Shapes, Proportions, and Variations in Breast Aesthetic Ideals: The Definition of Breast Beauty, Analysis, and Surgical Practice

Clin Plast Surg. 2015 Oct;42(4):451-64. doi: 10.1016/j.cps.2015.06.012.


There are few objective analyses in the plastic surgical literature to define an aesthetically pleasing template for breast shape and proportion. The authors previously identified key objective parameters that define breast aesthetic ideals in 2 studies: an observational analysis of 100 models with natural breasts, and a population analysis with 1315 respondents. From these data a simple yet reproducible formula for surgical planning in breast augmentation has been developed to consistently achieve beautiful breasts, namely the ICE principle. This article proposes that this principle be used as the basis for design in aesthetic breast surgery.

Keywords: Aesthetic; Augmentation; Beauty; Breast; Ideal; Natural; Perfect; Proportion.

Publication types

  • Review

MeSH terms

  • Adult
  • Beauty
  • Breast / anatomy & histology*
  • Breast / surgery
  • Esthetics*
  • Female
  • Humans
  • Male
  • Mammaplasty / methods
  • Mammaplasty / psychology
  • Mammaplasty / standards*
  • Middle Aged
  • Young Adult