In surgeon’s defense, the procedure is not as simple as it may seem. “Breasts have a mind of their own, in a way,” says Los Angeles plastic surgeon Randal D. Haworth MD . “The first key is to position the nipple properly. I used to put the nipples in the perfect place so they looked perfect on the [operating] table. I now resist that.” After four to six months, he explains, the breasts relax, the swelling goes down and the nipples rotate higher. Haworth , who works on between 200 and 250 pairs of breasts annually, has noticed one significant change over the last few years: Young women who in the past would have had large B or C implants now come in requesting large Cs.