Reply to: Letter to the editor: Evaluation of anatomical and round breast implant aesthetics and preferences in Dutch young lay and plastic surgeon cohort

We would like to thank Dr. Cheng and Dr. Cen for reading our article and for submitting their interesting points.1 All patients included in our study underwent primary aesthetic breast augmentation with either anatomical or round breast implants.2 Dr. Cheng and Dr. Cen correctly mention that a history of breast disease or surgery would have an impact on breast aesthetics due to skin compliance and breast parenchyma. For this reason, we excluded patients that underwent prior breast surgery as it may have possibly lead to malformation, which could be a reason for revision surgery.