Breast Augmentation: Everything You Need to Know

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Breast augmentation is a cosmetic surgery procedure that can enhance the size, shape, and appearance of your breasts. It can also improve your self-confidence and body image. But before you decide to undergo breast augmentation, you should know what it involves, what are the benefits and risks, and what are the options available for you. In this article, we will answer all these questions and more, so that you can make an informed decision about your breast enhancement.

What is Breast Augmentation?

Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure that involves placing breast implants under the breast tissue or the chest muscle. Breast implants are artificial devices that are filled with either saline (salt water) or silicone (a gel-like substance). They come in different shapes, sizes, textures, and profiles to suit your preferences and goals.

Breast augmentation can increase the volume and projection of your breasts, correct asymmetry or unevenness, restore fullness after pregnancy or weight loss, reconstruct the breasts after mastectomy or injury, or simply improve your appearance and self-esteem.

Why Choose Breast Augmentation?

Breast augmentation is one of the most popular cosmetic surgery procedures in the world. According to the American Society of Plastic Surgeons (ASPS), more than 300,000 women underwent breast augmentation in 2019 in the United States alone1. The reasons why women choose breast augmentation are varied and personal. Some of the common motivations are:

  • To enhance the size of naturally small breasts
  • To balance the size and shape of breasts that are different from each other
  • To restore the volume and firmness of breasts that have sagged or deflated due to aging, pregnancy, breastfeeding, or weight loss
  • To reconstruct the breasts after surgery for breast cancer or other conditions
  • To correct congenital defects or deformities of the breasts
  • To boost self-confidence and body image

Whatever your reason for considering breast augmentation, you should have realistic expectations about the outcome. Breast augmentation can improve your appearance and self-esteem, but it cannot change your personality or solve your personal problems. You should also be aware of the potential risks and complications of breast augmentation, which we will discuss later in this article.

How to Prepare for Breast Augmentation?

Before you undergo breast augmentation, you need to find a qualified and experienced plastic surgeon who can perform the procedure safely and effectively. You should do some research on the surgeon’s credentials, training, experience, and reputation. You can also look at before-and-after photos of their previous patients and read reviews from other people who have had breast augmentation with them.

Once you have chosen a surgeon, you will have a consultation with them to discuss your goals, expectations, medical history, and lifestyle. The surgeon will examine your breasts and take measurements of their size, shape, position, skin quality, and nipple location. They will also explain the different types of breast implants available and help you choose the best one for you based on your anatomy and preferences.

The surgeon will also give you instructions on how to prepare for the surgery, such as:

  • Stop smoking at least six weeks before the surgery to promote healing and reduce complications
  • Avoid taking aspirin, anti-inflammatory drugs, herbal supplements, and other medications that can increase bleeding
  • Arrange for someone to drive you home after the surgery and stay with you for at least 24 hours
  • Follow a healthy diet and exercise routine to maintain your weight and fitness
  • Prepare a comfortable place to rest and recover after the surgery

How is Breast Augmentation Performed?

Breast augmentation is usually performed as an outpatient procedure under general anesthesia or local anesthesia with sedation. The surgery typically takes one to two hours to complete. The steps involved in breast augmentation are:

  • The surgeon makes an incision in one of three possible locations: under the breast fold (inframammary), around the nipple (periareolar), or in the armpit (transaxillary). The choice of incision depends on several factors, such as the type and size of implant, the degree of enlargement desired, the anatomy of the breast, and the preference of the patient and surgeon.
  • The surgeon creates a pocket behind the breast tissue or under the chest muscle to accommodate the implant. The placement of the implant can affect the final appearance and feel of the breast. Implants placed under the muscle tend to look more natural and have less risk of capsular contracture (a complication where scar tissue forms around the implant and causes it to harden), but they may also cause more pain and discomfort during recovery.
  • The surgeon inserts the implant into the pocket through the incision and adjusts its position and orientation. If saline implants are used, they are filled with sterile salt water after they are placed in the pocket. If silicone implants are used, they come pre-filled with silicone gel.
  • The surgeon closes the incision with sutures, tape, or glue. They may also place a surgical bra or bandage over the breasts to provide support and compression.

What to Expect After Breast Augmentation?

After breast augmentation, you will be taken to a recovery room where you will be monitored for any signs of complications. You may feel some pain, swelling, bruising, and tightness in your chest area. These are normal and temporary side effects that will subside gradually over the next few weeks. The surgeon will prescribe you some painkillers and antibiotics to ease your discomfort and prevent infection.

