The 5 S’s of Breast Surgery
When considering breast surgery, many patients focus primarily on size. While size certainly plays a role, truly beautiful results are about far more than simply choosing an implant or increasing volume. The most natural and elegant outcomes are achieved when several important factors work together in harmony.
1. Shape Meets the Eye First
In breast aesthetics, shape is often more important than size. A youthful breast typically has balanced fullness above and below the nipple, with slightly greater volume in the lower portion of the breast (the classic 45/55 ratio is well described). The goal is not simply to make the breasts larger, but to create a graceful contour that complements the body’s natural proportions.
Whether through a breast lift, augmentation with implants, fat transfer to breasts, or a combination of procedures, restoring shape is often what creates the most transformative result.
2. Size Should Complement Your Frame
The ideal breast size is highly personal. Preferences vary among patients and are often influenced by lifestyle, culture, and evolving aesthetic trends.
Rather than chasing a particular cup size, I encourage patients to focus on proportion. Breasts that are balanced with the shoulders, waist, and hips often appear more elegant and timeless than those chosen based solely on volume or a number value.
3. Symmetry Creates Balance
Perfect symmetry rarely exists in nature. In fact, most women have subtle differences between their breasts that may become more noticeable after surgery if not carefully addressed.
During surgical planning, these asymmetries are evaluated in detail. Techniques such as selecting different implant sizes, adjusting breast tissue, or incorporating fat transfer can help create a more balanced and harmonious result.
4. Scars Are a Tradeoff, Not a Failure
Most breast procedure leaves scars. The goal is not to eliminate scars entirely, but to place them thoughtfully and help them heal as inconspicuously as possible.
In many cases, accepting a slightly longer scar can produce a dramatically better breast shape. When approached properly, this tradeoff is often well worth it.
5. Safety Is Always the Priority
Although listed last, this is the number one priority. Beautiful results begin with safe surgery. This includes not only patient safety, but also preserving the blood supply to the breast and nipple and areola.
A thorough understanding of breast anatomy, previous surgeries, and individual patient factors allows for thoughtful surgical planning and predictable outcomes. The most successful breast surgery is not simply about aesthetics. Rather, it is about achieving exceptional results while maintaining the highest standards of safety.
Ultimately, beautiful breast surgery is highly individualized. The best results are achieved when shape, proportion, symmetry, scar placement, and safety are carefully considered together, creating outcomes that look natural, balanced, and uniquely suited to each patient.
Meet Dr. Brian Bassiri-Tehrani
Dr. Brian Bassiri-Tehrani is a double board-certified plastic surgeon specializing in breast procedures, with a focus on natural, balanced results.
To see if you are a candidate for Preservation Breast Augmentation, schedule a personalized consultation. Click here to schedule a consultation or call our office at (212) 540-6868.
