Many women who come into Dr. Bienstock's office ask for breast implants 'like Angelina Jolie's'. But in this case he has to tell them that her breasts are natural and have not been augmented via any kind of plastic surgery.

Dr. Alan Bienstock is a board certified plastic surgeon with offices in Manhattan, NY and Lawrenceville, NJ. Here he answers three common questions about breast implants.

When venturing into the world of breast enhancement, how big is too big?

Breast enhancement can look very artificial when the implants chosen are too large. The surgeon and the patient must decide together what the best size implant is for the patient that is proportionate with her body. The breast width and dimensions in conjunction with the overlying skin envelope help determine a range of suitable implants. When the implants are too large, the breast can look very unnatural with thinned out and attenuated skin, leading to stretch marks.

What type of breast augmentation procedure results in the least scarring?

All breast augmentation techniques leave scars depending on where the incision is placed. The smallest is scar is via the TUBA approach (Transumbilical Breast Augmentation) where the implant is placed through an incision in the belly button. This has limitations in terms of breast augmentation when there is significant asymmetry and deformities and cannot be performed if silicone implants are used. The more common approaches are through an inframammary incision (or incision at the bottom of the breast just above the fold) or through a periareolar approach (around the nipple).

I'm sure you hear the expression... “I want my breasts to look like...” In your experience, which Hollywood star's name has been mentioned the most?

Patients will often come to the office asking for breasts that look like specific celebrities. The younger women want to have breasts the resemble Heidi’s from “The Hills.” The more mature generation yearns for the torso of Demi Moore. However, most women of all ages want to have the natural body of Angelina Jolie even though she has not had breast augmentation.

Thanks much to Dr. Bienstock for discussing this with us. Check out some interesting before and after plastic surgery photos on his website.

The photo of the wax figures of Angelina Jolie and Brad Pitt above is via DanieVDM.

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