Anatomical implants before and after. How to choose round implants, and how do they differ from anatomical ones? Cost of implants and surgery in Russia, near and far abroad countries

In modern operations to reshape, enlarge or reduce breasts, anatomical implants are used - they help women have an attractive bust and look seductive.

But there are many options on the breast endoprosthesis market, which is why it is so important to know about choosing the preferred option. This will allow patients to get breasts of the desired size and avoid complications after surgery.

When is mammoplasty required?

The personal desire of the woman who turns to specialists for an operation takes precedence. Other reasons include:

INDICATIONS

exaggerated or underdeveloped breasts;
unwanted variability of the bust after pregnancy, childbirth and breastfeeding;
sagging or asymmetry of the mammary glands;
reconstruction of the mammary gland after its removal against the background of a low-quality tumor;
the will of a man.

Among the obvious contraindications to surgery are:

CONTRAINDICATIONS

infectious and blood diseases;
severe course of diseases of internal organs;
age up to 18 years.

The specialist chooses an implant based on the surgical goals and technique used, the anatomical properties of the patients and their personal preferences.

Which prostheses are better for mammoplasty?

Round or anatomical? Every woman who dares to get a new bust solves this dilemma. Because these endoprostheses are in great demand among patients of plastic surgeons.

In general, implants differ:

shape;
projection;
volume;
surface texture.

Implants also differ in the width and height of the base.

The difference between anatomical and round implants is in their shape. And this is clearly visible even in the photo. The first type resembles a swelling drop.

The second option means a round classic bust, obtained by implanting the appropriate type of implant into it.

Round endoprostheses provide the mammary gland with symmetry and preservation of its shape during natural movements made by a woman. They transform the bust into a fuller one and replenish the volume of the upper pole of the breast.

Teardrop implants do not guarantee this. At the same time, the anatomical shape of the grafts gives the new breast a natural appearance.

As recent studies show (conducted by Dr. Charles Rehnquist from Sweden and Professor Mario Ceravolo), visually identifying the breasts of women with round and anatomical implants is difficult even for specialists. This is also explained by the fact that during reprosthetics, the replaced implant often changes shape under the action of the muscle. As a result, a round endoprosthesis turns into an anatomical one and vice versa.

Division of endoprostheses according to the composition of the filling fluid

The outer wafer of any transplant is made of soft silicone and filled with a special gel or isotonic saline liquid, similar in composition to a sterile solution for injections.

Such a mixture, even if it leaks, is harmless to a woman. It will only be absorbed into the blood, just as a liquid comes from an IV into the body to flush the body.

It is also captivating that these implants cost less than other types of endoprostheses. In addition, they are softer to the touch.

But there is also flaw in the use of such grafts. With them, the chest is heavier and looks unnatural, and often makes gurgling sounds when moving.

Implants containing a biocompatible cohesin (non-flowing) gel are incomparably lighter. With these endoprostheses, the bust acquires improved elasticity and a natural appearance.

The specific composition of gelatin ensures, when pressing on the bust and when its owner moves, a return to the natural shape of the breast without issuing third-party “chords”.

The disadvantage of this gel is that if it leaks, surgical intervention will be required.

In addition, plastic surgeons have breast implants with a smooth silicone or textured outer surface.

And these endoprostheses for mammoplasty have their advantages and disadvantages. Thus, smooth ones are prone to shifting, and grafts with a textured shell, albeit sometimes, when in contact with the subcutaneous tissue, cause wrinkles.

Practicing plastic surgeons, as a rule, do not favor smooth or water-filled implants. The former are prone to slipping and turning over. The latter decrease in volume over time as the liquid evaporates. Due to these reasons, the risk of reoperation increases significantly, and long-term results are not satisfactory.

Anatomical implants McGahn (USA)

What distinguishes Natrel McGan style 410 anatomical implants from other grafts?

Their interior is filled with silicone gel.
The implants have more perpendicular cross-links, which makes the gel stronger.
Reduced rate of gel diffusion through the wafer with a specialized inner layer.
The hardness of the filling and bringing the gel to drying is carried out using a special technology.
The ability to shape the breasts so that they will not subsequently become distorted.
Wider possibility of selecting this implant for a specific patient - style 410 is manufactured in 12 shapes for all possible volumes.

