Breast Enhancing Pills - Do They Really Work?

Article by Gerry Restrivera

Are you unhappy with the size of your breasts and you wanted to enhance your breasts but you do not want to have implants? You want to naturally enhance your breasts to avoid the dangers of surgery and get rid of the insecurities and embarrassment of being flat chested. You are looking at breast enhancing pills as a solution to your problem but still uncertain if they can really enhance your breasts size.

It is best to love your body the way it is and learn to live with your small breasts but sometimes the people around you can be very cruel and makes it difficult for you to accept your small breasts. The society regarded big breasted women as sexy and attractive while those who are not gifted with big bosom are laughed at and teased. These things can seriously damage one's self-esteem. These are some of the reasons why flat chested women want bigger breasts and breast enhancing pills are giving them hope that they can enhance their breast size naturally.

Do breast enhancing pills work? Yes they work for some women and for some they don't because women's body have different response to herbal medicine and they also have different lifestyles. What works for one woman may not work for another woman. Caffeine, nicotine and alcohol may interfere with the effectiveness of herbal medicines so aside from following the instructions in taking the herbal supplements, it is also important to follow a healthy lifestyle.

Choosing the right breast enhancing pills is also important. With the right product, following the instructions and adhering with a healthy lifestyle, breast enhancing pills work for most women.

To enhance your breast size naturally, visit Breast Actives

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To know more about health and beauty natural remedies visit Health and Beauty Link

Best Breast Enhancement Pills On The Market - The Best Options to Choose in Enhancing Your Breast

Best Breast Enhancement Pills On The Market

It is very important for every woman to have fuller and firmer breast. They feel confident having fuller and firmer breast.

But the problem is what if they are not blessing with fuller and firmer breast? What should they do in order to achieve the look that they wanted?

Actually you do not have to worry about having fuller and firmer breast because there are already ways on how you can be able to have fuller and firmer breast. For sure you have heard about the breast augmentation surgery. This is one of the well -known procedure on how you can increase your breast size, but of course it is still important that you have to be aware of the advantage and especially the disadvantage of having the breast surgery before you actually decide of undergoing through such surgery.

Yes it is one of the effective ways of enhancing your breast. You can have an install fuller and firmer breast that you are dreaming of. The disadvantage of his procedure is the risk and expensive amount that you need to pay in order to have this surgery. It is very risky to undergo through this procedure. There are lots of side effects that you may experience one you opt to have this surgery. And it will be worse once leak and breaks occurs wherein you need to undergo through another surgery. With this disadvantage it is up to whether you want to undergo through such surgery or not. Best Breast Enhancement Pills On The Market

Due to the growing population of women who are searching for the best way of enhancing their breast, natural breast enhancement pills come out of the market to be the best solution for their problem. These natural breast enhancement pills are the best solution for the needs of those women because it has herbal ingredients that will assure your safety and effectiveness. It is said to be the best solution because it works effectively like those of the puberty stage.

With the growing demands of these natural beast enhancement pills, there are lots of companies who want to experience earning great profit like those companies that sell authentic natural breast enhancement pills. That is why they produce counterfeit pills in order to have great profit out of it. This is very alarming for those women who are yearning to have fuller and firmer breast. And because of these scammers it is important that you have to be cautious when buying one. You have to make sure to deal with those reliable and reputable companies. Best Breast Enhancement Pills On The Market

Singing In My Diaper And In My Playpen To Christina Aguilera's - Beautiful". I had a lot of fun making this video in the kitchen in my playpen and diaper. I love this song by Christina Aguilera, it has so much meaning to it and just tells us all not to judge others and respect others. I hope you liked the video and me singing. Have a great week, have fun and laugh, talk to you later, Bye for now!!

Breast Enhancing Cream - The Effectiveness of Breast Enhancement Creams

Breast Enhancing Cream

Breast enhancement creams are not just like any other cream who is applied to the person in the wake of bathing. This kind of cream is applied providing the expectation of getting specific results. Every woman wants to look fine and attractive at all times. Aside based on what i read in the fact the breast is regarded as a stand only beautifying feature of any woman, it is also knew to be a height admiration for most men. Breast Enhancing Cream

Breast enhancement creams are usually employed to increase the size of the breast, the firmness as well and the overall smoothness of a ladies breast. When these creams are applied in line with the instruction of usage the result can be very encouraging. Most women use these sorts of creams in addition to natural breast enhancement pills. Some people claim that the result is faster and more effective when supplemented with natural bust enhancement pills. This is not to say that the creams can not be used independently as some other group of women claim to have experience some quick increase in their breast cup sizes for just applying the creams alone.

