Finding the Right Bra Size With a Cosmetic Surgery Expert

Dr. Sophie Bartsich is a board-certified plastic surgeon in New York, New York. She specializes in breast procedures, with the goal to help her patients achieve happiness with their appearances and find better comfort in their bras. Her published article, “Why There’s No Such Thing As a Standard “B” Cup,” dives into the real problems women face when it comes to finding the right size bra. Dr. Bartsich’s experience as a woman performing cosmetic surgery gives her a special point of view into the matter as she sheds light on this common issue that is not as widely talked about as it should be.   

You may be part of the 80 percent of women who are wearing the wrong bra size right now. Have you ever tried on two separate bras in the same exact size, only to have them fit completely differently? Whether they have natural breasts or have different breast implant sizes, many women struggle to find the right fit. Our breasts are as individual as our personalities, so it’s no wonder they don’t all fit into a category named by a letter of the alphabet. So, Dr. Bartsich asks, “How could something so intimate be so off-base?”

The Root of the Problem

Dr. Bartsich explains the history of bras, dating back to the days way before cosmetic surgery when women wore corsets to support their breasts and entire upper bodies. Bras were introduced in the 1930’s and were made to fit a woman based on how much her breasts sagged. This system was only partially helpful. When the bra sizing system began to include breast volume as an important factor in cup size, the “A, B, C, D” letter system was introduced.

How Bras are Sized Today

If you want to figure out your cup size, first measure the circumference of your chest right below your breasts regardless of your breast implant sizes (if you have them). Then, move the tape measure up and measure the circumference of your breasts at their peak. Your final size is based off these two numbers: if their difference is one inch, the cup size is A, if it is two inches, it’s B, and so on. “This approach is simple and direct, and seemingly adequate, but ultimately totally inefficient,” Dr. Bartsich says.  

What We Should Be Measuring

According to Dr. Bartsich, the most important measurement that bra sizing does not take into account is the width of the base of the breast. She says, “As a plastic surgeon, this is the most critical assessment I make on any breast exam during a consultation. The base diameter of the breast sets the stage for any implant-based surgery by letting the surgeon know how much real estate she has to work with … Much as a foot fits into a shoe, width can make or break its success; cup sizing as we know it takes no account of this.” Because the options for breast implant sizes are so varied, patient and doctor both need these important measurements to achieve the desired results from cosmetic surgery.

Women with breasts that hang are hard-pressed to find a bra that fits. Current methods for bra sizing do not consider how much ptosis, or sagging, the breasts have. If a woman’s breasts are mostly situated lower on the abdomen rather than on the upper chest, a bra that is supposed to be the correct size based on her measurements will be far too small.

Public Enemy Number One

Gravity is, and always will be, an enemy to women trying to look their best. Its effect on our breasts is deflating and over time, our breasts will inevitably begin to sag. Dr. Bartsich says this creates even more of a bra sizing problem, especially for flatter breasts. “If you go back to the cup measurements, and you visualize the measuring process, it becomes clear that perky breasts will stick out more than flatter ones. And they could easily measure out to a larger cup size even if the breasts they represent are in fact half the size of the sagging ones.”

Do Lingerie Stores Have the Answer?

Some women prefer going to to their favorite lingerie store to have their busts personally measured to find the perfect fit. This can be helpful, because the sales associates know their specific brand and how it will feel on you. But not every brand will fit each woman the way she wants, especially if she has different breast implant sizes. Dr. Bartsich says, “As long as we have the current system, finding the right size bra will continue to be similar to finding the right size pair of jeans. The sizes will serve as a guideline, but it is only once you identify the perfect brand for you that things will really fit into place.”

According to Dr. Bartsich, the lingerie assistants provide only a “band-aid” to the real problem or bra sizing because women’s breasts will never fit into a small, medium, or large size chart in real life.

There is Hope in the Future

Because she dedicates her work in cosmetic surgery to helping women feel comfortable and confident in their own skin, Dr. Bartsich wants to be part of the solution. She says, “It is my plan to devise a realistic bra sizing system in the near future, one that can be standardized and represents relevant measurements for each woman.” She wants women with natural breasts and those with different breast implant sizes to have a go-to bra size. She does not expect the task itself to be the most challenging part; it’s getting the world’s bra manufacturers to accept the new system that could prove difficult. It is possible, but the switch could take some time.

