The foremost goal of breast augmentation for women, by common consensus, is to achieve a natural result. The technique chosen by the plastic surgeon is crucial, followed closely by the selection of the right implant. It’s important to emphasize that there is no one-size-fits-all when it comes to implant size; the ideal implant must be tailored to the unique proportions of each patient’s body. Dr. Zisis Boukouvalas, with over 35 years of experience, training in both the U.S. and the U.K., and more than 5,000 breast augmentation surgeries performed, explains the critical role a surgeon’s expertise plays in selecting the right implant.
The new-generation implants Dr. Boukouvalas has been using in recent years are ergonomically designed to ensure the breast not only looks natural but also feels and behaves naturally. Specifically, the sensation of touch on an augmented breast closely resembles that of a natural breast. Moreover, the breast adopts the appropriate shape based on the body’s position, mimicking the flexibility of natural breast tissue according to movements and posture. For example, when a woman lies on her back, the implant spreads just like a natural breast. Unlike older implants, which often remain unnaturally upright, modern implants move more naturally with the body. These newer implants come with a lifetime warranty, helping maintain shape and firmness as the body matures over time.
“Where nature may not have been generous, plastic surgery can help fill the gaps and ‘re-create’ the female breast using the safest, most innovative, and effective breast augmentation techniques,” explains Dr. Boukouvalas.
Is an Implant Alone Enough for a Natural Look, or Does the Placement Technique Matter?
The placement technique plays a fundamental role in achieving a natural result.
The selection of implants is made in collaboration with the patient. Dr. Boukouvalas employs the subfascial technique, which he has been using successfully for several years. This technique can be performed with either round or teardrop-shaped implants, placed in the subfascial, horizontal dual-plane, or submuscular position, all of which contribute to achieving the desired aesthetic result.
How is the Procedure Performed?
The implant is most commonly placed beneath the fascia of the pectoralis major muscle. This advanced technique stands apart from traditional methods, combining their benefits while avoiding common complications and disadvantages.
Who are the Ideal Candidates for Breast Augmentation?
Women with micromastia (underdeveloped breasts), hypoplastic breasts, volume loss, congenital breast asymmetry, or those who have noticed negative changes after pregnancy are suitable candidates for this procedure. As long as the breast has fully developed (usually after the age of 18), women can safely undergo the surgery.
Procedure Duration and Recovery
The procedure typically takes 1 to 2 hours and is performed under general anesthesia. Most patients are able to resume normal activities within 2 to 3 days after the surgery.
Unique Advantages of the Subfascial Technique
- No implant deformity or distortion
- The upper pole of the breast remains as firm and full as the lower pole, without visible wrinkles
- The implant is placed above the pectoralis major muscle but well behind the breast, resulting in an entirely natural look
- The breast remains firm and youthful, even years after the procedure, as the fascia continues to support the implant
- Incisions are minimal, heal well, and are virtually undetectable
Dr. Boukouvalas’s philosophy is centered around the harmony of the final result and the idea of “keeping them guessing” — ensuring that others cannot easily tell whether the breasts are natural or augmented.
About Dr. Zisis Boukouvalas
Dr. Zisis K. Boukouvalas, M.D., Ph.D., is the Director of Plastic Surgery at “Metropolitan” Hospital. He holds a Ph.D. from Aristotle University of Thessaloniki and is the founder of the Plastic Surgery & Regenerative Medicine clinic, ANAGENNISI.
Dr. Boukouvalas operates four medical offices in Athens (Syntagma, Glyfada, Kifissia) and Thessaloniki. He is a member of several leading global organizations, including ISAPS, ESPRAS, ICOPLAST, and EASAPS.
For more information, visit: www.drboukouvalas.gr
Email: [email protected]