Breast enhancing creams are known to increase and stimulate the breast tissues of the body which results in firmness of the breast as well as the general size of the bust. These enhancement creams makers say that their products help to tighten the various contours of the woman chest region as well as the breast parts. They also claim that these creams have a great ability to improve the overall outlook of the skin and the skin texture as well. For a proper shape and nicer skin feel, when these creams are applied to the chin level it hardens the support skin by giving it the firmness to resist weakness which is usually caused by the aging process. Breast Enhancing Cream

Before buying any breast enhancing cream there is need for you to make proper research on each cream type and the ingredients used in its production. This is known as quality customer information tip. When you know the components of a particular product, it helps you to know if there are some ingredients which you are allergic to as an individual. Some of the most common components include, stearic acids, some extracts of algae, saga and blend lavender.

Jojoba oil, metylparaben, phenoxyethanol and glycerin are also some good ingredients you can find in a quality breast enhancement cream. Making research on most of these ingredients will enable you to know each ingredients effectiveness level and will also help to guide you when making a choice. The ingredients used in the production of bust enhancement creams are sometimes the same with those used to produce breast enhancement pills.

Though the concentration level of the ingredients used to manufacture enhancement creams are lower than that of the pills. Most women that make use of these breast enhancement creams achieve great results by having firm breast tissues and even larger breast size which is the main reason for using these creams. Start taking actions and work towards your dream figure! Download your Breast Enhancing Cream ebook now!

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Natural Breast Enlargement You Can Control The Results

Whether you increase your breast size naturally or through breast enlargement surgery, there are some benefits to consider. Now if you are not up for surgery, but still want larger breasts, you may opt for natural breast enlargement pills. An economical and natural alternative to breast enlargement drugs or surgery. Most women prefer the idea of natural breast enlargement pills as opposed to plastic surgery. BRAVA is the first clinically proven approach to breast enlargement that acually grows a woman's natural breast tissue, without surgery, pills or creams. Unlike surgery, with natural breast enlargements you can control the results. If you want to enhance your breasts without the costs and risks of surgery, you should know about natural breast enlargement options.

Have larger, firmer & more shapely breasts in just weeks with this all-natural, scientifically advanced breast enlargement cream. Have larger, firmer & more shapely breasts in just weeks with this all-natural, scientifically advanced breast enlargement cream. VesPro's breast enlargement cream is proven to be all natural and safe to use. Studies by groups of researches and scientists have also shown that VesPro's natural breast enlargement cream helps to maintain female hormonal balance.

This remarkable, patent pending, completely natural breast enhancement formula, (commonly referred to as a breast enlargement pill ) works like no other. sold natural breast enlargement pill comfort dryness. Next, try to maintain a healthy, balanced diet while taking a natural breast enlargement pill. There is no one natural breast enlargement formula that works on all women. This helps to balance the hormones naturally, and will help promote breast growth by intensifying the effects of the breast enlargement formula. Herbal breast enlargement works by allowing the body to naturally produce more prostaglandin, thus promoting breast tissue growth.

The effect of these herbs working together is natural breast enlargement, as new tissue growth occurs resulting in fuller, firmer breasts. BRAVA is the first clinically proven approach to breast enlargement that acually grows a woman%u2019s natural breast tissue, without surgery, pills or creams. VesPro's breast enlargement cream is proven to be all natural and safe to use. Join thousands of satisfied customers and experience for yourself the proven benefits of Breast Success - the natural breast enlargement product. Women of all types just like ou are choosing natural breast enlargement pills instead of risky and painful breast augmentation surger.

Most women prefer the idea of natural breast enlargement pills as opposed to plastic surgery. Studies by groups of researches and scientists have also shown that VesPro's natural breast enlargement cream helps to maintain female hormonal balance. VOGUE Breast Enlargement is an all-natural breast augmentation supplement shown safe and effective in gradually enhancing the size and shape of your breasts. My program is the most effective natural breast enlargement system available today. By no less than an advertisement for the Isis all natural breast enlargement system. Then eventually I noticed a better shape developing and a short time after that some definite natural bust breast enlargement.