You will be able to go home the same day or the next day, depending on your condition and the surgeon’s advice. You will need someone to drive you home and help you with your daily activities for the first few days. You should follow the surgeon’s instructions on how to care for your incisions, implants, and breasts, such as:

  • Wear the surgical bra or bandage as directed by the surgeon for the first few weeks
  • Avoid lifting, bending, or straining your chest muscles for at least six weeks
  • Sleep on your back or side with your upper body elevated for the first few weeks
  • Avoid wearing underwire bras or tight clothing that can put pressure on your breasts for at least six weeks
  • Keep your incisions clean and dry and apply topical ointment as prescribed by the surgeon
  • Avoid exposing your incisions to direct sunlight or tanning beds for at least six months
  • Massage your breasts gently as instructed by the surgeon to prevent capsular contracture and improve blood circulation
  • Attend follow-up visits with the surgeon to check your healing progress and remove any stitches or drains

You should also be aware of the signs and symptoms of possible complications, such as:

  • Fever, chills, redness, warmth, or pus around the incisions
  • Severe pain, swelling, or hardness in one or both breasts
  • Changes in the shape, size, or position of the implants
  • Changes in the sensation or appearance of the nipples or skin
  • Shortness of breath, chest pain, or irregular heartbeat

If you notice any of these signs or symptoms, you should contact your surgeon immediately.

What are the Benefits of Breast Augmentation?

Breast augmentation can offer many benefits for women who are unhappy with their natural breasts or who have experienced changes in their breasts due to aging, pregnancy, weight loss, or surgery. Some of the benefits are:

  • Increased breast size and volume
  • Improved breast shape and symmetry
  • Enhanced cleavage and curves
  • More clothing and lingerie options
  • Higher self-confidence and self-esteem
  • Better sexual satisfaction and intimacy

Breast augmentation can also improve the quality of life and psychological well-being of women who have undergone mastectomy or lumpectomy for breast cancer. It can help them restore their femininity and identity and cope with their emotional trauma.

What are the Risks of Breast Augmentation?

Breast augmentation is generally a safe and effective procedure, but like any surgery, it carries some risks and complications. Some of the risks are:

Some of these complications may require additional surgery to correct or remove the implants. You should discuss these risks with your surgeon before undergoing breast augmentation and weigh them against the benefits.

How Long Do Breast Implants Last?

Breast implants are not lifetime devices. They may need to be replaced or removed at some point in your life due to various reasons, such as:

  • Aging of the implants or the breast tissue
  • Changes in your body weight or shape
  • Changes in your aesthetic preferences or expectations
  • Complications such as rupture, leakage, capsular contracture, infection, etc.
  • Dissatisfaction with the results

The lifespan of breast implants varies depending on several factors, such as the type and quality of implant, the surgical technique used, the patient’s anatomy and lifestyle, and the occurrence of complications. According to some studies, the average lifespan of breast implants is about 10 years. However, some implants may last longer or shorter than that. You should have regular check-ups with your surgeon to monitor the condition and performance of your implants.

How Much Does Breast Augmentation Cost?

The cost of breast augmentation depends on many factors, such as:

  • The type and size of implant chosen
  • The surgical technique used
  • The surgeon’s experience and reputation
  • The geographic location of the surgery center
  • The anesthesia and facility fees
  • The post-operative care and medications
  • The insurance coverage and financing options
  • The average cost of breast augmentation in the United States in 2019 was $3,947, according to the ASPS. However, this does not include the cost of the implants, anesthesia, facility, and other related expenses. The total cost of breast augmentation can range from $5,000 to $10,000 or more, depending on the factors mentioned above.
  • You should consult with your surgeon and get a detailed estimate of the cost of your breast augmentation before you decide to proceed. You should also ask about the payment options and policies, such as:
  • Whether the surgeon accepts insurance or offers financing plans
  • Whether the cost includes revisions or corrections in case of complications or dissatisfaction
  • Whether the cost covers any warranties or guarantees for the implants or the surgery
  • Whether there are any hidden fees or charges that you may incur
  • You should also be aware that breast augmentation is considered a cosmetic procedure and is not usually covered by health insurance. However, some exceptions may apply if you have a medical condition that requires breast reconstruction or correction. You should check with your insurance provider and your surgeon to find out if you are eligible for any coverage or reimbursement.

How to Choose the Best Breast Implants for You?

One of the most important decisions you will have to make when considering breast augmentation is choosing the type of breast implants that will suit your goals and expectations. There are many types of breast implants available in the market today, each with its own advantages and disadvantages. Some of the factors that you should consider when choosing breast implants are:

