What is breast augmentation?

Breast augmentation is a common surgical procedure that increases the size and shape of the breasts. It can be done using breast implants or fat transfer.

What are the types of breast augmentation?

There are two main types of breast augmentation: implants and fat transfer. Within these two categories, there are multiple options depending on how you want your breasts to look and feel. Some breast implants are FDA-approved only for certain age groups. It is important to fully research the pros and cons of each option and consult with a board-certified plastic surgeon before choosing breast augmentation.

Breast implants are the most commonly used method for augmentation. The available implant options include:

Saline-filled breast implants: These implants are filled with sterile saline solution. If the implant ruptures, your body absorbs the saline naturally.

Structured saline implants: These implants are filled with sterile saline but have an internal structure that helps them feel more natural.

Silicone gel implants: Made of silicone gel, these implants can either retain the gel inside or allow it to leak into the breast tissue if they rupture. Regular check-ups with a plastic surgeon are recommended for those with silicone implants.

Form-stable implants: Known as "gummy bear" implants, they maintain their shape even if the shell breaks. They are made of thicker silicone gel and require a longer surgical incision.

Round implants: These implants usually make the breasts appear fuller. Since they are round, they generally do not affect appearance if they shift.

Smooth implants: These provide the softest feel and tend to move more naturally.

Textured implants: These develop scar tissue that adheres to the implant, reducing the risk of movement. However, they are rarely associated with BIA-ALCL, a type of lymphoma.

Fat transfer breast augmentation: Your surgeon will use liposuction to remove fat from another area of your body and inject it into your breasts. It is generally suitable for those seeking a small increase in breast size. Common areas for fat collection include the abdomen, waist, back, or thighs.

Why do people get breast augmentation surgery?

There are several reasons someone may choose breast augmentation:

• To increase breast size.
• To correct size differences between the breasts.
• To restore volume lost after pregnancy or weight loss.
• To fix irregularities caused by other surgeries.
• To boost self-confidence and self-esteem.

How common are breast augmentation surgeries?

Breast augmentation is one of the most popular cosmetic surgeries worldwide. Each year, approximately 300,000 people undergo this procedure in the United States alone.

What happens during breast augmentation surgery?

Breast augmentation surgery consists of several key steps. Here is a detailed explanation of these steps:

Anesthesia

During the surgery, your surgeon will use either general anesthesia (full sleep) or IV sedation (intravenous sedation). The appropriate method will be determined between you and your surgeon.

Incision

Breast augmentation can be performed using different incision techniques. Your surgeon may perform the procedure from:

• The natural crease under your breast (inframammary fold).
• Around the areola (periareolar incision).
• Through your armpit (transaxillary approach).

Your surgeon will discuss these options with you before surgery and decide which is best for you.

Implant Placement

Your surgeon may place the implants either under the breast tissue and in front of the muscle or behind the chest muscle (pectoral muscle). The placement method depends on the type of implant and your desired breast size.

Closing the Incision

After implant placement, your surgeon will close the incision with stitches. Drainage tubes may be used. You will receive instructions on how to care for the incision site.

Post-Surgery Recovery

Immediately after the surgery, a healthcare team will monitor you in a recovery room. Once you are stable, you will be discharged, typically within an hour.

Before leaving, your surgeon will provide you with specific instructions for recovery. Pain medication may be prescribed if necessary. You will be informed when to return for drainage tube removal and when to change dressings.

Stitches are usually removed within a week. Avoid heavy lifting for at least four weeks. Physically active individuals may return to sports after six weeks.

Risks and Benefits

Benefits of Breast Augmentation

The procedure can enhance breast appearance, improving self-confidence and self-esteem.

Possible Side Effects and Complications

Like any surgery, breast augmentation carries certain risks:

• Increased sensitivity and pain.
• Bruising.
• Bleeding.
• Swelling.

Serious but rare complications:

• Infection.
• Wound healing problems.
• Hematoma (blood accumulation).

Long-term complications:

• Capsular contracture (scar tissue).
• Implant sagging.
• Symmastia (implants merging).
• Seroma (fluid accumulation).
• Implant rupture or deflation.
• BIA-ALCL (rare immune system cancer).

Considerations:

• Implants are not lifelong and may need to be replaced.
• Pregnancy, weight loss, and menopause may affect appearance.
• Breastfeeding ability may be impacted.
• Regular breast exams and visits to your plastic surgeon are essential.

What is the recovery time for breast augmentation surgery?

Recovery time varies for each individual, depending on the type of breast augmentation performed and overall health. On average, full recovery takes about six to eight weeks.

When can I return to work or other activities after breast augmentation surgery?

Your plastic surgeon will provide specific instructions for your recovery plan and when you can resume physical activities. Typically, light daily activities can be resumed within the first week. Avoid intense or jarring activities (running, horseback riding, heavy lifting) until fully healed. Those with physically demanding jobs are generally advised to wait at least three weeks.

Can breast augmentation surgery be reversed?

Yes, your plastic surgeon can perform a breast implant removal procedure. Since breast implants are not guaranteed to last a lifetime, many people who undergo breast augmentation may need another procedure in the future. These procedures may include:

• Removing the original implants and replacing them with new ones.
• Repositioning the existing implants.
• Removing the implants without replacing them.

Can I breastfeed after breast augmentation?

Breast augmentation surgery can affect the nerves and ducts in your breast, which may impact your ability to breastfeed. Implants placed under the muscle generally affect milk production less than those placed over the muscle. Surgical incisions around the areola are more likely to reduce milk production. If you plan to breastfeed in the future, discuss this with your plastic surgeon before the procedure.

What is the difference between breast augmentation and breast implants?

Breast implants are a type of breast augmentation used to enhance the size and shape of the breasts. Another method of breast augmentation is fat transfer.