Vitamin C actually helps to further absorption and utilization of natural breast enlargement preparations (of an herbal nature). Avoiding carbonation can enhance the effects of a natural breast enlargement regimen by not interfering with it's digestion and absorption. There are many alternative, natural breast enlargement options on the market today for you to choose from though. An economical and natural alternative to breast enlargement drugs or surgery. Have larger, firmer & more shapely breasts in just weeks with this all-natural, scientifically advanced breast enlargement cream. Have larger, firmer & more shapely breasts in just weeks with this all-natural, scientifically advanced breast enlargement cream. Choose natural breast enlargement to improve ou self esteem today. There is no one-size-fits all approach to natural breast enlargement.

Whether you increase your breast size naturally or through breast enlargement surgery, there are some benefits to consider. I'm here to give you the plain, unadultered truth about natural breast enlargement - good, bad, and ugly! My mission is to reveal to you the truth behind natural breast enlargement - without hype or empty promises. Megabust was formulated as a natural breast enlargement product with added properties of increased sex drive and ability to achieve climax. Our team of experts do the research on breast enlargement products for most comprehensive, natural, affordable & effective breast enlargement. If you are interested in natural breast enlargement, research products carefully. Check out all the options, including natural breast enlargement methods. Unlike surgery, with natural breast enlargements you can control the results. If you want to enhance your breasts without the costs and risks of surgery, you should know about natural breast enlargement options.

It is important to note that natural breast enlargement methods do not show results immediately. Many of these external natural breast enlargement formulas contain caffeine. Users report permanent results from using natural breast enlargement. male breast enlargement breast enlargement texas herbal breast enlargement breast enlargement natural breast enlargement male breast enlargement . "This is the first step in the development of natural breast enlargement," stated Dr. He or she will help you decide if natural breast enlargement or a surgical procedure are right for you. There are even natural breast enlargement products that come in liquid form. You may have read ads regarding natural breast enlargement. These natural breast enhancement/enlargement pills are guaranteed to work! The results might seem like magic, but as you soon discover, natural breast enlargement is based on solid scientific principles.

Don't you do in young boobs black breasts faye valentine breasts, heidi klum breast gallery natural boobs breast enlargement. Look forward to promoting your body's natural breast enlargement process and also to feeling better! (x) Please remember that the subject of the forum is breast enhancement or enlargement, particularly natural or herbal breast enhancement or enlargement. It looked like my only option was natural breast enlargement. Takeing natural breast enlargement pills can creast natural breast enhancement and breasts splendor to admire! Gain self confidence in your appearance with natural breast enlargement. Some natural breast enlargement companies develop the mammary tissues in the breasts. Now if you are not up for surgery, but still want larger breasts, you may opt for natural breast enlargement pills. Doctor's advice on natural breast enlargement. Go there to discuss all matters relating to the popular modern quest for breast enlargement through natural bigger breast pills. http://www.nano-breast-enlargement.com/

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Breast Enlargement Creams

Many women seek to learn if a breast enlargement creams give favorable consequences for them or not. The short secret to currently sensational matter is...probably yes and probably not! Due to the some potential quality of life ramifications of augmentation surgeries, coupled provided high rates and often unwanted results, more and more women now look for some natural alternatives for improving the sizes and firmness of their breasts. Breast Enlargement Creams

Breast enhancement creams are one of folks techniques but then, it depends upon the response of the person to the product. Not all creams would run for all ladies. To meet the demand, a plenty of women natural breast enhancement products have hit the market. This includes supplements, pills/lotions, creams/gels and sprays/pumps. A breast enhancement cream is one of the more famous products of these alternative treatments; however, there are very restricted scientific or anecdotal evidences of its effectiveness to increase the busts sizes since they differ greatly from other non-surgical breast Enhancement techniques as it becomes then topical cream versus a pill or capsule!