In her article, “Why There’s No Such Thing As a Standard “B” Cup,” Dr. Bartsich’s final advice for the bra-wearers of the world is this: “Embrace your B, whatever that means, but lose the wire. The only thing worse than the wrong width bra is one with a metal band set to the wrong diameter. Technology offers us revolutionary new materials that can change and conform as needed, and support without the remnants of a corset. Support is possible without metal, and shape is easier with stretch. Until the day that bras are actually made to fit real breasts—and I believe that day is coming—the only chance we have at comfort is adaptability.”

Go Bra-Free With IDEAL IMPLANT ® Structured Breast Implants

One goal Dr. Bartsich would love for all of her cosmetic surgery patients to achieve is to be able to confidently go braless whenever they felt like it, regardless of the breast implant sizes they choose. She offers her patients the new IDEAL IMPLANT, a saline-filled breast implant which has an internal structure that gives it a beautifully natural shape. With this new implant technology, women no longer need to feel self-conscious about their implants showing visible wrinkling or rippling, like they did with unstructured saline implants. The IDEAL IMPLANT also has advantages over silicone gel implants. Because there is no silicone gel inside, the IDEAL IMPLANT has zero-risk of silent rupture. Dr. Bartsich is proud to offer her patients this natural-looking option with the peace of mind of saline.

Experience the Best in Cosmetic Surgery With Dr. Sophie Bartsich

Considering breast implants in New York City? Contact Dr. Sophie Bartsich today to discuss your options. Simply call 212-717-9200, or visit Dr. Bartsich’s office is located at 960 Park Avenue, New York, New York 10028. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Understanding Your Breast Implant Options With Dr. Galumbeck

Breast augmentation is the most popular plastic surgery procedure in the United States, with over 300,000 surgeries performed last year. Dr. Matthew Galumbecka board-certified plastic surgeon in Virginia Beach, Virginia, has performed hundreds of breast augmentations in his 25 year career. Dr. Galumbeck explains why he thinks breast augmentation is so popular, saying,

“I think women who come in and get breast augmentation do it for themselves so that they feel better about themselves. It gives them better shape, better proportion, more confidence. I think most women who come in say, ‘I want to be able to get in a bathing suit and fill it up when I walk down the beach,’ but not have people point and say, ‘oh, you look fake.’”

There are many reasons to seek out a breast augmentation, some of the most popular being:

    • Small breasts
    • Loss of breast volume following pregnancy and breastfeeding
    • Change in breast size after losing weight
    • Asymmetrical breasts

Women in all of these situations are good candidates for a breast augmentation. In addition, breast augmentation can be combined with other procedures such as a tummy tuck or liposuction to further enhance your natural beauty.

Dr. Galumbeck is an expert in breast augmentation, and provides women with the the newest surgical technologies in a safe and relaxing environment. His desire is that every patient would feel beautiful, empowered, and confident after her procedure. Great plastic surgery results start with access to choices, which Dr. Galumbeck provides for his patients. Dr. Galumbeck was recently named an Ideal Implant Premier Surgeon because he is one of the top surgeons in the nation to provide the newest breast implant, the IDEAL IMPLANT® Structured Breast Implant.

Breast Implant Options: What to Expect

If you’re meeting with your plastic surgeon to discuss breast augmentation, what should you expect? Dr. Galumbeck tells us, “One of the biggest options that women have now is the type of implant for breast augmentation that they can use.” Many women don’t realize there are options when it comes to breast implants. In fact, your choice of breast implant can have a lasting impact on your lifestyle so it is important to choose carefully.

Saline Breast Implants

Saline breast implants are made from silicone shells filled with saline (sterile salt water). As Dr. Galumbeck explains, they were the only implant choice for many years. “So, originally all we had was the saline implant. The advantage of the saline implant is that if it leaks, it is all absorbed by the body. The problem with this is it has no structure, so it can ripple. It’s not a very natural feel or very natural look.” Women still love the peace of mind they get with saline breast implants. Because the saline is absorbed, there is no need to worry about complicated surgery to remove it if the implant ruptures. However, women began moving away from this choice when silicone gel breast implants became available because of the aesthetic concerns.

