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When looking over a breast photo gallery, it is vital that you know what you are looking for in quality of surgical results.

Implant position

Ideal position: The nipple complex should be a “bull’s eye,” appearing in the exact center of the breast mound. This is the most beautiful look. Carefully evaluate for any of the following:

  • Implant too high: Looks as if the breasts are “waiting to drop,” or in a push-up bra. Implants appear far too high, or “under the chin,” indicating the surgical pocket and muscle release was incorrectly performed.
  • Implants too low: “Bottomed-out” or “double bubble” indicates the surgical pocket was placed too low on the breast structure.
  • Implant too inside: Medically-termed “symmastia,” or more commonly called a “uniboob,” this problem must be surgically corrected.
  • Implant too outside: Area between breasts too wide, creating a “landing strip” down the center, or implants so far to the side they are drifting towards the armpits.

One implant could be out of position. Keep in mind that the final implant position can be difficult to control and choosing a highly-skilled breast surgeon who performs augmentation with meticulous attention to detail makes a huge difference in the result.

Breast crease (fold beneath breast)

  • Perfect curve: The crease starts from the lower end of the cleavage, ending in the armpit, with both creases at the same level.
  • Round, boxy look: This indicates poor surgical technique in creating pocket and lack of muscle release.
  • Shaped, angled look: The result of poor muscle release.
  • V-shaped look: Poor surgical technique in creating implant pocket, and lack of muscle release.


  • Ideal: The perfect “martini glass” look.
  • Too wide: Landing strip – wide area between breasts.
  • Too close: Sometimes referred to as a “butt crack” appearance, with inadequate space between breasts.
  • Results can vary patient to patient, based upon natural anatomy and whether implants were placed above or below the muscle.

Side boob

  • Ideal: From the side, the breast has a slight bulge when seen from behind.
  • Too much side boob: Implants in armpits, in the way of arm motion, indicating the surgical pocket was incorrectly placed.
  • Too little side boob: A straight, flat contour indicates the surgical pocket was under-dissected so the implant cannot move into the right position.

Side view

  • Ideal: A perfect teardrop, a 50/50 balance. 40 to 60 percent of the breast volume is above and below the nipple, for the most desirable, attractive breast appearance.
  • 50 percent of implant above nipple: Implant looks as if it is “waiting to drop,” “implant under chin,” or “push-up bra look,” indicates muscles have not released properly, pushing the implant up.
  • 50 percent of implant volume below nipple: When too much volume is below the nipple, it can lead to “bottoming out,” or “double bubble.”

Before & After

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Maintaining your new breasts

A perfect teardrop shape is not easy to do; it is entirely dependent upon the skills of your surgeon. It is important to understand that over time, implants tend to descend and in so doing, increase the volume at the lower section. To maintain the correct look and position, wear a good support bra every day so that ideal position can be maintained.

What to look for in surgeon galleries

When reviewing a surgeon’s gallery, look closely at the “before” and “after” images. Look very carefully, as any image posted on the gallery is the best of their work. Do the results look natural and beautiful? It is not the quantity of images posted, but how good they look, consistently. It is definitely quality over quantity when viewing a gallery.

You may not have been naturally endowed with the breasts you wanted and are planning to undergo breast augmentation surgery. It could not be more important that you ensure your surgery is performed correctly – the first time. Dr. Daniel Casper is often called upon to perform breast revision surgery to correct a less-than-satisfactory outcome.

How to choose the right surgeon for breast augmentation

Many surgeons may promote themselves as experts or specialists in breast augmentation. How do you choose? Carefully review the gallery, read the surgeon’s qualifications and credentials to confirm certification by the American Board of Plastic Surgery. The is the professional board that certifies true “plastic surgeons,” that have advanced education and training in the correct procedures for breast augmentation surgery.

Dr. Daniel Casper is an acclaimed, board-certified plastic surgeon with a reputation for excellence in breast augmentation, serving Los Angeles, Beverly Hills, and beyond.

*The content/images on this website are not a guarantee of individual results. Individual results may vary. The information provided on this site is for general informational purposes only, and does not replace the need for a formal consultation with a plastic and reconstructive surgeon before undergoing a surgical procedure or skin care treatment. Results may vary depending on the person.

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