The potency and effectivity of the potent hormonal ingredients those activate the breast enhancement methods are dramatically settled when delivered by pills or capsules since they should go through the volatility of the alimentary canal and then travel across the entire body before arriving at the mammary glands (breasts). With the controversy of pills Some experts opine that the active ingredients in the nutraceutical grade woman breast enhancement cream are topically applied and trans-dermally bore through the epidermis (skinny layers) and directed towards the desired enhancement areas ...therefore rendering higher levels of efficacious and enhancing effectiveness. Breast Enlargement Creams

They say that the active ingredients go directly towards the particular enhancement areas via scientifically advanced trans-dermal delivery systems...thus offering more effectiveness ...quicker. Higher grades and more fresh ingredients may be used for processing trans-dermal deliveries. The natural breast enhancement creams generally contain ingredients similar to those based in the more effective herbal enhancer, including wild yams, black cohosh, fenugreeks, burdock roots, kelps and others.

Nevertheless, most of such products do contain enough active ingredients having any real effect on breast tissues. Moreover, most do contain the delivery systems required to bring stimulation extracts across the skin barriers, even if they do contain adequate amount of those herbal extracts. The breast enlargement creams may cause temporary skin irruption or irritation because of a reaction to some products, but this is only temporary and is not be confused with factual breast growth. Many women are duped by such initial tingling sensations, thinking to themselves "Great, it's working!"

More researches need to be conducted for determining the effectiveness of breast enlargement pills, supplements and other programs. If they can in fact offer significant results, then it is believed that more women opt not to have surgeries, as the risks and costs are very high to overlook. If anyone is considering breast enhancement creams, make sure that she must have checked with her health care provider first. He or she will help her making some firm decision whether to go for the therapy or not. Start taking actions and work towards your dream figure! Download your Breast Enlargement Creams ebook now!

Breast enhancing creams, pills and serums are effective in increasing the breast size naturally. Though these days with the development of surgical techniques and methods, breast surgery is no more harmful as it used to be but it is very expensive and still problems like ruptures, scars and bleeding is evident in some cases.

Breast enhancing creams, pills and serums work naturally to increase breast size by promoting production of prostaglandin hormone in the body which consequently promotes growth of breast tissue. This is a natural way of promoting breast size. Estrogens are stimulators of mammary gland, good quality breast enhancing creams, pills and serums contain natural estrogens also known as phytoestrogens which stimulate mammary gland and make the breast fuller and firmer.

The best quality natural breast size increasing creams and pills contain natural herbs which can treat the hormonal problem, under developed breasts and sagging breasts due to age or other reasons. These supplements can alleviate the problem with in weeks and are formulated with natural compounds to make it free of side effects. These pills contain ingredients like blessed thistle which has been used as a hormonal balancer for women since a long time. Fenugreek seeds and fennel seeds extract is a rich source of estrogens or phytoestrogens which promotes hormonal production and release, to stimulate the growth of mammary gland and breast tissue, to increase the size of breast naturally. Don qui a Chinese herb used as a vital ingredient in these pills and creams helps the body in efficiently using the hormones. Kelp is another herb which is a rich source of iodine, this herb helps in improving thyroid gland functions and healthier hormonal balance and also has been found very effective in reducing breast cancer rates.

Saw palmetto is generally considered as an herb more useful for males rather than woman but it is a vital ingredient of pills and creams intended to increase breast size naturally. This herb contains oil which is an effective agent to reduce atrophy of mammary gland due to age, hormonal imbalance or due to other ailments in the body. It eventually helps in maintaining the size and prevents sagging of bust effectively. L-tyrosine is an amino acid which aids and improves adrenal, pituitary and thyroid glands for good over all health and prevents the negative effects of age on the bust size and shape too. This also helps in naturally increasing the size of under developed breast by birth, caused due to malfunctioning of any of these glands.

Damiana leaves and Mexican wild yarn roots are other necessary ingredients of breast size increasing pills, creams and serums which are rich sources of phytochemicals necessary and helpful in improving and developing size of bust. The use of any of these supplements surely helps and save any woman from low self esteem and gives her personality an attractive look making her feel like a complete woman. To aid the effects of these supplements avoid too much consumption of tea and caffeine and try to avoid stress by taking proper sleep and rest. Rich and balanced diet including all the essential vitamins, proteins and minerals is not only good for over all health but also has catalytic effects on the results of these supplements.

Who Gets Plastic Surgery

Plastic surgery is no longer the domain of celebrities. All types of people pursue plastic surgery as a means of enhancing their satisfaction with their appearances. From mothers in their early 30s to baby boomer men in their 60s, plastic surgery has increasingly been accepted as a path to self improvement.