Silicone Gel Breast Implants

Dr. Galumbeck explains why women liked the silicone gel breast implant when it was first introduced, “In 2007, the silicone gel implants came out and the advantage is that because it’s more cohesive, it has a more natural look, more natural feel.” Silicone gel is a thick, sticky substance that provides more stability to a breast implant than saline. The result is an implant that does not ripple or wrinkle and looks natural. Since the FDA approved silicone gel breast implants they have grown in popularity. However, these implants have a downside which Dr. Galumbeck explains, “The disadvantage is that if it leaks, the silicone gel stays in the breast tissue and so you can’t tell that its leaked with a ‘silent rupture.’ The FDA actually recommends that women get MRIs every three years to look for leakage.” Women do not like the hassle and expense of repeated MRIs, which cost on average between $444-$1468. In addition, the anxiety caused by not knowing the status of their breast implants can be a daily stress for some women.

IDEAL IMPLANT Structured Breast Implant

The IDEAL IMPLANT Structured Breast Implant was created to give women an option for beautiful, natural looking breast implants without the worry about silent rupture. Since it became available it has grown in popularity, quickly becoming the next generation of breast implant. Dr. Galumbeck explains more about it saying,

“The third implant that’s been out since 2014 is the IDEAL IMPLANT. The nice thing about this is it’s an all saline implant, but its structured so that it’s an implant surrounding an implant. And because of the structure it looks and feels like the silicone gel implant. It has a very natural look, very natural feel, doesn’t ripple, but it also has the advantage that if it leaks, because it’s saline, the salt water is absorbed by the body.”

Breast Augmentation Complications: How Implant Types Compare

Breast augmentation is not without potential complications. Additional surgeries may be required to address complications such as rupture, capsular contracture, or cyst removal. According to the FDA, rupture and capsular contracture are two of the top reasons for breast implant revision surgery. The breast implant you choose can give you a statistically higher or lower risk of needing a revision. Knowing statistics on rupture rates and capsular contracture rates can help you plan financially and prepare mentally for the possibility of additional breast surgery.

Unfortunately, many women are not aware of the high rates of complications with silicone gel breast implants. For primary augmentations, silicone gel breast implants have a capsular contracture rate of 10.9-16.2%, and a rupture rate of 7.2-13.6% in 7-8 year trials. Ruptured silicone gel breast implants can also lead to other complications. The FDA lists these possible complications as, “a decrease in breast size, change in breast implant shape, hard lumps over the implant or chest area, an uneven appearance of the breasts, pain or tenderness, tingling, swelling, numbness, burning, or changes in sensation.” It is important to get the recommended MRIs every three years to check for a silent rupture before it turns into a larger issue.

The IDEAL IMPLANT Structured Breast Implant, for primary augmentations, has a capsular contracture rate of 6.6% and a rupture rate of 2.1% at 8 years. The lower rates of these major complications mean you are at a lower risk of lifetime surgeries. Additionally, because the implant is filled with saline there is no need for repeated MRIs to check the status of your breast implant. As Dr. Galumbeck explains with the IDEAL IMPLANT Structured Breast Implant, “women have not only the look and feel, but also the confidence that she doesn’t have to worry about a silicone gel rupture or getting MRIs.”

When you’re considering your breast implant options make sure you get all the facts. Talk with your surgeon, look at before and after pictures, and feel the difference for yourself in your surgeon’s office. Educating yourself, especially when it comes to common complications such as rupture and capsular contracture, will help you make an informed decision. Choose an option that makes you feel beautiful, and leaves you without anxiety for the future.

Breast Augmentation Surgery and Recovery

Many women worry what surgery and recovery will be like after a breast augmentation. Is surgery safe? Will you be out of work for weeks? Dr. Galumbeck answers these common concerns for us:

“The procedure is very safe. It has been done for many, many years. The recovery is quick. During the operation that we perform here at our fully accredited facility, I use an endoscope, which is a specialized TV camera, to look inside. So I keep the incisions smaller, and don’t have to use drains afterwards. We have a hyperbaric oxygen unit that we have patients get in after surgery to help speed the recovery process.”

The surgical process typically includes the following steps:

    • Preoperative Markings: These markings ensure your breast implant is placed properly.
    • IV Anesthesia: A physician anesthesiologist gives intravenous anesthesia.
    • Incision: An incision is used to gain access to breast tissue. There are four choices for incisions—axillary, periareolar, inframammary, and transumbilical.
    • Creation of the Breast Pocket: A pocket is created to place the implant into. Dr. Galumbeck uses an endoscope to allow for precise dissection.
    • Inserting the Breast Implant: The breast implant is inserted into the pocket.
      • Final Check: Surgeon checks to make sure breasts are symmetrical.
    • Incision Closure: The final step, closing the incision with methods to minimize scarring.

