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Adam G. Tattlebaum M.D.

The “Bigger” Disease: Preventing It Prior to Breast Enhancement Surgery

What I like to call the “Bigger disease” is highly contagious and usually sets in about anywhere within the first six months after breast enhancement surgery.

When breast implants are first put in, most patients look too big, tight, and high before the skin and muscles relax to a more natural-looking size. I prepare my patients extensively for this time, so they don’t panic or think it is uncommon and dangerous. It is neither. Next comes what I call the “honeymoon period”. As about three weeks roll around, the implants start to settle but still have that push-up bra look without the push-up bra. 

While these breasts don’t yet look entirely natural for patients, it’s best to get used to the dramatic fullness so that when the implants fall into their most natural location, patients don’t begin to think, “Gee, I should have gone bigger” and then further question the whole process.

The best way to treat the bigger disease is through knowledge, prevention, and a clear sense of what you want from your surgery early on. In my practice, I have a few rules of thumb when considering breast augmentation.

Three Rules of Thumb

The Right Decision Is Key

breast enhancement

We talk about the bigger disease from the get-go so patients can incorporate it into their breast implant size decision making. If the patient is agonizing between two implant sizes I will generally urge on the side of slightly fuller because implants tend to look smaller inside the body than they do in the sizing bras we use to show patients their options.

Extensive Sizing for the Right Fit

We size implants extensively at the initial consult (I think trying on actual implants is the best method since it is easily done and gives the best impression of what the augmentation will really look like), and we have pretty much an open-door policy encouraging women to try on breast implant sizers as many times as they like before the surgery. It is best to be confident in your decision before the day of surgery. Each of my offices is stocked with high, moderate and low profile sizes for your breasts. There is guaranteed to be an option that is best suited for you.

Bring Someone With You

Bring a friend, relative or significant other to your sizing session along with a work blouse, casual blouse or sweater and even exercise clothes. It’s good to have a second opinion from a friend or loved one who may be able to provide valuable insight. Making sure that you are comfortable in both work and play clothing is important as well.

Choose Dr. Adam Tattelbaum for Your Breast Enhancement Surgery

My goal is to make you feel comfortable and provide you with the right information and options to ensure your procedure fits your exact needs, making you happy in the end. I have helped many patients to get the breast size they have always desired. I look forward to helping you achieve a sense of balance and satisfaction through breast augmentation. If you’re considering breast enhancement and would like to schedule a consultation, please feel free to call my office at 301-900-5725 or contact us online.

March 17, 2010 11:26 pm
Categories: Blog, Breast Augmentation

Written by Dr. Adam Tattelbaum

Dr. Adam Tattelbaum is a highly skilled and compassionate plastic surgeon with over two decades of experience.

Double-certified by the American Board of Plastic Surgery and the American Board of Surgery, Dr. Tattelbaum believes in providing personalized patient care and customizes his treatment plans to suit the individual.

Dr. Tattelbaum's candid and realistic approach has earned him recognition, not only with his patients but in the Top Doctor lists of the Washingtonian and Bethesda magazines. He is also a member of the American Society for Aesthetic Plastic Surgery, a mark of distinction in the field of cosmetic surgery.

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