The entrance of plastic surgery into the mainstream is evident in the statistics about plastic surgery. Comprehensive survey data is collected by the American Society of Plastic Surgeons every year, and the results reveal the surprising popularity of plastic surgery among different demographic groups. Baby boomers are getting breast lifts, upper arm lifts, and facelifts, and mothers are not shy about turning to the "mommy makeover" procedures to rejuvenate their bodies.

In 2006, 11 million cosmetic procedures were performed in the United States. These procedures included plastic surgery and minimally invasive cosmetic treatments such as BOTOX® Cosmetic. Of the people receiving plastic surgery or cosmetic treatments, the overwhelming portion remain women who make up 90 percent of patients. However, men are showing a rising interest in cosmetic plastic surgery. The number of men pursuing cosmetic procedures has risen 8 percent between 2000 and 2006.

Baby Boomers and Plastic Surgery

At this time, the 40 to 54 age group, which includes both men and women, seeks plastic surgery the most often. With nearly 5 million procedures in 2006, this age group accounted for 45 percent of total patients. People age 55 and over made up one quarter of cosmetic procedures in 2006 at 26 percent. According to the American Society of Plastic Surgeons both of these age groups combined displayed a 12 percent rise in cosmetic procedures from 2005 to 2006.

People in the 40 to 54 age group and especially the age 55 and over group represent the famous baby boomer demographic. With a large segment of the population aging, the rise in cosmetic procedures makes sense, but the youthful attitude of many baby boomers prompts them to seek plastic surgery. Healthy and active lifestyles are becoming the norm for people as they enter their 50s and 60s, and the desire to look young is a natural reaction.

Data from the ASPS surveys indicate that since 2005 tummy tucks have increased 7 percent, breast lifts are up 11 percent, and facelifts went up an impressive 22 percent for the baby boomer age groups.

Mothers and Plastic Surgery

The Los Angeles plastic surgery procedures of breast augmentation, tummy tucks, and breast lifts are often dubbed "mommy makeover" surgeries. Although not all women who undergo these procedures are mothers, they do provide women unhappy with how pregnancy has changed their bodies with attractive options for rejuvenation. Among women of childbearing years, typically ages 20 to 39, plastic surgery is on the rise. For example, within this age group tummy tucks were up 9 percent in 2006 over the previous year and breast lifts rose 11 percent.

According to the ASPS, more childbearing women are turning to plastic surgery due to busy schedules and their need to return to their careers quickly after becoming mothers. However, other contributing factors are the broader availability of qualified plastic surgeons across many regions and the appeal of the results that can often be achieved. Tummy tucks for example are sometimes the only way to achieve a firmer and smoother torso once skin has been stretched by multiple pregnancies.

Furthermore, women often have a deep personal desire to slim and firm up their bodies after childbearing in order to boost their self image. Some women can take considerable pride in looking good after having children, and revitalizing some of the physical firmness of their pre-pregnancy bodies provides much satisfaction.

The types of people that seek Los Angeles plastic surgery and their reasons for wanting to enhance aspects of their physical appearances are diverse. Plastic surgery attracts women and men of all different ages. No single stereotype of the plastic surgery patient exists. People generally have a natural desire to improve and maintain their appearances according to their personal preferences, and for some people this includes plastic surgery.

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Firm Breasts Exercise - Products For Beautiful, Firm Breasts

Firm Breasts Exercise

If you are one of millions of women who should like stable breasts without the expense, time and pain associated with surgical breast augmentation, there are skin treatment offerings available to tighten sagging breasts and to firm and enhance your bust's appearance. Many women following childbirth, weight loss or through aging have found their breast sagging and developing loose skin.

Firm Breasts Exercise

A popular and common procedure for getting firm breasts has been to undergo surgery for breast implants. Though proven to be increasing safe with reduced side effects, breast surgery can be expensive and painful. Firm breasts from: * Childbirth * Weight loss * Breast reconstruction * Nursing * Injury A preferred alternative to firm breasts is using skin care products to tighten and firm sagging skin.

