One of the most influencial components of a woman's breast augmentation result is her existing anatomy prior to the breast augmentation plastic surgery. It is of paramount importance that a woman have a realistic understanding of her exisiting breast and body characteristics. Essentially breast implant enhancement surgery makes the existing breasts larger. If a woman has irregularly shaped or differently positioned nipples before the breast augmentation plastic surgery, she will most likely have the same asymmetries after the breast augmentation plastic surgery. Subtle changes can occur to breast and nipple positions during the breast augmentation surgery but the key to remember is that what a woman has before is a key contributor to how she will look after the breast augmentation surgery. Rib cage curvatures, breast bone size and curvatures of the spine also affect how a breast implant will look under the breast. A common concern for a woman is to not have a large gap between her breasts after breast augmentation surgery. Practically speaking, a woman's gap is preset by her natural anatomy and bone structure. It is possible to narrow the gap a bit but overall the gap is not narrowed to any major degree. Excessive attempts at narrowing a gap may cause a complication like synmastia, or cause the nipples to point to the outsides of each breasts. The level of their inframamary folds may also be asymmetric and will usually remain asymmetric after a breast augmentation plastic surgery.

In summary, women can have very dramatically different breast shapes and sizes or they may have nearly identical breasts. The more similar the breasts appear before a breast augmentation, the more similar they tend to look after a breast augmentation surgery. This point needs to be made and understood before a woman has breast enhancement surgery. Women who understand and appreciate their existing anatomy are always happier than the women who has false assumptions of how a breast implant will change their breasts. Breast implants do not create perfect breasts from every breast shape. Subtle adjustments may be made in the implant position and therfore change a result during a breast augmentation. It is these types of adjustments that seperate Dr. Michael J. Brown's work from others.