Breast enlargement stands as one of the most extensively studied procedures within the realm of plastic surgery, with a rich history spanning over a century. The earliest documented instance dates back to 1895 when a surgeon used the patient's own fat, instead of implants. Rather than employing suction, the fat was transferred as a singular tissue, known as a lipoma, to enhance breast volume. While refraining from commenting on the efficacy of such early endeavours, subsequent advancements have been made due to many testings of silicone and saline implants, including variations in shape and surface reactivity with natural tissues. Likewise, the technique of fat grafting has evolved significantly. Today, the advancements allow us a streamlined operation lasting approximately 40 minutes.

What is breast enlargement?

The purpose of breast augmentation, also known as augmentation mammoplasty, is to enlarge the breasts. Different breast implant kinds, such as silicone-filled, saline-filled, or textured implants, or fat transfer, might be used during the procedure. Incisions are performed during the procedure in precise regions where scars are least noticeable. These areas may include the armpit, under the breast fold, around the areola, and in the lower fold of the breast. An incision is made to make room for a breast implant, which is normally positioned either under or on top of the pectoral muscle (subglandular placement), sometimes called submuscular or subpectoral.

Breast Augmentation with implants vs. Breast augmentation with your own fat tissue

There are benefits and drawbacks to both fat grafting and breast implants. Enhancing your breast size with your own fat tissue will feel more natural and result in practically undetectable scars. In addition, compared to breast implants, essentially no upkeep is required. Furthermore, since your own tissue is used, there is little chance that you may experience a negative effect to the transferred tissue. Patients who want a more noticeable size change might not be satisfied with fat grafting, and there is a possibility that the injection sites for the fat will calcify.

However, a particular change in breast size is guaranteed with breast augmentation with implants. Unlike fat grafting, breast implants may be removed, and the implants used in modern plastic surgery feel natural and are safe.

Short scar technique

There is a short scar procedure available if you want your breast augmentation to leave the least amount of scarring possible. With the use of this procedure, an implant can be inserted through a 3 centimetre incision. This method has additional advantages-it lowers the chance of infection and other issues. However, not every kind of breast implant can be used with the short scar procedure, so make sure to talk to your surgeon about your alternatives.

Can other surgeries be combined with breast augmentation?

Breast augmentation can be combined with a number of different procedures:

Breast lift

Tummy tuck

Liposuction

Who is a suitable candidate for breast augmentation?

Improving one's look if one feels their breasts are too small is the most common reason people have breast implants. Additionally, if your breasts are noticeably uneven due to development difficulties or previous surgeries, or if they have shrunk after pregnancy, you might want to think about having an augmentation mammoplasty. Sometimes, in an attempt to provide more satisfactory outcomes, a breast augmentation is paired with a breast lift (also known as a mastopexy). Nevertheless, there might be a certain size limit for the implants in these circumstances.

The majority of health insurance plans offer no reimbursement for breast augmentation because it is a cosmetic operation.

Recovery

  • It is necessary to stay overnight following breast augmentation surgery.
  • For a few weeks following the procedure, pain and swelling are to be expected, along with sensitivity to touch or rapid movements.
  • Antibiotics and painkillers may be prescribed by your surgeon in order to prevent infections.
  • You will also need to wear a surgical bra or a compression garment.
  • You must follow your surgeon's advice regarding physical activity; in most cases, this means staying away from any intense activities for a period of two weeks because it may result in bleeding in the areas surrounding the breast implant. 
  • It is crucial to note that laying on a stomach and lifting arms above one's head increase the chance of bleeding and, consequently, the development of a hematoma.
  • Scarring is normal following surgery and is just a part of the healing process. As previously mentioned, the incisions for augmentation mammoplasty are made in places where scar visibility can be easily minimised. You can ask your surgeon for advice on how to manage your skin before and after the operation, as there are steps you can do to minimise the appearance of scars, even if the scarring process varies from person to person.

Is breast augmentation with implants safe? Pros and cons.

Since no links between breast implants and medical conditions have been discovered in studies, breast implants are considered safe. But like with any surgery, there are some risks to be aware of. These risks include:

  • Bleeding;
  • An allergic reaction; 
  • An infection; 
  • Fluid buildup (seroma);
  • Ongoing discomfort; 
  • Altered breast or nipple sensation;
  • Implant leakage or rupture;
  • Implant location inaccuracy; 
  • Tight scar tissue growing around the implant (capsular contracture).

For people who like to have fuller, more appealing breasts, getting a breast augmentation is a great option. Patients appreciate improved body image and more self-assurance in general. Furthermore, augmentation mammoplasty is a good option for those whose breasts are asymmetrical, undeveloped, or have shrunk as a result of other circumstances. 

It is crucial to remember that having breast augmentation surgery may result in less breast milk being produced, even if breastfeeding may still be possible following the procedure. The nipple's sensitivity and the position of the incision and implant determine how much less milk will be produced. Additionally, keep in mind that breast implants are not meant to last a lifetime and that ageing and weight fluctuations might have an impact on how your breasts seem. Breast implants will also have an impact on mammograms in the future.

See the difference

Dive deeper into our Before & After results in a separate gallery here.