FOREWORD

• Many women do not look carefully into the qualifications of their potential surgeons. The criteria they evaluate are frequently meaningless.
• Porn Starlets as well as Dancers are commonly under the impression that placement of the implants "Over The Muscle" leads to better results. This is more often than not incorrect if the goal is to make a "natural-looking" breast. The difference between "Under" and "Over the Muscle" is explained at this link.
• Some women will insist upon "bargain shopping" for their surgeon and want to barter to the point below which it is not cost-effective to perform their surgery (for the surgeon or the surgical facility). Take into account that when the price comes below a certain point, the ability to provide the service fails. Those with lower overhead however (for example non-plastic surgeons performing this type of surgery) might be able to perform the service at rates that wouldn't allow me to pay my overhead.
• Both Porn Starlets and Dancers tend to be thin with little body and/or breast fat. They usually seek fairly large enhancements. A main premise behind "natural-looking" breast augmentation results is not to use such a large implant that coverage of that implant is marginal. What takes a while to understand is that many women desire such large breasts that this coverage issue can frequently be taken to a limit. Each surgeon sets his or her own limit here.
• Adult entertainers frequently seek and submit to re-operation even when the problem they have may not have an easy solution. Re-operation does not always improve outcomes. It can be followed by less-than-wonderful results, so re-operation should be carefully planned. Some of these ladies have had four or five operations, many more than in the average non-adult entertainer.

EXAMPLES

Reference Number	The Porn Star/Dancer	The Aesthetic Deformity	Potential Corrective Surgery
No 1 - Stage name Lexus		This common appearance is that of a thin woman who has had implants placed in the Sub-glandular position or "Over the Muscle." In women with little breast tissue this often leads to a very obvious border between the implant and the surrounding chest tissues. The common term "bolt ons" may not be too far off from the mark here.	Improvement would require removal of her implants and replacement with implants placed in the Sub-muscular position or "Under The Muscle." A breast lift of some sort may be required to remove some of the excess "stretched out" skin resulting from the previous augmentation surgery. To get an optimal correction the use of a smaller implant may also be reasonable.
No 2		Here is yet another woman with the same issue. Her implants however are much larger accentuating the "false" look. They seem to have descended as well giving the nipple a falsely high appearance. This descent is commonly more pronounced with Sub-glandular implants as with the Sub-muscular position, the muscle serves as an internal braseirre or sorts.	This woman would also be a candidate for removal of implants and replacement with Sub-muscular implants. A lift here would almost certainly be required. This might be of the modified sort but more likely would be a full "Wise Pattern" mastopexy.
No 3 - Stage name Anita	Corrected Porn Star	This example is not included as an example of a "bad" outcome, but rather as an example of a woman who has had either a breast reduction or (more likely) a breast augmentation with a full breast lift. Faintly visible are scars under each breast as well as around each areola (pigmented area around the nipples) and a line between the nipple and the fold beneath the breast. Funny that this is the treatment many a dancer and porn starlet (with a bad outcome) needs and is unwilling to have.	This woman seems to have had corrective surgery and looks pretty good. It is difficult to tell of course the quality of her outcome without looking at pre-operative images.
No 4 - Stage name Kaitlyn		OK, back to poor outcomes. This young lady has the typical thin athletic torso with large implants placed. It also appears that there was a fair amount of pre-operative droop as it appears that her nipples are a bit low on the breast.	This woman would also be a candidate for removal of implants and replacement with Sub-muscular implants. A breast lift here would certainly be required. This would most probably need to be of the full "Wise Pattern" type.
No 5 - Stage name Brittany		This young lady either has had the "O-So-Common" subglandular breast augmentation (yep, "Over the Muscle") or has had many operations or very large implants. Either way her chest tissues are thin providing little cover to the implants. The saline-filled implant ripples commonly and these ripples can be seen through thin soft tissue cover. In her case, we see at the cleavage over her right breast (seen on the left of the picture) three or four funny little "ripples." These appear and disappear dependent upon movement. In still photos, they are frequently airbrushed out.	"Ripples" are really hard to completely correct. As this woman's appear in the cleavage, removal of her implants and placement in the submuscular position would be helpful (if they are not already submuscular.) A switch to silicone gel implants is also an option although not my personal favorite.

NOTE: The images from which the discussion is created are those the surgeon feels have been augmented. Inferences are made and potential corrective surgery is suggested as a prediction based on digital image analysis alone. Patients with similar deformities seeking corrective surgery are advised to see a qualified Plastic Surgeon to determine what procedure might be best for them. Nipples and Areolae (of the first few images) were covered in an attempt to prevent confrontation with those at our previous server.

FINAL WORD