I wrote an article for “Exotic Dancer” magazine a few years ago in which I discussed the problem with many adult entertainer / porn star breast augmentation outcomes. The funny thing (when looked from outside the practice) is that women in general come to plastic surgeons wanting pretty large breasts. At times, the requests are destined to look unnatural or perhaps even freakish.
Personally I turn away the freakish ones. I don’t do this very often. 
When women “go really large” and have little of their own tissues available to cover the implants they not only end up looking unnatural, but also have a higher chance of hardening (capsular contracture), rippling (showing signs of the underlying implant – visible through the skin) as well as other complications. These complications usually amount to more surgery.
This is all relative; relative to the amount of tissue you have over your chest to begin with (skin, breast, and muscle) compared to the dimensions of the implant you’d like placed. Many women can get the size they want and not end up with problems. If you are very thin though, maybe those DD’s should be off the menu.
Really pretty women can end up with funky-looking breast implants. These kinds of outcomes can be avoided many times by simply choosing smaller implants (or avoiding high profile implants.) Choosing qualified surgical talent and following the guidelines such surgeons offer can be helpful as well.
When patients follow my advice, their implants tend to last ten years or more without additional surgery. Ask how many of your friends have seen that kind of longevity with their implants. I call this low maintenance breast augmentation.
Best Regards,
John Di Saia MD
Originally posted 2005-05-20 07:13:00.
While I’m not fascinated by plastic surgery in general, I’m curious about two things, one of which you mention here plus another, both of which you can probably at least speculate on.
1st – Speaking of “little of their own tissue” what must Pamela Anderson’s chest look like unbridled?
2nd – What has Priscilla Presley done to her face? I have a lot of interested readers looking for the answer to this…
Thanks. You are very kind.
JPD
I added your blog to my favorites list. Anything, medical is fascinating to me. You might be interested in some of the other doctor favorites I have on my site. Good Luck with your blog, I would imagine once people become aware of it, it will be a favorite.