  • The material: Breast implants can be made of either saline or silicone. Saline implants are filled with sterile salt water and are more affordable and adjustable than silicone implants. However, they may also look and feel less natural and have a higher risk of rippling or deflation. Silicone implants are filled with a cohesive gel that mimics the feel and movement of natural breast tissue. They are more expensive and require larger incisions than saline implants, but they also offer a more realistic and aesthetic result and have a lower risk of capsular contracture or rupture.
  • The shape: Breast implants can be either round or anatomical (also known as teardrop). Round implants are symmetrical and can create a fuller and more lifted appearance of the breasts. They are more versatile and can suit different body types and preferences. However, they may also look less natural and cause more upper pole fullness than desired. Anatomical implants are shaped like a natural breast and can create a more subtle and proportionate enhancement of the breasts. They are more suitable for women who want a natural-looking result and have less breast tissue to begin with. However, they may also rotate or shift in position and cause asymmetry or distortion of the breasts.
  • The size: Breast implants come in different sizes, measured in cubic centimeters (cc) or grams (g). The size of the implant determines how much volume and projection it will add to your breasts. The size that is best for you depends on your existing breast size, chest width, body frame, skin elasticity, and personal preference. You should consult with your surgeon and try on different sizes of implant sizers or use 3D imaging software to visualize how different sizes will look on you. You should also consider how the size will affect your lifestyle, comfort, health, and appearance in the long term.
  • The profile: Breast implants also come in different profiles, which refer to how much they project from the chest wall. The profile of the implant affects how wide or narrow your breasts will appear from the front view. The profile that is best for you depends on your chest width, breast base diameter, desired cleavage, and personal preference. You should choose a profile that will balance your proportions and create a harmonious silhouette. The common profiles of breast implants are:
    • Low profile: These implants have the least projection and the widest base. They are suitable for women who have a wide chest wall and want a modest increase in breast size.
    • Moderate profile: These implants have a moderate projection and a moderate base. They are suitable for women who have a medium chest wall and want a natural-looking increase in breast size.
    • High profile: These implants have a high projection and a narrow base. They are suitable for women who have a narrow chest wall and want a significant increase in breast size.
    • Ultra-high profile: These implants have the highest projection and the smallest base. They are suitable for women who have a very narrow chest wall and want an extreme increase in breast size.

Conclusion

Breast augmentation is a cosmetic surgery procedure that can enhance your breasts in terms of size, shape, appearance, and confidence. It involves placing breast implants under your breast tissue or chest muscle through an incision in one of three possible locations. Breast augmentation can offer many benefits for women who are unhappy with their natural breasts or who have experienced changes in their breasts due to aging, pregnancy, weight loss, or surgery. However, it also carries some risks and complications that you should be aware of before you decide to undergo the procedure. You should also consider the cost, the lifespan, and the type of breast implants that will suit your goals and expectations. You should consult with a qualified and experienced plastic surgeon who can perform the procedure safely and effectively and help you achieve your desired results.

FAQs

  • Q: How long does it take to recover from breast augmentation?
  • A: The recovery time from breast augmentation varies depending on the individual and the surgical technique used. Generally, it takes about six weeks to fully recover from breast augmentation. However, you may be able to resume your normal activities and return to work within one to two weeks after the surgery, as long as you avoid strenuous exercise and heavy lifting. You should follow your surgeon’s instructions on how to care for your breasts and implants during the recovery period.
  • Q: Will breast augmentation affect my ability to breastfeed?
  • A: Breast augmentation does not usually affect your ability to breastfeed, as long as the incision is not made around the nipple or the implant is not placed under the breast tissue. However, some women may experience reduced milk production or altered nipple sensation after breast augmentation. You should discuss your plans and concerns about breastfeeding with your surgeon before undergoing breast augmentation.
  • Q: Will breast augmentation leave scars on my breasts?
  • A: Breast augmentation will leave scars on your breasts where the incisions are made. However, the scars will fade over time and become less noticeable. The visibility of the scars also depends on the location and size of the incision, the type and quality of implant, the skill of the surgeon, and your skin type and healing ability. You should follow your surgeon’s instructions on how to minimize scarring and apply topical creams or silicone sheets as recommended.
  • Q: How often do I need to replace my breast implants?
  • A: There is no definitive answer to how often you need to replace your breast implants, as they may last longer or shorter than expected depending on various factors. You should have regular check-ups with your surgeon to monitor the condition and performance of your implants. You may need to replace your implants if you experience any complications, such as rupture, leakage, capsular contracture, infection, etc., or if you are dissatisfied with the results.
  • Q: What are the alternatives to breast augmentation?
  • A: If you are not a good candidate for breast augmentation or if you prefer a non-surgical option, there are some alternatives that can enhance your breasts without implants. Some of these alternatives are:
    • Fat transfer: This is a procedure that involves harvesting fat from other parts of your body, such as your abdomen or thighs, and injecting it into your breasts to increase their size and shape. This is a natural and minimally invasive option that can produce subtle and natural-looking results. However, it may also have some limitations, such as limited availability of donor fat, unpredictable fat survival rate, risk of fat necrosis or calcification, and potential interference with mammography.
    • Breast lift: This is a procedure that involves removing excess skin and reshaping the breast tissue to lift and tighten your breasts. This can improve the appearance of sagging or drooping breasts and restore their youthful position and contour. However, it may not increase the volume or projection of your breasts significantly.
    • Breast fillers: These are injectable substances that are used to fill in the gaps or hollows in your breasts or add volume and fullness to them. They can be either synthetic or natural materials, such as hyaluronic acid or collagen. They can provide immediate and temporary results that can last from a few months to a few years. However, they may also have some drawbacks, such as high cost, risk of infection or allergic reaction, uneven distribution or migration of the filler material, and potential interference with mammography.