The whole procedure is finished in about an hour, after which you will be taken to a recovery room. After some observation patients are usually sent home the same day. Dr. Galumbeck tells us, “most women are back to work and social activities in a day or two after breast augmentation.”

Dr. Galumbeck uses the newest surgical technology to provide safe and efficient breast augmentations for his patients. His training and experience provide him with the knowledge needed to minimize risks and complications. The result is a natural and beautiful looking breast augmentation.

How to Select a Plastic Surgeon

Finding the right plastic surgeon for your procedure is very important. Dr. Galumbeck shared the following tips and questions to ask when searching for a plastic surgeon:

    • Is the plastic surgeon board-certified in plastic surgery?  
    • How many procedures have they done?  
      • See before and after pictures of that physician’s patients.
    • Feel comfortable with the plastic surgeon.

Board-certification by the American Board of Plastic Surgery is especially important to ensure great results. Surgeons who maintain their board-certification are committed to providing a high standard of care and staying up to date with medical research.  

Before scheduling a consultation you should check out online reviews to see what past patients have to say about the surgeon. Websites like RealSelf, Facebook, or Google have real patient reviews.

Read reviews like the ones below for Dr. Galumbeck and his staff:

“Wonderful Experience!! After having 3 kids, my mommy makeover by Dr. Galumbeck has really helped me feel beautiful again! His staff is AMAZING! Everyone was super friendly, caring, and easy to talk to. I would recommend Dr. Galumbeck to everyone!!” – Google reviewer Charlotte Reed

“Absolutely amazing. My results are phenomenal!!! I couldn’t be happier with my decision. You don’t realize how much of a positive change you can make until you take a leap of faith. Dr. Galumbeck and his staff were professional, made me feel at home and 6 months post surgery they still make me feel like a part of their family. 100% recommend and would do it all over again!! Thank you guys.” – Facebook reviewer Stefani Skiest

“Dr. Galumbeck and his staff were outstanding. I never ever felt rushed or pushed to make a decision. He offers the Ideal implant which after researching for years on implants, I felt this was the best for me. He was personable and easy to talk to. He didn’t even mind the kiddos (sitter bailed) on procedure day! He let my husband watch the kiddos in a side room just so it was more convenient for us all. I would do this over in a heartbeat! His procedure is fantastic! No muscles cut or torn and no need for drainage tubes! He changed my life!!!!” – Realself reviewer Stski

Finding a skilled and experienced board-certified plastic surgeon is the first step toward a new you. If you’re in Virginia Beach call Dr. Galumbeck to set up your complimentary breast augmentation consultation. Dr. Galumbeck was trained at Case Western Reserve University and Eastern Virginia Medical School. He also received advanced body contour training in Paris. In addition to his plastic surgery practice, Dr. Galumbeck founded and serves as the medical director of Spa Phoenix, the area’s first doctor directed medispa. Dr. Galumbeck prides himself on providing safe and efficient cosmetic procedures that get his patients the results they want.

Considering breast implants in Virginia Beach? Contact Dr. Matthew Galumbeck today to discuss your options. Simply call (757) 491-3204, or visit Dr. Galumbeck’s office is located at 1817 Republic Road, Virginia Beach, Virginia 23454 US. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

What You Need to Know About Southport Breast Implants with Dr. Tito Vasquez

Getting to Know Dr. Rapaport and his Thoughts on Breast Augmentation, Silent Rupture, and why he Likes the IDEAL IMPLANT®

Manhattan women have a lot of options when it comes to their plastic surgeon. Getting to know doctors through interviews, like this recent interview with Dr. David Rapaport, are a great way to get a feel for their personality and practice. Read more to get to know Dr. Rapaport and his thoughts on the new IDEAL IMPLANT® Structured Breast Implants.

Tell us a little bit about you and your practice.

I’ve been in practice for about 25 years, and in private practice in Manhattan for 20 years. I perform a wide range of plastic surgery procedures from face to breast to body on both men and women. I’ve developed quite a following in terms of my breast enhancement practice. Which includes primary augmentation as well as secondary breast work.”

Why do you think women choose your practice over other options?

