PATIENT RESOURCES / DR’s Blog

Don’t SUPERSIZE My Breasts!

by | Breast Augmentation

Over the years, things have continued to get bigger… The “family bucket”. The Big Gulp. Supersized fries. For many people, this same philosophy has applied to the size of the implants that they choose. Some people special-order their implants if they want them even larger. Presumably, people think that these super-sized breasts look good? And obviously surgeons either agree or are at least willing to acquiesce and put them into people. The question is WHY? Do they really look that good? Will patients be happy if they have giant breasts? If bigger is good, is gigantic better? Many people may think so, but I disagree.

I have always believed that beauty is the ultimate goal in plastic surgery.

It is no different if we are talking about breast enlargement, tummy tucks, facial surgery or injectables.  I want my patients to look beautiful.  In order to achieve that, I really think it is important to maintain a natural looking result. I want people to look at my patients and think, “Hmm, I wonder if they did anything, they just look so good” but never know for sure.  When I counsel people on breast augmentation and how to choose implants, I want them to look amazing.  I want them to be the person that turns heads at the beach for looking fantastic, but I don’t want anyone on the beach to know they have had surgery.

So how do we attain this goal of the perfect breast augmentation?

I spend a lot of time going over implant sizing with patients.  We talk about the type of “look” they like and the type they don’t.  I do a full consultation and take measurements.  I have patients do several things that help them decide the perfect breast implant and also have them do things to help me understand their goal as well as possible.  I then take all of that information and select a few implant choices and bring them to the operating room.  Along with those I bring sizers (which are exact replicas of the implants) so that I can trial different breast implants.  Quite often, there are a few that may look good.  Many surgeons only have one option at the time of surgery.  And hopefully it looks good. However, I prefer to take extra time and try out a few different breast implants in every patient. There is usually one that is perfect for you.  It just looks better than the other ones, even if the size is similar.  It fits your body and your breast in a natural harmonious way, giving a fuller breast but not looking fake.  The extra time it takes me in the operating room is well worth it.  I have never had to change a patient’s implants.  Not once!  That is a bold statement that I am very proud to be able to make. I think the reason for that is the time taken before and during surgery to make sure that we get the best breast augmentation result.

BEFORE & AFTER (Breast implants/augmentation)

But let’s get back to the SUPERSIZE issue for a second…

Is it possible to get a beautiful result with a large implant? Sure, but not if it is too big for your body.  There are really two things that can “give-away” a breast augmentation surgery.  The first is really large breasts on a small women… although some women are blessed with that naturally, it raises people’s suspicions when they see it. The other is a very clear demarcation of the implant at the top of the breast; that fake circular appearance from overstuffing the breast with a large implant, particularly a large round implant. And while some people may think that is a nice look at first, it doesn’t mean that your breasts will look nice in years to come.  The tissue is not meant to be stretched to over-capacity and then asked to hold a heavy implant up.  As expected, the tissue will thin and the implant will become more noticeable.  On top of that, the implant will start to drop.  As the say “the bigger they are, the harder they fall”.  Large breasts that become droopy are not sexy!  It is not the look you sign-up for.

My goal is to give my patients beautiful, natural looking breasts immediately after surgery and for years to come.

By choosing the correct implant, by selecting the appropriate pocket position (even if it takes a bit more time in the case of subfascial placement), and by using an implant designed to let tissue “velcro” to it, I believe my patients have the best chance of that result.

In my practice, I have never exchanged an implant that I have put in.  I do, however, do so regularly for patients that had surgery done elsewhere.  Yet in all the times that I have cared for patients from other offices, I have never put a larger implant into anyone.  Every single time someone comes to my office looking for revision surgery, it is to make their breasts smaller and to make them perky again.  Often these patients say that were told by the surgeon or their friends, “don’t go too small or you will be disappointed”.  I heard the same teaching when I was a plastic surgery resident.  However, having been in practice for years and with a significant portion of my work focussed on breast surgery, I couldn’t disagree more!

Pick an implant that will give you a fuller, perky breast. However, pick one that will look natural and beautiful, now and in the future. It will be the best decision you will make for yourself.  Here’s to the end of SUPERSIZED breasts!

To learn more about breast augmentation click here.

If you are interested in learning more about any of these procedures, or having a private consultation please click here or telephone 905-849-4282.

Dr Rodger Shortt is a plastic surgeon in Oakville, Ontario.  He strives to provide the best plastic surgery results and is one of only a few plastic surgeons in Canada with the best rating of 5 stars on RateMD, RealSelf and Ontario Doctor Review.  Dr Rodger Shortt is a specialist plastic surgeon who graduated from Queen’s Medical School in 2004 and became certified by the Royal College of Physicians and Surgeons of Canada in 2009. He received further sub-specialty fellowship training with international plastic surgeons in micro-vascular breast reconstruction, cosmetic plastic surgery, and body contouring after bariatric (gastric banding) surgery, significant weight loss or post-pregnancy.  He is the Director of Cosmetic Surgery Training at McMaster University and an Assistant Clinical Professor.  If you are interested in a consultation with Dr Shortt please contact as at 905-849-4282 or visit www.drshortt.com.