Natrel McGan in a teardrop shape gently blends into the surrounding tissue, giving the breast a natural appearance. This endoprosthesis is more suitable for recreating a lost breast, as well as for patients whose breasts have visible asymmetry or deformation. The hardness of the implants provides them with an elastic bust.

Among the main manufacturers of implants, including anatomical ones, there are also:

Nagor(Great Britain) specializes in the production of endoprostheses with a textured wafer and gel filler and offers patients a large selection of sizes and shapes of implants;
(USA) – the company has anatomical and round implants filled with cohesin gel, which reduces the risk of developing capsular contracture;
Polytech(Germany) – endoprostheses from this company are also filled with soft cohesin gel and have a “memory effect” that allows them to maintain their shape after manipulation;
Eurosilicone(France) is a company that supplies consistently high-quality and safe transplants to Europe and other countries of the world.

Before mammoplasty, each patient should inquire about the features of delicate products produced by these and other manufacturers, and the availability of transplant quality certificates.

Polyurethane anatomical two-gel implants

Polyurethane as a coating has endowed endoprostheses with excellent characteristics, which are ideally suited for mammoplasty, solving the problem of capsular contracture.

This is due to the fact that the polyurethane coating in tandem with the main cohesin gel has high elasticity and the ability to remember the intended shape of the breast.

Therefore, after the use of such implants, the incidence of capsular contracture sometimes does not exceed 1% of cases 10 years after mammoplasty.

Another advantage is assigned to the polyurethane coating in the form of its “ability” to adhere (stick) to fabrics. And then the implant is not subject to displacement/rotation, which leads to patients obtaining breasts that are natural and soft to the touch.

The before and after photos clearly show how such an implant creates a natural, streamlined shape with a gradual narrowing in the upper part of the chest. But it is worth knowing that polyurethane endoprostheses can cause a longer (up to a year) rehabilitation period. During this time, their shape may change, and swelling persists for up to six months.

Who should choose which implants?

Anatomical implants are more suitable for those women who:

naturally thin physique;
narrow chest;
insignificant volume of natural breast tissue;
pronounced drooping of the breasts due to their natural miniature size, breastfeeding or weight loss.

In these cases, anatomical implants will transform the bust to a natural one. Anatomists will also help in correcting certain types of breast asymmetry.

Young patients with developed mammary glands can safely choose round implants if they need to increase their bust by 1 size.

Parameters of breast prostheses

The size of each implant, including anatomical ones, is calculated in milliliters. This means that for 1 chest size there is a filling volume of 150 ml.

The size of the endoprosthesis is added to the natural girth of the bust. Thus, a woman with size 2 acquires breasts with indicators of size 4.

In addition, there are adjustable and fixed implant sizes. The former are characterized by the introduction of filler into the membrane during surgery after implantation of grafts.

This allows the surgeon to make adjustments to breast size during the surgical period, increasing or decreasing the volume of the planned bust.

The peculiarity of the latter is that after implantation into the mammary gland, their size cannot be changed.

Endoprosthesis profiles

This indicator of implants, anatomical and round, is nothing more than the percentage ratio of the projection values of the graft to the size of its base.

Thus, a high-profile breast prosthesis has a larger projection and a smaller base.

In other words, the profile indicator reports the plumpness (high profile) or flatness (low profile) of a particular implant.

At the same time, manufacturers do not agree on which endoprostheses are considered high- or low-profile. This is explained by the fact that manufacturers also use different types of fillings and shells in the implants they produce.

Using the example of McGhan implants, it is proposed to take into account the following profile indicators:

within 32% - low profile;
32 - 38% - medium profile;
more than 38% are high-profile.

Experience shows that a more beautiful breast shape is obtained with medium-profile implants.

After implantation, endoprostheses last a lifetime if there are no complications. However, implants can be removed at any time if the woman so desires. Implants cannot be replaced every 10-20 years. It is also important that implants do not interfere with breastfeeding. The gland tissue is not damaged during placement and does not have a toxic effect on the quality of milk.

We welcome to our website readers who are interested in breast correction in general, and mammoplasty with round implants in particular. Today’s topic of our article is endoprostheses of this particular form. We want to talk about their undoubted advantages and some of the existing disadvantages.

Breast augmentation with round implants has long been the only possible option for mammoplasty. Since the 90s of the last century, an alternative has appeared - anatomist prostheses. Do round predecessors of anatomical endoprostheses remain in demand and why?

