Breast augmentation is the most popular plastic surgical procedure in North America. According to the American Society of Plastic Surgeons, 575,492 breast augmentations were performed in 2022, which is an increase of 15% since 2019.
Are you planning to get implants? Do some research first — as an informed patient, you'll experience an improved surgical experience and better perceived results.
Breast augmentation is a medical procedure that enlarges the breasts. The medical term for this procedure is augmentation mammoplasty, or augmentation mammaplasty. The term mammoplasty refers to a breast-related surgical modification.
The first question most women ask is how much does a breast augmentation cost in Canada? Let's answer that question first because it's the easiest: The cost of breast augmentation varies depending on where you get your surgery performed. It may cost from $8,500 to $15,000; there are a difference in the prices offered depending on several factors, such as anesthesia fees, surgeon's fee, surgical facility fees and the cost of post-surgery garments. Several surgeons offer financing options if your budget is too restrictive.
Each surgeon's office has its own acceptable methods of payment for the services performed. Cash, money order, bank transfer, and credit cards are typical.
It is also common that surgeons offer financing options. These options may be payment plans that are offered by their office, or by third party financing companies. Payment plans break down the cost into smaller amounts paid over a specific period of time, in bi-weekly or monthly increments. This may be over a year or more.
So, now that that's out of the way, let's get more in depth!
There are different types of breast implants. Saline breast implants are filled with sterile salt water, providing a uniform shape, firmness and feel. Gummy bear breast implants are filled with silicone gel. The gel is a little thicker and more cohesive than traditional silicone gel implants. They also feel a bit more like natural breast tissue. So, which breast implants are the best ones to use for my breast augmentation surgery? Finding out more about them may help.
Silicone and saline implants differ in material and consistency. Silicone implants are often preferred because of their natural look and feel. The silicone filling is much like natural breast tissue and fat so generally the end result looks and feels natural. A disadvantage is that you will need a slightly longer incision to introduce the implant (4-4.5 cm), and you often don't know if it ruptures, which can be problematic.
However, you can also get natural and feeling results with saline implants, which are comprised of a solid silicone shell filled with sterile salt water. Less commonly, they may be pre-filled, although it's more common that they are filled at the time of surgery, once the shells are placed inside the patient's chest. Doctors say that the advantage of this breast implant type is that it requires a smaller incision than silicone implants. Saline implants need a smaller incision during the breast augmentation surgery (about 3 cm), and if it leaks you will know, making removal and/or replacement faster. How do you know? Well the obvious is that one of your breasts will begin to get smaller, but a more subtle clue is the breast will start to feel softer. If this happens, call your surgeon immediately.
Knowing the advantages and disadvantages of both you would know which will suit you better.
Breast implants don't just come in different sizes and shapes (teardrop or round) — they also come in different heights. The height of a breast implant is known as its "profile". Choosing the right profile is crucial for your successful breast augmentation result.
The profile or projection of a breast implant is based on how far the implant projects outward from the body, or specifically, your chest wall. This is determined by the width of its base and how much of the base occupies your chest wall, as well as its height (how far it stands out from your body). For example, a 350CC breast implant with a wider base width will be flatter than one with a narrower base width of the same size. This is because despite carrying the same volume, the implant is shaped differently. The higher the implant profile, the narrower its base and the more outward projection there is.
The profile of your breast implants will determine how your overall breast shape will look — particularly how your breasts will look from the side. This is why it's important that you choose the right one. Your breast augmentation surgeon can help you pick the profile that will achieve your desired improvement.
In Canada, the two most prominent implant manufacturers are Mentor and Allergan. Both offer a range of breast implant profiles.
Mentor® manufactures saline and silicone breast implants.
Mentor MemoryGel® silicone breast implants are the following:
MODERATE or CLASSIC: This has the widest base width.
MODERATE PLUS: A slightly higher profile but still wide base width.
HIGH: Moderate base width and higher projection outward from the body.
ULTRA HIGH: The narrowest base width and highest projection.
MODERATE (ROUND STYLE 1600): This has the widest base and least projection, to provide a full, rounded shape.
MODERATE PLUS (ROUND STYLE 2000): A similar base but with a slightly higher profile.
SILTEX® TEXTURE MODERATE (ROUND STYLE 2600): This has a moderate profile but a textured surface.
HIGH (ROUND STYLE 3000): This has a narrower base for the greatest projection from the chest wall.
MODERATE (TEARDROP STYLE 2900): Moderate projection due to a wider base.
HIGH (TEARDROP STYLE 2700): A prominent silhouette due to great projection from the chest wall.
