Why Patients Choose Dr. Cuber
Dr. Cuber has performed aesthetic breast surgery for more than 25 years. During that time, he has developed specific approaches to implant placement and breast shaping while maintaining a consistent philosophy: listen carefully to what the patient wants, evaluate what her anatomy can support and explain the tradeoffs honestly.
Patients choose Dr. Cuber for:
- Anatomy-based planning. He evaluates breast position, skin elasticity, tissue thickness, chest dimensions, muscle anatomy and differences between the breasts.
- Proportionate implant selection. Implant width, volume and projection are selected together rather than choosing a size based on cup size alone.
- Preservation of natural support. During breast augmentation, he preserves the pectoralis muscle’s lower attachment to the ribs instead of routinely using a traditional dual-plane release.
- Procedure-specific judgment. He determines whether the patient needs added volume, repositioning, reduction or correction of a previous operation.
- Clear discussion of tradeoffs. Patients learn what the operation can accomplish, how scars will be positioned and what recovery will require before deciding to proceed.
The objective is not to apply the same operation to every patient. It is to select and perform the procedure that best addresses her anatomy while creating a result that remains proportionate to her frame.
How to Choose the Right Breast Procedure
The procedure a patient initially requests is not always the procedure that will best address her concern. Dr. Cuber begins by identifying what has changed: breast volume, breast position, overall size or a previous implant result.
Step 1. Identify Your Primary Concern
Begin by considering what you would most like to change.
- Loss of volume. The breast appears smaller or deflated but remains appropriately positioned on the chest.
- Loss of position. The natural breast tissue and nipple have descended, even when adequate volume remains.
- Loss of volume and position. The breast has become both deflated and lower on the chest.
- Excessive size or weight. The breasts feel disproportionately large, heavy or physically uncomfortable.
- A previous implant result. You are concerned about firmness, rippling, implant position, bottoming out, asymmetry or a suspected rupture.
This gives Dr. Cuber a starting point, but the appropriate procedure can only be determined after examining the breast tissue, skin and chest.
Step 2. Understand What Each Procedure Changes
Each breast procedure addresses a different anatomical concern.
- Breast augmentation restores or adds volume when the breast remains in an acceptable position.
- Breast lift removes loose skin and repositions the breast and nipple when descent is the primary concern.
- Breast augmentation with lift addresses both lost volume and a lower breast position.
- Breast reduction removes excess breast tissue and skin to create a smaller breast that is better proportioned to the patient’s frame.
- Breast implant revision addresses concerns involving an existing implant or the tissue surrounding it.
- Breast implant removal removes existing implants, with additional reshaping considered when the remaining skin or tissue requires it.
The distinction matters. An implant can restore volume, but it cannot reliably correct significant breast descent. A lift can reposition the breast, but it does not create the same upper fullness as an implant.
Step 3. Evaluate the Anatomy That Influences the Result
Dr. Cuber evaluates more than breast size. His examination considers:
- The position of the nipple relative to the breast fold
- The amount and distribution of natural breast tissue
- Skin elasticity and the degree of stretching
- Breast and chest width
- Tissue thickness over a potential implant
- Natural differences between the breasts
- Muscle anatomy and existing tissue support
- Changes caused by pregnancy, breastfeeding, aging or weight loss
- Previous breast operations and existing implant position
These findings determine what the tissues can reasonably support and whether one procedure or a combination will be needed.
Step 4. Build a Realistic Surgical Plan
A patient’s desired result and her anatomy must be considered together.
For augmentation, the skin and muscle can stretch to accommodate an implant, but only to a certain extent. An implant that is too large for the available tissue can look unnatural and place unnecessary stress on the breast.
For a lift or reduction, the amount of loose skin, breast tissue and descent determines the incision pattern required. A shorter incision is not necessarily better if it prevents the surgeon from adequately reshaping the breast.
Dr. Cuber explains these limitations and tradeoffs before surgery so the plan is based on realistic expectations rather than a predetermined cup size or a photograph of someone else’s result.
What to Expect During Your Consultation
Dr. Cuber begins by listening to what you would like to change and how you want to look in clothing, swimwear and daily life. He then examines your breast position, tissue, skin, chest dimensions and natural asymmetries.
From there, he will explain:
- Which procedure addresses the underlying concern
- Whether an implant, lift or combination is appropriate
- What implant dimensions your frame can support
- Where the incisions would be placed
- How the breasts are expected to change as they heal
- What scars, activity restrictions and recovery will involve
- What the operation can realistically accomplish
The purpose of the consultation is not to push the patient toward a particular procedure. It is to determine what her anatomy needs and give her enough information to make a confident, informed decision.