When do women think about mammoplasty?

An indisputable indication for surgical breast reconstruction is either damage to the mammary gland as a result of trauma. But women think about plastic surgery not only under such tragic circumstances. The main reasons for applying are:

and loss of volume after lactation or as a result of age-related changes;
breast development abnormality;
glandular tissue;
discrepancy between bust volume and the overall structure of a woman’s body.

Sometimes clients of plastic surgeons are not at all offended by nature, but still remain dissatisfied with their shape and simply desire breasts.

Advantages and demand for round dentures

To this day, these pioneers of arthroplasty remain at their best. This is explained by their relative affordability, compared with anatomical analogues, and a number of other advantages, they:

maintain the same naturalness of the bust shape in any position;
the breasts are evenly enlarged throughout their entire volume, this allows the upper contour of the gland to be raised, creating a push-up effect even without underwear;
easily fit into the required location at any access point;
rotation does not create any visible negative effects; surgical correction is not required.

When choosing round or endoprostheses, the doctor takes into account the anatomy of the patient’s body, and the wishes of her and her man regarding the access point and bust shape. You ask, how is it different from a round implant? Of course, with a specific shape that follows the contours of the breast.

Anatomists are more natural in an upright position of the body, and lose their naturalness when a woman lies on her back. Round dentures are less natural in a standing position, but a lying position does not reduce naturalness.

Anatomists are inferior to round analogs in the choice of access. For them it is significantly limited. Plastic surgery with round endoprostheses is easier for the surgeon to perform. This is the main difference between the two most common options. Some clinics also offer prosthetic cones. At the end of this paragraph, it is worth saying that “round pioneers” remain at the peak of popularity to this day.

Main disadvantages

The disadvantages of this form of implants are relative. They cannot be used for all types of breast asymmetry. And in women with a certain bust profile, they raise it too much, which does not seem natural enough. You can see what the result of the operation looks like in the photographs of patients before and after the manipulation of introducing round implants.

You can determine whether a round endoprosthesis is right for you using computer simulation of the results of the operation. All good clinics offer this service. A qualified surgeon can advise you on this issue without resorting to modeling.

Types of round endoprostheses and criteria for their selection

Did you know that shape is not the only criterion by which implants are divided into types. They are usually distinguished by:

Size (amount of filler/volume). It is determined in milliliters, it ranges from 110 to 800 ml. Imagine, almost a liter can be added to your volume.
Shell material (silicone, polyurethane).
Its texture (smooth, cheaper, with “dull” micropores, that is, texture, more expensive, but preferred by plastic surgeons).
Filler material (biocompatible, silicone gels or saline solution).
Filler density (non-flowing/cohesive, varying in degree of softness or silicone).
Profile (high profile, extra high and medium height, as well as low profile option). Understand the ratio of its diameter to height (at the highest point).

Most surgeons choose silicone or cohesive gel prostheses. Saline solution as a filler is a thing of the past from the point of view of plastic surgery. The only advantage of such end inserts is their low cost. Which hardly pays for the shortcomings (possibility of wrinkling, squelching sounds in the bust area, etc.).

Biocompatible fillers are more of a fashion statement than a necessity. After all, regardless of whether the filler leaks out and is absorbed by the tissues or flows out weakly and is not absorbed, the implant will have to be changed.

As for the volume and profile of the endoprosthesis, it is better to rely on the doctor in choosing these parameters. He will correlate:

natural body proportions with the shapes she desires;
the patient's occupation;
Lifestyle;
desire to have children in the future and breastfeed them.

And he will offer the best option, or several, from his point of view, acceptable sizes. All you have to do is decide with your doctor on the location of the prosthesis: above or below the pectoral muscle, and begin to realize your dream of a chic bust.

However, when choosing implants, do not forget that they have weight. And by adding 345 ml per gland, you increase the load on the spine by about 0.7 kg in total. And this is not so little.

When choosing implants, remember that each manufacturer provides a size chart for their products, and when choosing size 350, you will receive prostheses that are not exactly the same in diameter.

