Principles of Breast Augmentation Surgery

  • Melvin A. Shiffman


The surgeon who follows certain principles in performing breast augmentation may help avoid future problems. These principles include the following: The implant size should fit the patient’s body according to her height and weight; avoid the chronic smoker who will not stop smoking; the new inframammary fold should be well developed in the pocket; the implant should be centrally placed behind the nipple; the muscular attachments to the ribs and sternum in submuscular implants may need to be completely transected or avulsed in order to fit the implant; bleeding in the pocket should be carefully controlled; postoperatively, it is better to fix the implants in proper position for a few days with a bra and wrappings; breast augmentation should not be performed when the patient is lactating; never use closed compression capsulotomy; delay corrective procedures on the breast augmentation patient for at least 6 months after surgery; and know when to stop performing corrective procedures. Other suggested principles are also discussed.


Brachial Plexus Breast Augmentation Pectoralis Major Muscle Inframammary Fold Periareolar Incision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Melvin A. Shiffman
    • 1
  1. 1.Section of SurgeryTustin Hospital and Medical CenterTustinUSA

Personalised recommendations