MODERATE (STYLE 10): The flattest profile. This comes in sizes 120cc to 800cc.
MODERATE PLUS (STYLE 15): Narrower base with more projection. This comes in sizes 155cc to 752cc.
HIGH (STYLE 20): A more prominent profile. This comes in sizes 120cc to 800cc.
EXTRA-HIGH (STYLE 40): The most projection with the narrowest base. This comes in sizes 120cc to 800cc.
LOW (STYLE SRL): The flattest profile. This comes in sizes 110cc to 610cc.
LOW PLUS (STYLE SRLP): Narrower base with more projection. This comes in sizes 125cc to 640cc.
MODERATE (STYLE SRM): A more prominent profile. This comes in sizes 140cc to 755cc.
FULL (STYLE SRF): The most projection with the narrowest base. This comes in sizes 180cc to 770cc.
EXTRA-FULL (STYLE SRX): The most projection with the narrowest base. This comes in sizes 200cc to 800cc.
The two most commonly selected profiles are moderate and high.
Other breast implant manufacturers include Sientra and Ideal Implant.
Sientra high-strength cohesive silicone gel (HSC and HSC+) implants are available in High, Moderate Plus, Moderate, and Low Projection profiles. Ideal Implant is only available at this time in high-profile.
You may want a wider implant base to avoid overly projecting breasts. However, the right profile for you is partially dependent on the width of your natural breasts. The base width of an implant should roughly match your own breasts. This is because if you get an implant that's too wide, it will extend beyond your breast circumference and its outline will become more visible when viewed straight on. It can also distort the shape of your breasts, making for an unnatural result. Overly wide implants may increase the risk of symmastia, or "uniboob", where the breasts join together and become one.
What look do you want to achieve? Each implant profile is designed to not only complement a patient's breasts, but also achieve their desired improvement.
Lower implant profiles are more suitable to achieve:
More fullness in the side of the breasts, also known as "side boobs"
More fullness in the upper portion of the breasts
Softer breasts
Softer breasts
Higher implant profiles are more suitable to achieve:
Pointier breasts
Rounder breasts
Firmer breasts
A more "enhanced" look
Can also decrease mild to moderate sagging
The size of your implants will determine how large your breasts will be after surgery, but implant profile will determine what your overall breast shape will be. Sometimes, picking a different profile yields better results than selecting a bigger size.
Breast implant placement is an important factor to consider in breast augmentation. Breast implants can be placed directly under the breast tissue, or under both the breast tissue and pectoralis major muscle in the chest.
The pectoralis major is a muscle located on the breast bone and ribs, connected to the upper arm. Fan-shaped, it is responsible for moving the arm. When we talk about going "under" or "over", we refer to the position of the breast implant in relation to the pectoralis major muscle. "Going under" means that it's under the muscle. Going over means it's over the muscle (and only under breast tissue).
But wait — there's more to it.
Each placement has its pros and cons, and the most suitable placement for an individual patient really depends on their body, what results they want, and what is the safest for them.
The most important factor to consider when determining the right placement for you is the thickness of your natural breast tissue. Your surgeon will assess your goals and examine your breast tissue during your consultation. Remember the "inch to pinch" test: if you have an inch or more of tissue to pinch in your upper breasts, then subglandular breast implant placement is probably more suitable regardless of whether you're getting saline or silicone implants.
The breast implant is placed completely under breast tissue only. The pectoralis major muscle is not touched during surgery. This placement was the only option available for decades, from the time when breast augmentation was first attempted in the early 1900s, up to the late 1960s.
Advantages
Generally speaking, there is less discomfort and pain associated with this placement, something that is particularly noticeable in the first few days after surgery. This is because the muscle is not affected (any surgery that modifies the muscles tends to cause greater discomfort in recovery, and often longer downtime).
Another advantage is that it usually gives a more natural looking result. After all, you don't have any breast tissue under your muscle. However, this is debatable, because at the end of the day, your results are largely dependent on the skill of your surgeon.
Mildly to moderately sagging breasts can also be made perkier with this placement.
Disadvantages
The risk of visible implant edges and rippling may be higher because there is less tissue coverage. However, if you have an "inch to pinch" of tissue in your upper breast area, then this is normally not an issue. You'll have sufficient coverage to minimize this risk.
A round, "bolted on" appearance may result, although this isn't a disadvantage for some patients since this look is actually preferred.
Mammograms and breast cancer testing may be more difficult to perform, since the implants will have to be "moved out of the way" to examine all the breast tissue.
