian, MD, FACS · Answer

These are some general considerations to avoid hard-circular appearance of the breast implants;

	
		staying within the borders of the chest wall and breast diameter.
	
		not putting too large of an implant
	
		Placing the implant under the muscles
	
		Carefully evaluating all breast dimensions and tissue characteristics pre-operatively


	Hope this is helpful.

	Dr. Sajjadian

John LoMonaco, MD, FACS · Answer

I agree that the best way to avoid unnatural look is by using the muscle to help hide the shape of the implant, choosing the best size, shape, and profile to match each patient, and meticulous technque to help provent capsular contracture.

Richard Baxter, MD · Answer

There are several factors to consider. Most important is to match the implant diameter to the natural base diameter of the breast. When the patient is petite but wants large implants, this means using high-profile implants which give a round, less natural look in some cases.

Steven Wallach, MD · Answer

How do you avoid very noticeable implants?  I think that those two individuals had implants too large for their frame and probably above the muscle.

Darryl J. Blinski, MD · Answer

By sub-muscular placement, not to large of implant, post operative exercises, seeking the advise of boarded plastic surgeons are the best way to avoid those issues. From MIAMI Dr. B

Peter A. Aldea, MD · Answer

That hard, shiny, ball-like fake "boob" look is actually pretty easy to produce (but much harder to repair).

	1. Use a round implant which is much larger than your chest and amount of your breast and muscle tissue can cover (High Profile saline implants work great for this look).

	2. Place it in an under the breast but over the muscle pocket

	3. have thinning breast tissues, a few replacement operations with same or larger implants or a "touch" of scarring around the implants (capsular contracture)

	and you will end up with this look.

	I try as much as possible not to operate on women whose idea of breast beauty is this look. Such results are hard to completely reverse.

	Dr. Aldea

Robin T.W. Yuan, MD · Answer

The answer is that it is a combination of things that can produce that look. One is to use implants that are too large for the patient's natural breasts. The most natural implants will be hidden by the natural breast as much as possible. That means small breasts can only accommodate relatively small implants yet these women are the ones that want large implants. The other is the process of capsular contracture where the scar tissue around the implant shrinks and forces the implant into a rounder shape.

John Whitt, MD (retired) · Answer

I agree with you and try to achieve naturally appearing but augmentated breasts. I feel that the key to this, in addition to good technique, is placing the implant below the muscle and (more importantly) using a appropriately sized implant.

George J. Beraka, MD (retired) · Answer

Hi.

	1)  Don't get implants that are too big.

	2)  Surgical technique in creating implant pockets is crucial.

Hard, Circular Breasts - How to Avoid the Victoria Beckham/Tori Spelling Look

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