Contraindications to the procedure

Mammoplasty with round prostheses is not performed on pregnant women and mothers breastfeeding. It is not done during menstrual bleeding either. The operation is not indicated for persons:

with serious pathologies of the heart and other internal organs;
with autoimmune diseases;
with oncology;
with blood diseases;
with respiratory failure;
with breast diseases (untreated);
in the acute stage of the infectious process, fever;
with exacerbation of internal diseases;
with decompensated metabolic disorders.

In addition, it is better to refrain from surgery for persons prone to the formation of keloid scars, women who smoke and those women who are addicted to alcohol. This is not to say that these are strict contraindications.

Most likely, you will find a surgeon who will agree to operate on you in this case as well. But the result after the operation may well be unsatisfactory. The risk of complications in this case is increased.

Germany.

Nagor, UK.

Silimed, Brazil.

Each of the options has its own advantages; which prosthetics you choose will depend on your trust in the company, wishes for coating and content, as well as financial capabilities. With this we say goodbye to you. Share our articles with friends via social networks, and don’t forget about our website.

We welcome readers to our website for whom the issue of anatomical implants is relevant. There is no complete unity in the use of different types of endoprostheses either among plastic surgeons or among patients. And today we will look at one of the types of improving bust shape - increase breast anatomical implants.

Types of implants - “anatomists” and criteria for their selection

Anatomical differences:

dimensions (or height and base/base or diameter);
shell texture;
filler material and shell.

The doctor can and should describe all the features of endoprostheses to you during the consultation. Focusing on the advantages and disadvantages.

Profile

The main difference between this type of endoprosthesis and hemispherical implants is the profile. To be precise, the profile is usually understood as the height from the base (base) to the highest point of the implant. Endoprostheses are usually classified according to height or profile:

with high;
average;
low profile.

Some companies, for example (Germany), offer patients ultra-high profile breast inserts.

It is the profile, as a parameter, that allows a specialist to select the ideal prosthesis to improve a woman’s bust. When choosing a particular implant, the doctor is guided by:

on your own experience;
aesthetic taste;
client's wishes;
her anatomy;
and the current state of the tissues.

in the process of eliminating mastoptosis;
and to add volume to the upper pole of the chest.

This form The prosthesis makes the breasts look as natural as possible, but less voluminous compared to end inserts of the same size.

Texture

You can choose an implant based on texture:

with a smooth surface;
textured (porous).

The former are cheaper, the latter are less prone to displacement and other unpleasant movements inside the pocket prepared for it. The presence of texture allows tissue to grow into the pores of the shell and fix the prosthesis.

Fillers and shell

Most modern breast prostheses are made of elastomer as a shell. Many companies specializing in the production of breast prostheses prefer to make multilayer capsules of increased density. Such endoprostheses can be stretched almost 10 times without tearing the capsule.

Less commonly, manufacturers offer double-layer or double-shell lumen implants. In this case, the space between the layers of the shell is filled with physiological solution, and the inner capsule contains the gel.

Modern implants are filled mainly with silicone beads and gels:

cohesive;
mobile;
dense cohesive (cross-connected) with “shape memory”;
hydrogel;
biocompatible filler, etc.

The latest offerings from breast implant companies are dual-gel breast implants.

New products in the breast implant market

It’s worth stopping at micropolyurethane implants. Polyurethane endoprostheses were developed for reimplantation in patients who developed pain after the first endoprosthesis. Over time, plastic surgeons began to recommend this prosthetic option to all potential clients.

The surface of these implants makes it possible to minimize the growth of connective tissue around a foreign object (prosthesis). This virtually eliminates the risk of developing contractures after mammoplasty.

Most implants have a shell with a fairly significant thickness. Micropolyurethane shells are thin, that is, their thickness is no more than a few millimeters. But judging by the number of micropolyurethane bubbles, if you stretch them in one line, you can get “beads” several kilometers long.

Connective tissue will grow into the cavities formed by them, securing the prosthesis. Due to this, the layer of connective tissue will be thin, but firmly hold the prosthesis in “its embrace,” negating the risk that the anatomical implant will unfold, ruining the surgeon’s work.

This same feature of the endoinsert allows you to minimize the risk of such an unpleasant complication as ripples. Such prostheses allow plastic surgery to remain at the peak of popularity.

Advantages of modern “anatomists”

The high quality and reliability of such endoprostheses is ensured by:

high aesthetic indicators, which can be assessed in the photos of patients who underwent the procedure;
reliability and tear resistance;
safety in case of damage (modern gels are either biocompatible or practically do not leak through a rupture);
sterility;
pleasant tactile sensations (when in contact with a woman’s breast it is almost impossible to detect the implant).

