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Breast implants for cosmetic augmentation first became available in the 1960's and rapidly gained popularity in the 1970's. By the 1980's breast augmentation was the second most popular plastic surgery (after liposuction). The motto then seemed to be "the bigger the better". Now, breast augmentation surgery is more popular than ever. According to the American Society of Plastic Surgeons (www.plasticsurgery.org), 329,000 breast augmentation surgeries were performed in 2006. This is an almost thirty percent increase from 2003. Today patients and the public are 'rediscovering' the fact that the ideal breast is soft, supple, fuller in the lower than the upper pole, and in proportion to the rest of the figure. Patients are changing, too. Women in their 30's and 40's, particularly mothers are the fastest growing group of patients seeking breast implants today. These women who have lost breast volume following pregnancy and lactation, and seek to restore a natural, more youthful breast contour. They don't want to look like they've had surgery; they instead wish to 'fill out' clothing better and feel more comfortable out of clothing. Even gals who have not had children are choosing smaller, more realistic appearing breast augmentation. Professional women (including doctors!) want to look their best, but they don't want to look "done". "It is very common in my practice to perform an enhancement that changes the breast profile from and 'A' cup to a 'B' cup," says Dr. Michael Law, a board-certified plastic surgeon in Raleigh, NC, formerly of Beverly Hills. "I rarely have patients requesting large implants anymore, although there are still a few who express a desire for that busty, 'done' look. I counsel those patients that it is certainly possible to achieve that look, if it is truly what they want, but that I simply won't perform any aesthetic surgery that doesn't look natural. A woman with very large breast implants that doesn't match her frame looks like a cartoon character, and that is not my aesthetic ideal. And these patients never have any problem finding someone who will give them the look that they want. "Potential breast augmentation patients should also give serious thought to the following consideration: one great advantage of a conservative breast enhancement is that small implants are much more likely to feel natural. It is possible to provide an enhancement that is soft, supple and even undetectable (by touching) with a small implant, something that is never achieved with very large breast implants. "One of my most recent breast enhancement patients (another physician) siad fol at her three-week follow-up appointment: 'If I hadn't written a check to pay for them, I wouldn't know they're not really mine.' Implants of a moderate size whether they be saline or the newly re-approved silicone gel implants, can look and feel natural. The implant sizes I most commonly use blend in nicely with existing breast tissue, and patient satisfaction is high. Dr. Law is certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons. His North Carolina plastic surgery practice have twice been featured on the cover of Plastic Surgery News, the official news journal of the American Society of Plastic Surgeons. Dr. Law performs surgery in a hospital O.R. and provides patients with a complimentary overnight hospital stay to make sure they're comfortable and receive the best possible postoperative care. Dr. Michael Law's philosophy is that great plastic surgery doesn't look like surgery, it just looks great.
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