When most plastic surgeons talk about subpectoral or submuscular placement for aesthetic plastic surgery, they refer to partial rather than total coverage of the implant by the muscle. This is called dual plane. Dual plane is basically a variation of going partially under breast tissue and muscle, with a specific area of muscles divided and altered to accommodate the implant. Usually, only the top third of the implant is covered by muscle.
Advantages
This breast augmentation placement can correct mild sagging because the implant is supported by muscle, preventing it from filling too much of the loose tissue affecting the lower portion of the breast.
It provides a more natural look in those patients with sufficient breast tissue because it takes on a more natural ski-slope shape.
Because both muscle and breast tissue cover the implant, there is less risk of visible edges or rippling.
Disadvantages
Sometimes, the muscle is not accurately modified, leading to a distorted breast shape. However, this risk is rare when the procedure is performed by a plastic surgeon experienced in this technique.
Compared to subglandular placement, there is more pain and discomfort experienced during the early stages of recovery.
Surgical modification of the muscle tends to result in more discomfort and pain during the first few days of recovery. However, prescribed pain medication should be sufficient in easing this.
When flexing the pectoralis major muscle, there may be some distortion of the implant. While it is generally minor, this could be a concern for bodybuilders and fitness models who are considering breast enhancement.
Subfascial breast augmentation is a surgical technique for breast enhancement where the breast implant is placed beneath the fascia (a thin layer of connective tissue) that covers the pectoralis major muscle but above the muscle itself.
Advantages
Some potential advantages of subfascial placement are that there is potentially less post-operative pain compared to submuscular placement and a possibly faster recovery period. It could also offer better implant coverage than purely subglandular placement.
Disadvantages
The main disadvantages are that this technique tends to be more technically demanding as it requires precise dissection of the fascia. There is limited research, with fewer long term studies compared to the other traditional placement methods.
The breast implant is placed completely under breast tissue and muscle. True subpectoral placement is usually only used for breast reconstruction patients who do not have any of their own natural breast tissue. The procedure is often more complicated because it involves a staged approach, in which a tissue expander is used to first make room for the implant. The expander is inflated with saline to increase its size slowly over a few months. Once the desired size is reached, the expander is removed and replaced with an implant. This is the procedure that actress Angelina Jolie had performed after her double mastectomy.
There are many things to consider when planning your breast augmentation surgery. The location of the incision is one of the most discussed. Your plastic surgeon must tell you the pros and cons of the different places where your breast incision can go, and you'll know which incision will be best for you. This is important since it also determines the placement of the resulting breast augmentation scars.
The peri-areolar incision is located partially around the areola. It is preferred by many surgeons because it allows for the most accurate positioning of the implant. It also leaves a barely visible breast implant scar because it's well hidden by the texture and colour of the areola border. However, it may increase the risk of compromising nipple sensitivity.
The inframammary incision (in the breast fold) is another popular incision because it also allows for fairly accurate implant positioning. The scar may be more obvious, but it's easily hidden by bras and bikinis.
The transaxillary approach (in the armpit) leaves the skin on the breast totally untouched, and the resulting scar is well hidden within the confines of the armpit. However, it is not favoured by many surgeons because it makes breast implant placement more difficult. In addition, saline implants and smaller silicone implants can only be placed through this incision.
Which incision is best for breast augmentation? Where is the best incision for a breast augmentation?
Beautiful results can be achieved with any incision and the associated risks are low if you choose the right surgeon for your surgery.
Any surgery that involves making an incision in the skin leaves a scar. A common question asked by patients is, "Do breast augmentation scars go away?" The answer is yes, they do. However, how long for breast augmentation scars to heal depends on your recovery. Patients that follow post-op instructions, including details on scar care, can expect their scars to heal into a thin, silvery line. This is barely noticeable.
How to reduce scars after breast augmentation: When can I start using scar cream after breast augmentation?
Once the incisions have closed, you may also be asked to apply silicone scar gel. This can help make the scar fade faster. Silicone creates a semi-occlusive barrier over the scar, which helps to keep the area hydrated. This moisture is crucial for proper healing and can help reduce the appearance of scars. Silicone can also help regulate collagen production in the scar area. Excessive collagen can lead to raised, thick scars, so this regulation can result in flatter, less noticeable scars.
Breast implants come in sizes, based on the amount of volume the implant holds. The measurement is in cubic centimetres, and it can go from as little as 50cc to 800cc and over. There are four things women should consider before deciding on how much of an augmentation to have:
The size of your natural breasts and the amount of breast tissue you have.
Your body measurements, including your chest wall.