“I look at a breast augmentation consultation as an educational process, with the necessity being that the patient learn about her options. Most people who come in for a consultation aren’t truly informed of their options and the trade-offs involved. I take into consideration a woman’s concerns and anatomy, and then I educate her in terms of what her options are. I try to honestly portray the pluses and minuses with each option so that she can make the best decision for her.”

What is the process like for a woman coming in for her first breast augmentation consultation?

“When a woman is having a breast augmentation for the first time, it’s very important for her to understand what her choices are in terms of implants. I was training in plastic surgery in 1990 when the FDA said not to use silicone gel implants for anything other than breast reconstruction. That remained true until 2006. Because of that, I learned very quickly in the 90’s how to use saline implants. Soon after I finished training, endoscopic plastic surgery hit the scene. I was one of the developers of endoscopic breast augmentation, which means putting implants in through the underarm. The saline implant is a very attractive implant because it can be rolled into a small cigar shape and put in through a very small scar. It is a wonderful implant when hiding behind the right breast. The issue with saline implants is that in some patients there were issues with rippling which could be visible. They also didn’t feel that natural. The other problem with it was a relatively high rupture rate.

“It is for these reasons that when the IDEAL IMPLANT came on the market I was very attracted to it from the beginning. This implant gives you the best of both worlds with its structure and design. Many women are concerned about implant safety. I respect the FDA greatly, but it tends to change its mind. We don’t always know the truth because the truth evolves in terms of our perception and over time. So many women look at silicone gel in a similar light and worry that the FDA says silicone gel is fine and harmless now, but who knows in 10 years if it will be? A woman that isn’t so comfortable with silicone gel now has a really, really good option that gives her the peace of mind of no silicone gel in her body and yet having an implant with an exceptionally low rupture rate, a very, very good feel, a very natural appearance, and no worrying about ripples. The IDEAL IMPLANT really presents a solution that the more I educate my patients on, the more I see that it’s a great solution for many, many women.”

How did you hear about the IDEAL IMPLANT ?

“The first time I learned about the IDEAL IMPLANT was at a plastic surgery meeting. I met Dr. Hamas and he explained to me what it was. I immediately was attracted to this implant. I learned about a couple of my peers who were already involved, and it was a very natural step for me to get involved as well.”

What’s been your overall impression of the IDEAL IMPLANT ?

“I’ve been using the IDEAL IMPLANT for about three years and my experience has been very positive. It’s an implant that’s well presented, the educational materials and samples are good. The insertion is really straightforward, and it’s a foolproof device in terms of how the surgeon can use it. Because I’m very familiar with saline implants, the process of adopting the  IDEAL IMPLANT was a very easy process.”

What has been your experience with the IDEAL IMPLANT as far as patient satisfaction?

“My patients’ responses are uniformly positive. I have augmented patients through every approach you can imagine and am very well known for the endoscopic approach. Being able to insert the IDEAL IMPLANT empty allows for a smaller incision, which makes it a very attractive component of what I can offer my patients.”

Do you feel like IDEAL IMPLANT compares nicely with other options you’ve used?

“Based on my experience, I would say the IDEAL IMPLANT is an excellent option. Patients like the look and the feel. Above all they really like the peace of mind of knowing that they haven’t done anything they might regret down the road or that if there is a rupture, the process of replacing it is easier than with other implants that rupture.”

Anything else you want to mention about your practice?

“I love being a doctor, I love being a surgeon. It all started with my residency at Harvard in general surgery. My mentor there taught me to listen to my patients. You need to understand that there is no all-purpose algorithm for treatment. Treatments need to be customized based on the concerns and values of the patients. I find that too many doctors these days do everything on a reflex action. That’s overly simplistic and it’s simply wrong. Patients need a variety of options.

“I think our practice stands out because we very much individualize our treatments. I’m very proud to be able to offer minimally invasive treatments that hide scars. I’m proud that I do virtually all my liposuction, and the vast majority of my facelifts, under IV sedation. I tell you to take a deep breath, roll over, and I beat the chances of airway problems or blood clot. I enjoy the act of surgery as well as the relationships with the patients that occur from the whole process. So I guess I’m a pretty happy guy.”

Considering breast implants in Manhattan? Contact Dr. Rapaport today to discuss your options. Simply call 212-249-9955 or visit Dr. Rapaport’s office is located at 905 5th Avenue (@72nd Street) New York, NY 10021. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

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