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Cosmetic Breast Surgery

September 28th, 2013

Cosmetic Breast Surgery: The World Of Cosmetic Breast Surgeons

Cosmetic breast surgery is a huge industry and it is growing rapidly despite the fact that the world has been in financial decline over the last five years or so.

One of the reasons the industry has thrived and not been affected by financial disaster is how women are portrayed in the media. There is pressure to be glamorous, have a perfect physique, large bosoms, etc. Newspapers, glamour magazines, film and television: all are full of images that imply a woman’s looks and body type are crucial elements in achieving success. Another reason is widespread awareness of cosmetic breast procedures through celebrity experiences, the media and cooperational surgical group advertisements.

Of course there are other reasons, there is no denying that! Amongst these other reasons are reasons like: loss of breast tissue after breast-feeding, multiple childbirths, and sometimes, medical reasons such as “gross asymmetry”.

As a result of this there is increasing demand on the cosmetic industry to deliver not just quantity but quality, with perfect cosmetic outcomes.

Breast augmentation is the most common cosmetic procedure performed all over the world. 330,631 breast augmentations were performed in 2012 in the USA compared to 316,848 in 2011, an increase of 4.4%. Making this comparison even more meaningful, since 1997 there has been an increase of 227.8% in the rate of breast augmentation in the USA. A similar trend is noted in the United Kingdom. And it is estimated that there will be a substantial increase in the number of women requesting breast augmentation procedures in 2013-2014.

With the increasing demand on the cosmetic industry, there has been an increase in the number of surgeons performing cosmetic breast surgery.

Who should perform cosmetic breast surgery? It’s a million dollar question. Plastic and oncoplastic breast surgeons both are doing the procedure. Both claiming, although not openly, that they are better qualified to perform the procedure with better results. Many plastic surgeons will ask patients to check if the operating surgeon is member of BAPRAS, an association of plastic surgeons. Conversely, oncoplastic surgeons hold the view that this kind of surgery should only be performed by surgeons who deal with reconstructive breast surgery day in and day out, instead of plastic surgeons, who deal with other plastic procedures, e.g. face lift, blepharoplasty, forehead lift, hair replacement, etc.

What drives this tussle? Some of the reasons could be greed to be the best or most wealthy, professional vanity, a desire to dominate the industry, etc. But whatever the reasons are, it’s obvious to me that this issue will never be resolved, or at least, not in the foreseeable future.

So what is the answer? As far as I am concerned, it’s not very complicated. Surgeons from both specialities are fully capable to perform these procedures. It boils down to personal clinical and operative skills. A good and experienced oncoplastic breast and breast plastic surgeon with good aesthetic sense will deliver the desired cosmetic results for customers. Conversely, surgeons from either speciality with no aesthetic sense and/or less than ideal clinical and operative skills, are more likely to produce less than satisfactory results.

 My advice to all cosmetic breast customers is:

  • Before deciding to see a surgeon, ask around for recommendations. It is very likely that you will find a friend or a friend of a friend who has already had cosmetic breast surgery done. She will be able to share her experience with you.
  • When you go to see a surgeon, make sure all your questions are answered satisfactorily. You might want to ask about type of implants, shape of implants, in what pocket the implant is going to be inserted, potential complications, warranty on implants and surgery, and the rate of re-operations in both the short and long term.
  • Don’t settle for a rushed consultation. If it is a rushed outpatient consultation, it could very likely be a rushed operation, which is more likely to produce undesirable results.
  • Have an idea of what you want from your cosmetic breast surgery and ask for photos of his or her results. Make sure you see some pre and post-operative photos. Some surgeons have some of their pre and post-operative results available on their web site but some prefer not to, but all the cosmetic breast surgeons are required to keep photos of their results.
  •  If you are not happy or you have more questions, your surgeon should be more than happy to see you again, without charging you an extra fee.

Opting for cosmetic breast surgery involves a substantial investment. One must make sure to select the right person for the right job.

Filed in Augmentation / Mastopexy, Breast Augmentation, Breast Enlargement, Breast Surgery, Cosmetic and Oncoplastic Breast Surgery, Cosmetic breast surgeon.


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