Products with Hyaluronic Acid (a naturally occurring element in our bodies for moisture retention) combined with ingredients such as Matrixyl or Argireline help firm and tighten the skin providing a firmer and softer feel. Argireline and Matrixyl have become primary active ingredients in anti-aging skin care. They have been proven to reduce wrinkles, soften the skin, and to visibly reduce fine lines and wrinkle density. Firm Breasts Exercise

Used to firm breasts, Matrixyl and Argireline can improve the bust appearance by firming sagging skin and provide additional lift and definition to the breasts. Widely used with other ingredients such as Emu Oil, Shea or Aloe Butter, breast firming creams and lotions improve the appearance of the breasts while firming and tightening tissue.

Recently, ingredients have been developed by researchers that target breast tissue specifically. Bio-Bustyl (as the name may imply) was developed especially for use in breast enhancement products. Bio-Bustyl has been shown to increase skin elasticity and improve cell renewal as well as elastin and collagen production.

Often combined with Green Tea and Vitamin C (antioxidants that fight cell membrane damage) and polypeptides that encourage dermal health, Bio-Bustyl has been shown in studies to improve firmness by almost 19%, tone and reduce skin fatigue. Though formulated for overall health and to firm breasts, vitamins and breast enhancing capsules and pills have been shown to also help breast development and improve skin cell health.

Firm Breasts Exercise

Many products include Saw Palmetto and natural herbs and botanicals developed to aid breast growth. If you are looking to firm breasts and prefer an alternative to surgical breast augmentation, consider skin care that has been formulated to firm, tighten and enhance your bust line. Start taking actions and work towards your dream figure! Download your Firm Breasts Exercise ebook now!

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Natural breast enhancer is the only option of many women despite the dozens of commercials you heard about breast implants. The rise of cosmetic surgery and the accessible locations of cosmetic clinics, including the availability of cosmetic consultants, will not boost the confidence of most women to go for cosmetic surgery. Safety measure is almost an instinct to a lot of women. This is because you can never undo the effects if surgery goes wrong and complications are unfolding in your body like substance leakage, surgical infections and other related surgical malpractices.

So what are natural enhancers that you can avail and safely use? For sure, you have heard about the Herbs Breast Enhancer Pills. These pills are made from the plants that contain phytoestrogens. This substance gives mastogenic effect in the breasts. Its effect is similar with estrogens, the sex hormone found in the human body that is responsible for breast growth, and other functions in female species. These herbs are the Fennel, Fenugreek extract, Saw Palmetto, Wild Yam, Cumin, and others.

The second method that you can also incorporate is the breast exercise. The muscles around you breast can be toned and somehow can increase the size of your breast. Example of a breast enhancing exercise is the arm row. However, you need to consult your gym instructor so that because he can assist you with the proper routine that will help expand you cup size.

Another natural enhancer is the vacuum system in bra. This bra puts pressure on your breast, stimulating the tissues so that it will engorge the breast when blood pressure rushes in the breast area. This vacuum system works like a therapy sessions. Each session lasts for 10-12 hours everyday for three consecutive months. After the mechanical therapy, your breast size will increase because the tissue has been induced and stretched.

In the absence of vacuum system, hence it might not be available in your area or if you think the product is way expensive, a breast massage everyday can also be a good means because it can stimulate your tissues. You can apply breast enhancement cream which also contains those vital herbs that are helpful in enlarging your breast. You can check online about natural breast enhancer products that may help you improve your bust line.

Larger firmer breasts without surgery would be one of the best option. Do you want to know how to get noticeable breast lifting in just 7 days and increase breast size of up to a cup in about 4 weeks? Yes, you can achieve natural breast enlargement within 21 days, go here now - http://www.how-to-increase-breast-size.com

Public opinion and recent scientific studies have once again swung the pendulum in favor of breast implants in the United States. After the FDA restricted the use of silicone implants in 1992, plastic surgeons experienced a precipitous drop in the number of breast augmentations they performed. The government's concern at the time were reports that silicone implants were causing generalized symptoms in some women (Rheumatoid arthritis, lupus and other auto immune diseases).

In the years that followed multiple large studies were performed at leading medical centers yielding consistently favorable data. In 1997, the Institute of Medicine independently reviewed this data for the US Congress and found conclusively that there was no evidence that silicone implants were responsible for any major diseases of the body and that these devices did not increase the risk of primary or recurrent breast cancer. Since then, many other studies have solidified these conclusions reassuring the public that silicone and saline implants are indeed safe.