At the same time, the anatomical shape of the endoinsert ensures a natural appearance of the breast, which eliminates the visual recognition of plastic surgery.

Disadvantages of anatomical endoprostheses

When inserting a prosthesis, surgeons may not use all access points. To implant a micropolyurethane implant, a higher qualification of a specialist is required than to implant an ordinary anatomist.

If the prosthesis flips, it will be clearly noticeable and a repeat operation will be required, unlike the flip of a round endoprosthesis. To the average anatomist, it may take on a rounded shape over time due to the growth of fibrous tissue.

Breasts corrected by anatomists cannot be corrected using underwear. And, of course, unlike their round “brothers,” anatomical endoprostheses retain their shape even in a lying position, which is not entirely natural. This is easy to see in the pictures before and after implantation.

This concludes our brief review of this for you, we look forward to seeing you at ours again. If you find something interesting for yourself in our articles, be sure to share this information with your friends via social networks.

In 1961, a breakthrough in plastic surgery was saline endoprostheses - round bags with saline solution, completely compatible with the human body. But too soft, tactilely detectable, with a tendency to rupture, saline implants were replaced by silicone ones in the mid-90s. These gel-filled elastomers are safe for the patient and remain stable even if damaged. Silicone implants with different fillers most accurately imitate natural breasts, do not stand out and are not felt to the touch.

Types of implants by shape

Round implants- the optimal choice for severe ptosis. They lift the breasts, making them full and voluminous in the upper part. Endoprostheses of this shape are most suitable for patients with a wide chest and rounded contours of the “native” bust. They are easier to install for the surgeon and cheaper for the patient. But for many, a significant disadvantage is their unnatural appearance.

Invention teardrop-shaped (anatomical) implants changed the view on mammoplasty: visually they repeat the natural shape of the female breast. Drop-shaped products with a cohesive filler and a textured surface are well fixed in the pockets of the glands and grow into the patient’s tissue. These implants maintain the softness and smoothness of the contours of the breast, but at the same time keep their shape in a horizontal position. Anatomical implants are ideal for enlarging very small breasts and ensure proportionality and naturalness of the breast. Sometimes the pectoral muscle unfolds the implant. Such an “incident” with a round implant will be invisible, but with an anatomical endoprosthesis, the breast deformation will be visible. For a surgeon, working with “droplets” requires a lot of experience and skill.

Implant profile

Patients with different body types require implants of different profiles. The profile - the ratio of the size of the projection of the implant to the width of the base - can be low, medium and high. Round implants have equal width and height, while teardrop-shaped implants differ in both height and width. It is this parameter of anatomical implants that allows the doctor to choose the most suitable option for a woman and give the breast an ideal shape. Teardrop implants are also versatile for eliminating sagging and filling the upper pole of the breast.

Which stars have had their breasts enlarged with anatomical implants?

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Which doctor enlarges breasts with anatomical implants?

There is no absolute unity in the use of certain types of implants among plastic surgeons. Each specialist focuses on the wishes of the patient, the structural features of the mammary glands and chest, and their own vision of beauty. As you know, breast augmentation with anatomical implants has a higher cost and requires special knowledge and skills from the doctor. Some plastic surgeons do mammoplasty expensively and well, while others do it cheaply and poorly. When it comes to your own appearance, it is important to find a middle ground in the price/quality ratio. The plastic surgeon knows exactly which implants will highlight the patient’s advantages and hide the shortcomings (for example, curvature of the spine, asymmetry of the breast or nipples), and will make the mammary glands the most natural and harmonious for her body type. Maxim Leonidovich’s professionalism is evidenced by his enormous busyness: four plastic surgeries and 40 consultations a day, a planned work schedule for months in advance. And what is most important is an individual approach to each, because there can be no universal advice when choosing an implant.

Currently, breast correction with anatomical implants from plastic surgeon Maxim Leonidovich Nesterenko costs 190,000 rubles.

Properly selected breast implants adorn a woman and give harmony to her entire body. The natural appearance of the mammary glands after endoprosthetics is a decisive argument in choosing the shape of the implants. Discussions and debates regarding the best shape of breast implants will never stop. Meanwhile, in addition to its attractive appearance, a properly selected implant can minimize the risks of various postoperative complications. Therefore, when choosing endoprostheses, you should listen to the opinion of the surgeon.

