Fashion tape, Photoshop and makeup artists who double as magicians make it hard to tell who in Hollywood has opted for breast augmentation and who hasn’t—and, as Pittsburgh plastic surgeon Leo R. McCafferty, MD reminds us, when the procedure is entrusted to a board certified plastic surgeon, it makes it even harder to tell. “The best celebrity breast augmentation and revision is one that’s undetectable,” he says.
Newport Beach, CA plastic surgeon Tim Sayed, MD agrees, adding, “some of the more aesthetically well-done and balanced breast augmentations are the ones where you ask, ‘did she get them done or is it a really good bra?’”
We tapped some of the top plastic surgeons in the country to comment on both rumored and on-the-record breast augmentations and revisions. Below, the cases they believe to be the most well-done—and a few of the worst.
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“Kaley Cuoco is a good example of someone who has been open about the feminine enhancement and boost in confidence she received with a well performed but not too extreme breast augmentation,” says Dr. Sayed.
Beverly Hills plastic surgeon Rady Rahban, MD says Halle Berry is a great example of a natural-looking breast augmentation. “Her breast augmentation fits her frame,” he says. “For her stature and her dimensions, her breasts are reasonable in size: Her cleavage is not obnoxious, her breasts are not projecting and the upper parts are not unnaturally round. So I think by an large she has one of the nicest outcomes.”
Dr. Sayed adds: “Halle Berry appears to have a significantly more generous bust size after augmentation but it does not make her look top heavy or cartoonish, simply more voluptuous.”
Dr. Rahban says Kate Hudson‘s augmentation is one of the best in Hollywood because “the size that she selected is appropriate for her frame. People are not thinking it’s impossible that they are her own,” he says. “Hudson’s breasts appear very natural without any of the tell-tale signs sometimes seen in augmentation, such as excessively high riding breasts and obvious upper pole fullness,” says New York plastic surgeon Craig Baldenhofer, MD.
Not all celebrity breast augmentations are shiny gold examples of what to ask for at your surgeon’s office when in the market for a natural-looking result. “The issue with someone like Gwen Stefani is because she started out with no breast tissue, I think her augmentation was overzealous,” says Dr. Rahban. “They’re too projecting, they’re too round and their too full in the upper area, making them look unnatural,” he says. “That doesn’t mean that they don’t look pretty, just not natural.”
Courtney Cox was rumored to have had augmentation after splitting from her ex-husband David Arquette. Her breasts certainly look like they have added volume while the rest of her body looks the same. “It’s hard to tell,” says Beverly Hills, CA plastic surgeon Leslie H. Stevens, MD. “It could be the bathing suit that’s giving the illusion of a fuller chest,” says the doctor.
Jaime Pressly “looks like she is better endowed now,” says Dr. Stevens. “Before she had a boney sternal area and now she doesn’t.”
For those that might want to chalk the new fullness up to motherhood, Dr. Stevens says that added volume like this is unlikely from pregnancy. “Most women don’t gain volume after pregnancy, they suffer atrophy.”
Reality star Audrina Patridge has denied rumors of breast augmentation, saying that her changing shape is due to a bone condition in her chest, but it looks pretty obvious that she has had a major increase in breast volume over the past couple of years. “Definitely looks like she has implants,” Dr. Stevens.
“On a breast augmentation you want to consider proportion and size. Women that are petite and thin [like Audrina]aren’t going to have big, giant chests naturally.”
At the age of 49, Catherine Zeta-Jones has perfectly round, uplifted breasts which look very natural.
The breasts certainly look soft and not hard, the way a bad augmentation would look. The goal with implants is to have them look soft like Catherine’s. “Your own breast tissue bounces when you run and walk, it compresses softly when you give someone a hug. Your breasts after augmentation should still do that. And if they are soft, they certainly will look much more natural. Making an adequate pocket during the surgery and then, a committed program of breast implant massage to keep the pocket edges from sealing back together is key,” says Newport Beach, CA plastic surgeon Douglas Hendricks, MD.
Nicole Richie has fluctuated in weight a lot though her time in the limelight, however, her breasts seem to have had the greatest influx in volume. “They look good, and they don’t look unnatural,” says Dr. Stevens, who believe the star did indeed undergo breast augmentation.
If you are considering augmentation and want soft, full-looking breasts, Dr. Hendricks suggests “patients avoid tight wrappings and bandages after surgery, so that from day 1, the implant has freedom to move. That, coupled with a few simple exercises, can go a long way to ensuring a natural look and feel.”
Singer Christina Aguilera, who is rumored to have undergone a transaxillary endoscopic breast augmentation (where the implants are placed through an incision in the armpit to avoid scars on the breast itself) has never commented publicly on her enlarged chest, despite having scars present under her arms.
Scars are of course a dead giveaway of an augmentation but often can’t be avoided. “The primary option for enlarging the breasts if one doesn’t want a scar on the breast is to go through the armpit. However, no one can guarantee how a scar is going to look and the phrase “invisible scar” is an unrealistic concept. Almost all scars on the body are forever visible. They may not be obvious but you can expect at minimum a pink line for a few months that will change to a white line forever,” says New York plastic surgeon David Rapaport, MD.
The Jackson family is known for their cosmetic procedures, and that includes Janet Jackson, who looks to have had her breasts enlarged. “There is a huge difference in size,” says Dr. Stevens when looking the her past pictures and her bust size now.
LeAnn Rimes, whose body has been under press scrutiny since her teen stardom, looks to have undergone augmentation. “If she has implants, its not a good job,” says Dr. Stevens. “The breast is falling,” he continues.
Why does this happen? The singer, who has recently lost a good amount of weight, doesn’t naturally look to have a lot of soft tissue covering the implant, which might be the reason it looks unnatural. Also, “she may have the implant on top of the muscle,” says Dr. Stevens, which works for some patients and not for others.
Kelly Rowland “definitely has implants,” says Dr. Stevens. The singer has confirmed her surgery for and reportedly “loves” her new breasts thanks to their natural look.
The best way to get a good result is to find a surgeon who is well trained in breast surgery. Finding a board-certified plastic surgeon who has extensive experience with augmentation will most often give the best opportunity to get a great result,” says La Jolla, CA plastic surgeon John D. Smoot, MD.
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