With this increased confidence in implant technology, more women chose to have breast enhancement in the year 2004 than ever before. In fact, the American Society of Plastic Surgeons reported that 254,140 American women underwent the procedure in 2003 compared to 32,607 in 1992. This number continues to rise steadily and Charlotte is no exception. Breast Augmentation has become one of the most commonly performed cosmetic procedures in the US.

Improving breast contours and unevenness may seem trivial and vain at the surface, but the emotional implications are far reaching. The boost in self-confidence that we witness in our patients makes this procedure extremely rewarding. A significant number feel a lack of femininity and have an altered body image similar to our mastectomy patients before their reconstruction. Those that are severely underdeveloped avoid bathing suits and instead wear bulky t-shirts to obscure their flat chests.

Their gratitude after the surgery is unparalleled and they invariably become an important source of referrals to our growing practice. These days, once women have decided to undergo augmentation they are faced with a plethora of options: silicone vs. saline, round shape vs. contoured, smooth surface vs. textured, pre-filled vs. inflatable, under the chest muscle vs. over, in the hospital vs. the office, sedation vs. general anesthesia; not to mention the different size implants and manufacturers available, as well as which incision to use and whether or not other procedures are required. It can become overwhelming?

First, the issue of silicone vs. saline implants. Although the Institute of Medicine unequivocally ruled out the association between silicone gel implants and systemic diseases, local problems with the breasts such as silicone leaking and hardening, while not life-threatening, were concerning to this committee. My personal preference is to use saline implants. These can and do eventually deflate but the salt water used to fill them is completely harmless to the body and gets reabsorbed, making them safer than silicone implants.

Furthermore, unlike saline deflations where the patient soon notices a decrease in size and seeks attention, the ruptured silicone implant can go undetected for years until the breast starts hardening and becomes painful.

The next choice to be considered is smooth vs. textured (rough) surface. My bias has changed in the last decade from mostly textured to mostly smooth implants. Research in the early 90's indicated that textured silicone implants hardened less frequently than smooth ones. It may not be the case for saline implants however. Some studies show a small difference, others no difference.

When it comes to choosing pre-filled (fixed volume set by the manufacturer) or inflatable implants (inserted empty into the breast and then inflated in-situ), I prefer the latter. Using an inflatable prosthesis allows fur a much smaller incision to be made and more flexibility in choosing the final size, especially when the breasts are uneven to begin with.

Placing the implant behind the chest muscle (pectoralis major) or in front is another intensely debated issue. More surgeons, as I do, feel strongly that behind the muscle is better. The major advantages is a lower rate of hardening, better preservation of nipple sensation, improved breast contour (the edges of the implant are obscured by the muscle) and improved visualization on mammogram.

The disadvantages are that there is more pain after the surgery, the breasts look fuller at the top the first month and the implants occasionally "bounce" when the chest muscle is contracted forcefully (as in some body builders). Despite these inconveniences, behind the muscle is definitely the way to go.

Which incision to use for placing the implant, by contrast, is much less important. Excellent results can be obtained with all four approaches: under the fold, in a crease of the armpit, through the areola (nipple) or the belly button. I generally prefer the armpit crease incision as it is a more direct route behind the muscle and leaves no scar on the breast itself Nipple sensation and breast feeding potential remains intact.

The two dominant manufacturers of implants in the US, McGhan and Mentor, are equivalent in most respects. As to the size of the implant, the majority of our patients are conservative: wanting simply to restore fullness after having children or slightly enhancing underdeveloped breasts. The width of the chest, how much breast tissue exists, and what the target cup size is desired, are the major factors in choosing the volume in "cc's" of the implant.

The aesthetic "norm" in the US appears to be a full "c" cup unlike Europe and South America where B/small C is more common. Although not an exact science, the majority of patients are content with their final volume. In our one year post-op survey that patients fill out, 91% of women are happy with their size. 6% would have liked to have gone bigger, and 3% smaller.

Be knowledgeable about the complications that can arise. No surgery is without risks. but these should be minimal.

Finally, take your time to do the research. Don't rush into the surgery. Know that it is safe and ever-more popular, but do it for the right reasons: mainly to feel better about yourself.