Ideally shaped implants will give the breasts a natural and harmonious appearance.

Many women believe that the anatomical shape of the implants makes the breasts feel more natural in shape, while round endoprostheses supposedly do not give such an effect. But is this really so? Let's look at the features of each type of implant based on various criteria.

The shape is chosen not only by the patient, based on her personal preferences, but also by the surgeon, who takes into account many different factors. Among them: the desired result, the physical structure of the patient, and the surgical technique of the operation. Each form of implant has its own advantages and disadvantages, analysis of which can also help a woman make the right choice.

Advantages of anatomical implants

Of course, a woman's natural breast shape is not round. A natural bust has a smooth slope, starting from its upper part and gradually increasing in volume towards the bottom. This is why anatomical implants look more natural and, in most cases, are ideal for many women.

Initially, anatomically shaped implants were used to recreate a missing breast, for example due to cancer or injury. Therefore, in theory, anatomists are a more logical option for breast augmentation. However, despite this, many surgeons and a significant number of patients prefer round endoprostheses.

For some women, round implants look more natural than anatomical ones

Advantages of round implants

Large volume;
High chest lift;
More attractive neckline area.

If you are going to enlarge your breasts, then do it so that its volume is noticeable and noticeable to everyone - this is what many patients think. But not all representatives of the fair sex consider this form attractive. Excessive volume in the upper part of the chest, according to some women, does not look natural.

Misconceptions about round implants

The round shape of implants, indeed, sometimes does not look very natural and unnatural. However, it's not all about the form. There are cases when endoprostheses are installed too high, or a patient with a small initial volume of mammary glands insists on a larger size. Implants of any shape can look bad, it all depends on the competent work of the surgeon. An experienced specialist always suggests a shape and size based on the individual anatomical characteristics of the patient. For some women, breast augmentation with round implants looks even more natural than teardrop-shaped ones.

Round implants behave more fluidly and naturally when moving, so this shape is well suited for women leading an active lifestyle.

Despite the fact that round breast prostheses look different in different patients, when moving they behave more naturally than anatomists. For example, when a woman is in an upright position, the implants under gravitational force acquire an anatomical natural shape. If we consider the behavior of round implants during the horizontal position of the patient, then in terms of this indicator they are absolute leaders. Natural female breasts are known to “spread” when lying down. When undergoing endoprosthetics with teardrop-shaped implants in a horizontal position, they will stick out unnaturally upward in the lower part of the chest, in contrast to round specimens. If a woman leads an active lifestyle, goes in for sports, dances, then round implants are preferable for her, since they “do not give themselves away” when moving.

Characteristics of round endoprostheses

Round implants have equal width and height. The highest point of projection for a round product is slightly above the center. Consequently, round implants can differ only in projections.

Characteristics of drop-shaped endoprostheses

The highest point of projection for teardrop-shaped implants is in their lower zone. In addition, their base height and width vary. Thus, anatomical implants can differ not only in projections, but also in height. This superior quality increases the number of possible product combinations and allows manufacturers to expand their range of anatomical implants.

Medium-profile anatomical implants are in great demand among Russian women

Different profiles for every occasion

All patients have different body types and chests, each of which has its own breast shape. Unlike round ones, teardrop-shaped models come in different widths and heights, which gives patients more options to choose from.

The higher the profile of the teardrop-shaped endoprosthesis, the more significant the increasing effect. Mid-level anatomists are in greatest demand among Russian women. But there are times when only a high profile is acceptable. If a woman has a large amount of excess skin due to breast ptosis, then the breasts need more filling and lifting. In this case, low and medium profile anatomical implants may not give the desired effect. Also, a high profile is good for those patients who have a small chest volume.

Breast augmentation in twins

An interesting competition was once held as part of the Omorphia project. Plastic surgeon Valery Yurievich Staisupov operated on the winner free of charge and installed anatomically shaped implants for her. Later, he enlarged her twin sister's breasts, but only with round endoprostheses. The professional mind of the surgeon was looking forward to the opportunity to compare the results of augmentation mammoplasty on sisters who were completely identical in structure. However, he was never able to find out the best result; both girls had perfectly shaped breasts.