This entry is posted on number 19 of Vanity Fair on newsstands until May 6, 2025
Just unnatural -looking breasts and complications in cosmetic surgery. Plastic surgeons from all over the world are redefining the standards of chewing additives, drawing up rules and indications on what the scalpel can do today and what should not be done instead. The myth of the prosperous décolleté “regardless” loses value and leaves room for a new idea of natural beauty of the breast, closely linked to the harmony of form.
The awareness came when the concept that turning to a plastic surgeon was like “going to the supermarket” began to pass: customers arrive in the studies asking to redo the breast with that specific size, even with that specific brand of breast prostheses. An unreasonable phenomenon, often fueled by promotional content on social networks to the limits of deceptive advertising, from unrealistic photos before/after, by do-it-yourself and influencer promotions. There is also a high number of patients who are re -operated for complications or because it is dissatisfied with the result and this is often the result of incorrect choices. The professionals began to worry seriously. And they understood that it was time to clarify, avoiding to indulge all patients’ expectations and focusing on a new personalized approach, based on anatomy and aimed at a natural and lasting result. Moreover, who is aimed at an orthopedist or a cardiologist asking to be planted a certain valve, or a prosthesis with those specific characteristics?
But the aesthetics of the breast, you know, for many women is fundamental. Not for nothing, in 2024 the chewing additive market recorded a boom touching 2.78 billion dollars, (890 million in the United States and 1.89 billion in the rest of the world). The latest forecasts say that this figure will double by 2034, driven by both reconstructive and aesthetic interventions.
In Italy, in the last twenty months 75,312 mammary prostheses have been implanted for over 44 thousand patients. Favorite prosthesis sizes? On average those that increase their measures their breasts, but in some regions – Puglia, Campania, Sardinia and Umbria – there was a peak up to 5.2% of the interventions with plants that correspond to almost three more sizes of the original breast. “Grande does not mean beautiful,” underlined Patrick Mallucci, plastic surgeon of the British Association of Plastic Reconstructive and Aesthetic Surgeons and co-author of the international study Ideal Breast Shape, That through his work shows how the fact of obtaining a natural breast is actually a mathematical fact: «Beauty is a question of proportions, generally a relationship of 45:55 between the upper pole and the lower one of the breast. This creates a slightly concave top and a full and rounded lower part for a full but harmonious breast. It is geometry, not improvisation, “he explained during the presentation event of the new international consensus on Natural beauty of the breast, organized in recent days at the Turati Palace in Milan and promoted with the non -conditioning contribution of Polytech.
About fifty of established international plastic surgeons have in fact developed a new common document with which they change the paradigm of breast augmentation. The areas faced are considered the most misunderstood in breast surgery and range from the choice of the system to patient expectations, from the safety protocols to the selection of the structures.
The application of universally accepted beauty canons of breasts becomes an absolute imperative even in breast reconstructive surgery, for women who face a mastectomy. “The evolution of mastectomy techniques, prosthetic systems and reconstructive techniques led today to be able to obtain results where the post-operative, after mastectomy and reconstruction, is even more beautiful than the pre-operative, exactly as a cosmetic surgery”, specifies Professor Roy de Vita, the primary of the plastic surgery division of the Institutio of the tumors Regina Elena of Rome.
However, the results of this new frontier are not obtainable in all centers, by all surgeons and for all patients, but “until a few years ago they were not even the exception and it could not be obtained anywhere in the world”, highlights De Vita, adding that “the beauty of the natural breast respects a basic concept that is the distribution of volumes between the upper and lower pole. Mild concavity of the upper pole with convexity of the lower one, coupled to the angle of the nipple which must be slightly projecting upwards, faithful to the proportion 45:55 described by Pat Mallucci. Excessive volumes will never lead to respect for these parameters, “he specifies.
Recent research conducted by Yoodata for Polytech Italia, on a sample of 1006 men and women between 20 and 60 years old, investigated the relationship between the Representation of the female body and cosmetic surgery. It highlights that, in principle, the consideration of cosmetic surgery grows in women over the years, when physical critical issues become more evident and increase any possibilities to “correct” them.
For the breast, in particular, cosmetic surgery is more accepted in the case of interventions to correct an effective defect, rather than to modify a condition that can be considered normal but is not accepted by the subject. And since breast is a part of the body strictly related to femininity, motherhood and sexuality, mastectomy is considered as serious deprivation, which deeply undermines both the psychological balance and the self -intimate and external image. In this perspective, the breast intervention for reconstructive purposes (of which the prostheses are felt by the interviewees as protagonists perhaps more than in cosmetic surgery) is recognized an absolutely fundamental role to return to the woman the desire to start again, the inner serenity, the lost femininity and, not least, find the smile.
How the approach to plastic breast surgery changes
The goal cannot be a great breast, but a breast in harmony with the body. For a non -artificial effect, it is important to take into account the proportions of the physique and the relationship between the breast quadrants, that is, between the upper and lower pole. The “perfect” formula is expressed by the 45:55 ratio, which creates a slightly concave and a full and rounded lower part – for a soft but harmonious breast – combined with a correct projection and position of the nipples.
The techniques of Natural Breast Beauty They aim to create a natural but not invisible aspect: some people may notice change. If a woman’s desire is to improve this part of the body with whom she does not feel comfortable, it is important that it is sure: if doubts or fragility remain, it is better to wait.
The first step is to look for the curriculum vitae Of the surgeon you intend to contact: if there is not online it is good to reflect. It is also important that it is a professional specialized in plastic surgery and that it is constantly updated. The comparison with your doctor is also useful: it can check if the health facility is authorized for surgical interventions of this type. The level of confidence that can be perceived from the first visit, empathy and good communication is fundamental. Finally, attention to the price: the propensity to the cheapest operation places the risk of lower quality and safety.
The choice of size and brand should not be up to patients. All medical devices are surgical tools for experts and it is up to them to decide, on a case -by -case basis. Using unsuitable prostheses, for example too large, involves a greater risk of subsequent re-interventions. Doctor and patient will evaluate the feasibility and the best system between anatomical or round forms together, surfaces of different types and gels, classics or lighter.
Mammary prostheses have no expiry date, but can be replaced. If no complications occur and medical checks are regularly performed and diagnostic images, there is no reason to replace them. The reinterentment for the removal or replacement of the prostheses is indicated, for example, if a severe capsular contracture or contracture occurs, or if you decide to change the prostheses for personal reasons. It is important to never neglect visits and annual investigations – from ecography to magnetic resonance imaging – not only focused on prostheses, but also for the prevention of breast cancer: mammography can also be made with prostheses.
A frequent complication is capsular contracture, a reaction of the fabrics around the device. A good surgeon is able to reduce this eventuality, choosing prostheses with different surfaces and adopting operating techniques and suitable sterilization. Numerous studies have also shown that breast prostheses do not increase the possibility of developing breast cancer. The risk of anaplastic lymphoma, serious but very rare disease, is now less alarming than previously feared. The majority of cases is linked to a brand of prostheses that has been on the market for over 6 years and there is no motivation to replace the prostheses in the absence of symptoms and diagnosis of illness.
Source: Vanity Fair
I’m Susan Karen, a professional writer and editor at World Stock Market. I specialize in Entertainment news, writing stories that keep readers informed on all the latest developments in the industry. With over five years of experience in creating engaging content and copywriting for various media outlets, I have grown to become an invaluable asset to any team.
