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Adam G. Tattlebaum M.D.

Breast Augmentation Surgery: It’s About the Hips!

breast to hip ratio

Breast Augmentation is without a doubt the most popular procedure that I perform. While the breasts certainly play an important part, to me, the key is a sense of balance when I look at the person’s bodily makeup – especially the hips.

Balance is Natural

Prospective breast implant patients are first taken to an implant sizing room in my office where we keep implants to try on in all sizes and shapes. Before I even walk into the consultation, the breast augmentation patient has often already chosen and is trying on the smallest breast implant in our sample drawer. I think the conventional wisdom is that “smaller” will always be more natural. I try to instill in my breast implant patients that balance is more natural, whether it means larger or smaller. 

Small breast implants tend to be narrow which may be just fine for a very narrow chested breast implant patient. But in the average breast augmentation patient, a breast implant that is too narrow for the breast will tend to look like a torpedo and give a very unnatural look once the patient has healed and the skin has settled. A breast implant that is too wide will make the patient look “top-heavy” and can often feel wrong. 

breast augmentation surgery

Breast augmentation patients’ height makes a huge difference as well. Tall people will look very different than shorter people even with the same implant. All these factors play an important role in ensuring the patient chooses the right option for a breast augmentation procedure.

Finding the Right Size

During my breast implant sizing sessions, we first find the breast implant diameter that fills the chest appropriately and has enough diameter to balance with the curve of the hips. Once we like the diameter I can then change the size of the breast by looking at high, moderate or low profile breast implants in that same diameter. 

If you look at the breast augmentation photographs on my web page I always try to include the hips so patients can see the overall balance. Breast implant photos that only show a “box of breasts” tells only a small part of the story and show very little. I encourage all my breast enlargement patients to come to the sizing room as many times as needed to try real breast implants on their frame. Many come with friends or spouses that can provide a third perspective on what looks natural and best. Many breast augmentation patients will bring different blouses or sweaters with them. It is good to get a sense for how the breast implants will feel in a variety of outfits – from work, to play, to formal.

Come In for a Natural Look With Dr. Adam Tattelbaum

Breast augmentation is an important and long term decision. My goal in a consultation is to make you feel comfortable and provide you with the right information and options to ensure your breast augmentation procedure fits your exact needs. I have helped many patients to get the breast size they have always desired. If it’s something you have been considering I encourage you to come in and search for a sense of proportion as well. If you have any questions or would like to schedule a consultation with me, Dr. Adam Tattelbaum, please feel free to call my office at 301-900-5725 or contact us online.

February 15, 2010 7:27 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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