Reviews

Fabulous Doctor, Extremely smart ( like Mensa IQ ) with attention to detail.

Fabulous Doctor, Extremely smart ( like Mensa IQ) with attention to detail. Confident, clear, and precise in conversations. Hand surgery was done extremely well with 4 breaks in one shattered bone. Bone was wrapped and pinned in titanium chain links and micro screwed. Recover has been excellent I have 100% of mobility in my hand and work in home renovation. The scar is small pin sized line, not noticeable; no extra bumps or blemishes. Truly a five star surgeon. I am hoping he does face surgery.

I was so pleased that my GP referred me to Dr Shortt

I was so pleased that my GP referred me to Dr Shortt, for knee surgery. Excellent caring Doctor, if you need plastic surgery place Dr. Shortt, at the top of your list. Great experience, great results, this Doc, is a 10!

I simply cannot find enough superlatives to express my gratitude

I simply cannot find enough superlatives to express my gratitude to Dr. Short for his wonderful work.
I have, for many years now, had numerous black moles and dark spots on my face and they seemed to be multiplying. Dr. Short removed over 40 of these and when I left his office, I have to admit, I was worried. I looked pretty rough. But there are no crevices or dips in my skin (of which I thought there’d be many) and most incredibly there is no visible scarring at all. It’s hard for me to say how much better I feel now. I have a refreshed, natural look. I am a career musician and in the public eye so, needless to say, I feel so much more confident about my appearance.
Dr. Short was honest with me from the beginning. He clearly explained options to me but never made me feel that he was up selling other services. I was fearful and had huge reservations about having anybody touch my face but everything about my experience with Dr. Short and his staff was positive and I would have absolutely no hesitation to recommend him. He has my sincere thanks.

You can tell the enthusiasm and passion Dr.Shortt has for his work

From the get go the professionalism and expertise I had received far surpassed those from other consultations I had done. I had gone in for a breast augmentation and am amazed from the results. You can tell the enthusiasm and passion Dr.Shortt has for his work. He had stated that afterwards my breast would look “perfect”, I figured anything would be better then what I had. Unbelieving then, here I am now absolutely thrilled with the results. I had a tattoo where the implant incision would be, to my surprise Dr. Shortt was able to work around it as well.

Breast Augmentation – What an Amazing Doctor !

From the get go the professionalism and expertise I had received far surpassed those from other consultations I had done. I had gone in for a breast augmentation and am amazed from the results. You can tell the enthusiasm and passion Dr.Shortt has for his work. He had stated that afterwards my breast would look “perfect”, I figured anything would be better then what I had. Unbelieving then, here I am now absolutely thrilled with the results.

I had a tattoo where the implant insission would be, to my surprise Dr. Shortt was able to work around it as well.

The day of my surgery Dr. Shortt and his team made me feel very comfortable and well taken care of. Thank you again !

Dr. Shortt has a great eye and is a creative visionary

Everyone reacts differently to a diagnosis / treatment of breast cancer. For me, after the mastectomy, I no longer felt whole. I decided reconstructive surgery was the answer which was very intense – but no regrets. The results were good but I still felt a little mismatched. My surgeon referred me to Dr. Shortt. Like so many others on this site, I felt like he knew exactly what I was looking for and how to get there. Dr. Shortt has a great eye and is a creative visionary that can determine what need to be done, coupled with the skill to do it. What really differentiates him from the rest though, is his empathy and understanding. You don’t often find doctors who are good at combining the science with compassion. This was a surprising and greatly appreciated aspect of my care. I am 4 weeks post op now and I have to say the results are spectacular. I feel like the sisters have been reunited and I am whole again. If you have had reconstructive surgery and feel you need a little more finessing, take my advice and make it happen. You will be glad you did. I would highly recommend Dr. Shortt to my closest friends and family and to anyone looking for cosmetic improvements.

Thank you again,

Susan

Amazing plastic surgeon

Amazing plastic surgeon who was initially referred to me by another plastic surgeon. From my first consultation, Dr Shortt immediately knew what surgical procedures were the best option for my situation. No hesitation in diagnosis and recommended plan of action. I’m a breast cancer survivor and I thought a breast reconstruction was a lost cause for me due to my extension radiation treatments and consequential skin damage. Dr Shortt was very methodical and professional throughout the entire 18 month process. Before each surgery, I witnessed assertiveness and confidence with a sure hand mapping my body with his sharpie pen. He made me feel at ease with his good sense of humour and music.
My breast cancer journey is at long last over and I am quite happy with the final results. I feel rejuvenated and have gained my confidence back. I am so glad that I didn’t hesitate with my initial decision to go forward with the breast reconstruction. Thank you so much Dr. Shortt.

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