How is the size of the implant chosen?
If your goal is a natural appearing breast, then breast augmentation is not simply a matter of creating a pocket for the implant and then placing any size implant that you deem desirable. That is a recipe for revision. My goal is to perform a surgery that will not need a surgical revision for a very, very long time, hopefully never. The way to achieve this goal is to fit the implant to the breast. If you think of the breast as a bag, and you imagine filling that bag with water from above, initially that bag will look under-filled, then properly filled with a nice shape, and then further filling will distort the contours of the bag. The same holds true with breast augmentation. If you under, or more commonly over augment the breast, it will look unnatural. Furthermore, the risks of excessive tissue stretch, pain, loss of nipple sensation, and need for surgical revision will increase substantially if the breast is over-augmented. My approach, which I credit to Dr. John Tebbetts, is a bio
