Breast Augmentation

Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure designed to increase breast size, improve breast shape, or restore breast volume lost after weight reduction or pregnancy.
The procedure typically involves placing implants or, in some cases, transferring a patient’s own fat to enhance the breast contour.

As a plastic surgeon, I emphasize that breast augmentation is not solely about aesthetics — for many, it restores confidence, body balance, and self-esteem.

Ideal candidates for breast augmentation include individuals who:

• Are physically healthy and have fully developed breasts.

• Feel their breasts are too small or asymmetrical.

• Have lost breast volume due to pregnancy, weight loss, or aging.

• Have realistic expectations about outcomes and limitations.

• Are non-smokers or are willing to quit before and after surgery.

A detailed consultation ensures that the patient’s goals align with achievable surgical results.

Several implant options are available:

• Silicone implants: Filled with silicone gel, they feel more like natural breast tissue.

• Saline implants: Filled with sterile salt water; if ruptured, the saline is absorbed safely.

• Structured saline implants: A newer version with internal structure, offering a more natural feel.

• Gummy bear implants: Highly cohesive silicone gel implants that retain their shape even when cut.

Choosing the right implant depends on body type, aesthetic goals, and personal preferences.

Breast implants vary in shape and projection:

• Round implants: Provide more fullness at the top of the breasts.

• Teardrop (anatomical) implants: Mimic the natural slope of the breast.

• Profiles: Low, moderate, high, or ultra-high — refer to how far the implant projects from the chest.

The choice of shape and profile impacts the final appearance and should complement the patient's anatomy.

Fat transfer breast augmentation, also known as natural breast enhancement, involves:

• Liposuctioning fat from areas like the abdomen, thighs, or flanks.

• Purifying the fat cells.

• Injecting the fat into the breasts to enhance volume.

This option offers a modest increase in size with a natural look and feel, and the added benefit of body contouring.

The breast augmentation surgery generally follows these steps:

1. Anesthesia administration: Typically general anesthesia.

2. Incision making: Inframammary, periareolar, or transaxillary approaches.

3. Creating the pocket: Either above (subglandular) or below (submuscular) the pectoral muscle.

4. Implant placement: Silicone or saline implant insertion.

5. Closing incisions: Layered sutures and surgical tape or skin adhesive.

The procedure usually lasts between 1 to 2 hours.

Selecting the right implant size is a crucial step for a satisfying outcome:

• Patient’s body frame, chest width, and breast tissue elasticity are evaluated.

• Volume (measured in cc’s) is chosen based on desired enhancement and anatomical limits.

• Sizers may be used during consultation or surgery to visualize potential results.

• Lifestyle factors (e.g., athletic activity) also influence the optimal size choice.

The goal is natural, proportional results that align with the patient's aesthetic goals.

Implants can be positioned either:

• Subglandular: Over the pectoral muscle, under the breast tissue.

  • Faster recovery.

  • More natural movement in certain cases.

  • Higher risk of visible edges in thinner patients.

• Submuscular: Under the pectoral muscle.

  • More tissue coverage for a natural look.

  • Lower risk of rippling and capsular contracture.

  • Slightly longer recovery.

The best placement is determined individually based on body type and goals.

There are multiple options for surgical incisions:

• Inframammary fold incision (under the breast): Most common, offers direct access with hidden scarring.

• Periareolar incision (around the nipple): Well-hidden scar, potential impact on nipple sensation.

• Transaxillary incision (armpit): Scar hidden in the natural folds of the armpit.

Surgeons select the incision type based on implant type, patient anatomy, and patient preference.

While breast augmentation is generally safe, potential risks include:

• Capsular contracture (hardening around the implant)

• Implant rupture or leakage

• Changes in nipple or breast sensation

• Infection or hematoma

• Breast asymmetry or unsatisfactory aesthetic results

• Need for revision surgery

Choosing an experienced, board-certified plastic surgeon reduces the risk of complications.

Typical recovery after breast augmentation:

• First 48 hours: Rest, manage mild swelling and discomfort with prescribed painkillers.

• First 1–2 weeks: Gradual return to light activities. Avoid lifting, pushing, or pulling.

• 4–6 weeks: Resume more strenuous exercise, depending on surgeon’s approval.

• Long-term: Implants settle ("drop and fluff") over several months.

Proper support bras, wound care, and follow-up appointments are essential.

While breast implants are long-lasting, they are not considered lifetime devices:

• Modern implants often last 10–20 years or longer without issues.

• Regular monitoring with MRI or ultrasound is recommended every few years to detect silent ruptures.

• Future surgeries may be required for replacement, repositioning, or cosmetic updates.

Patients should also perform regular self-exams and attend annual breast health check-ups.

Costs vary widely depending on surgeon expertise, implant type, clinic location, and additional services:

• United States: $6,000–$12,000

• Turkey, Mexico, Eastern Europe: $3,000–$6,000 (popular for medical tourism)

• Premium implants (gummy bear, structured saline) may incur extra charges.

Always clarify what the quoted price includes — anesthesia, facility fees, and post-op care.

Top destinations for high-quality breast augmentation include:

• Turkey: Affordable, accredited clinics with board-certified surgeons.

• Brazil: World leader in cosmetic surgery innovation.

• South Korea: Advanced aesthetic techniques with a natural focus.

• United States: High-level personalized care (higher cost).

• Mexico: Cost-effective, experienced plastic surgeons.

Patients should verify certifications, safety standards, and read detailed clinic reviews before proceeding abroad.

Psychological benefits of breast augmentation include:

• Increased self-confidence and self-esteem.

• Improved body image and satisfaction with appearance.

• Reduction in feelings of inadequacy related to breast size or asymmetry.

• Enhanced clothing fit and fashion choices.

However, realistic expectations are key to emotional satisfaction.

Q1: Will breast implants feel natural?
Yes — especially silicone implants placed under the muscle.

Q2: Can I breastfeed after breast augmentation?
Most patients can, though it depends on surgical technique and implant placement.

Q3: How soon can I return to work after surgery?
Light office work can usually resume within 1 week.

Q4: Will breast implants affect mammograms?
Special techniques are used during mammograms for implant patients.

Q5: Can breast implants rupture?
Yes, but modern implants are very durable. Rupture rates are low, and silent ruptures are detected via imaging.