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With all of these options out thereto create the optimum natural-but-fake breast, it’s near-impossible to spot who has had ‘work’ done any more. As with all aesthetic procedures these days, we’re left puzzling over images of celebrities, wondering: Have they or haven’t they? Dr Jacqueline Lewis, a surgeon who specialises in post-cancer reconstruction, says this is a problem in itself. ‘We think we’re over the fake era, but we still aren’t being shown “normal” women’s breasts,’ she says. ‘I get so many patients, often younger than 26, who come to me with perfectly lovely breasts, but they are only used to seeing what’s in magazines.’ Shell: A person places these over the existing breast tissue, it provides a natural look following a partial mastectomy The feel: Those interested in a more natural feel can choose silicone options that best match their breast’s natural weight and size. Silicone prostheses are made of soft silicone. This makes them heavier, but also provides a more natural feel. Due to their weight, these can help with a person’s posture and prevent their shoulder from dropping.
If an implant is in the process of being expanded (this is a type of breast reconstruction which happens over time, so the breast size will gradually increase until the size of the breast implant is similar to that of the remaining breast) Like this article? Sign up to our newsletter to get more articles like this delivered straight to your inbox. The British Association of Aesthetic Plastic Surgeons (BAAPS is its apt acronym), which audits all surgery figures, put the steep decline down to two things. First, a simple blip after a ‘post-austerity boom’ in 2013. But, secondly, and more interestingly, a change in ‘aesthetic preferences’. As BAAPS President and consultant plastic surgeon Rajiv Grover explained in a report at the time: ‘2014 saw men sporting bushy beards and women bushy eyebrows; the natural look [was] definitely on the rise.’ But why did our preference suddenly shift away from ‘bigger is better’? The amount of breast removed: Shells may work best for partial mastectomies, while symmetrical versions may work better for full mastectomies.
Silicone breast forms are prosthetic breasts that are made from silicone, a soft, flexible material that is designed to closely mimic the appearance and feel of human skin. They are often used by people who have had a mastectomy (surgical removal of the breast) or who are otherwise looking to augment or alter their natural breast size or shape. If you carry your prosthesis in your hand luggage this is classed as medical equipment so won’t be restricted. Pam's breast cancer story
Radiotherapy can sometimes cause your breast to become swollen a little. You may prefer to have your prosthesis fitted when you no longer have any swelling. We learnt a lot from the era of more is more,’ says Mallucci. ‘It’s associated with many negatives – PIP, ill-sitting implants –and the fact that, actually, it’s ugly.’ In 2014, alongside a fellow surgeon, Mallucci came up with the ‘perfect’ 45:55 ratio, with 45% of volume above the nipple, 55% below. ‘Naturally a breast, even in a fit 19-year-old, will have more volume below,’ he says of the subtle difference. Where surgery had once turned breasts into firm, round oranges, it was actually more of a natural pear shape that surgeons, women, men, everyone preferred. (A study of more than 1,400 people was conducted as part of this research.) What’s a good example of that ratio? ‘The Kate Moss shape is often referred to,’ says Mallucci. That modestly sized, natural-looking breast – and the one that I became familiar with working in the fashion industry in the 2010s – became the gold standard. https://breastcancernow.org/information-support/facing-breast-cancer/living-beyond-breast-cancer/your-body/breast-prosthesis
Although it might be difficult to achieve an exact match, many prostheses are available in different skin tones. Having a prosthesis that is as close to your skin tone as possible may help you feel more comfortable and confident. A symmetrical form is usually an oval or triangular shape that can be worn on either the left or right side. Teardrop There are also non-silicone breast forms, but these may not be available on the NHS. Talk to you fitter about the other breast form options. A prosthesis will have a guarantee but the length of this can vary. Most prostheses will last longer than the period of the guarantee.
The teardrop shape is often more suitable for women whose breasts are fuller in the lower and outer area and less full above the nipple. These can also be worn on either the right or left side. Asymmetrical If you have a mastectomy without breast reconstruction, your nurse will give you a lightweight fabric breast shape to put in your bra. This is often called a comfie or softie.You can use a soft fabric cover to fit over the silicone surface, although the prosthesis may not sit as well. This can prevent a rash or skin reaction developing, which might happen if you get hot and sweat behind your prosthesis. Non-silicone models require less maintenance. A person can often wear them in a pool or hot tub. A person may also be able to wash them in a washing machine. It’s important to take a well-fitting bra to your appointment so you and the fitter can see how the prosthesis will sit in your bra. During a fitting, the specialist will help a person find the best size, shape, weight, and feel of a prosthesis for them.
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