The elasticity of your skin.
Your goals
Choosing your new breast size can be a difficult decision, especially if you don't know how to accurately measure your chest or the difference between B, C or D cups; allow your surgeon to help you choose the best implants for your surgery. You surgeon can help guide you in choosing the best size of implants for your body type. Look at before and after photos; you may find a result that matches the image in your mind and you can show our surgeon exactly what you want your new boobs to look like.
During surgery the breast implants will be placed in a subpectoral or subglandular position to create a natural appearance. The initial amount of natural breast tissue is also essential in determining how results will look. If you have little to no natural tissue, it will be difficult to achieve a natural look and feel, obviously. While there is no recipe for an ideal breast implant result, if you want natural looking results, the real key is finding a plastic surgeon with not just experience, but attention to detail and exceptional training.
Aside from already knowing one through family or friends, searching online is probably the most convenient and easiest way to find a plastic surgeon.
Once you've found one, meet with them first for a consultation. The first time going to a plastic surgeon, you'll need to ask all the pertinent questions and dissipate any doubts you might have. The fact that you'll be entrusting them with your health should give you the confidence to ask direct questions, because you are essentially trusting them with your body. You don't want to make an incorrect decision on your surgeon. Here is what we recommend you ask:
Credentials, certifications, and experience. You need to know the full background of your surgeon, leave no stone unturned. Be vigilant.
Partners, assistants, nurses and other medical staff. You should know who will be performing the surgery with the surgeon.
Places of work, previous patients and before/after pictures. You need to know where you'll have your surgery, what kind of experience his previous patients had, and what was the end result of their surgeries.
Type of implants, scarring, complications, surgery time, recovery and post-op checkups. You need to be informed on what kind of implant your surgeon uses and why, where and how big will the scars be, what are possible complications, how long the surgery is, how long the recovery after surgery is, and what kind of post-op checkups are necessary.
Pricing, quality and warranty. Yes warranty. Get an exact quote of your procedure, with a very detailed report on costs (anesthesia, hospital fees and the like). You don't want any surprises. Ask about the quality of their job and what kind of warranty the implants or the procedure has.
Availability for surgery. Ask about the surgeon's schedule and when the best time to have your surgery is.
Breast augmentation can potentially affect nipple sensitivity, both temporarily and permanently. According to studies, approximately 15-20% of women experience changes in nipple sensitivity following breast augmentation surgery. These changes can manifest as either increased or decreased sensitivity. In most cases, any change in sensitivity is temporary. Affected patients often ask, "When will I get feeling back in my nipples after breast augmentation?" The answer is generally, you'll see an improvement or a return to normal sensitivity within six months to a year. However, there's a slight risk of permanent changes in nipple sensitivity.
How to get sensation back after breast augmentation? Regaining nipple sensitivity after breast augmentation relies on a number of factors, such as the surgical technique used, individual healing processes, and nerve regeneration. Here are some approaches that may help:
1. Massage Therapy: Gentle breast massage, as recommended by your surgeon, can improve blood flow and possibly aid in nerve recovery.
2. Desensitization Exercises: Gradual exposure to different textures and temperatures can help retrain your nerve responses. Your surgeon or a physical therapist may provide specific exercises.
3. Vitamin Supplements: Certain vitamins like B-complex and E are known to support nerve health and regeneration. It's a good idea to talk to your doctor before you start taking any supplements.
4. Topical Treatments: Capsaicin creams or other topical nerve stimulants might aid in enhancing nerve function. Use these only under medical supervision.
5. Nerve Stimulation Devices: Some devices designed to stimulate nerves through low-level electrical impulses might aid in recovery. Consult your surgeon or a specialist for recommendations.
6. Time and Patience: Nerve recovery can take time. Most women see improvement within six months to a year.
7. Follow-Up with Surgeon: Regular follow-up appointments with your plastic surgeon are essential. They can monitor your progress and advise on additional treatments or interventions if needed.
It's important to note that individual results can vary, and what works for one person might not work for another.
Women often have very different reasons for wanting or needing breast implants; it can be because their breasts sag or lose their firmness, they need reconstructive surgery or simply because they want to have bigger breasts to improve their body image. The reason for having the breast augmentation procedure will vary from woman to woman; the truly important thing is to figure out whether you are a candidate for breast augmentation, as not every woman can have implants. Meet with a board certified plastic surgeon who will examine you in order to assess if you are a viable candidate for this surgery.
This will mainly depend on you and how soon you want the surgery versus how soon you want kids. Having breast implants will not stop you from doing any of the motherly activities such as breastfeeding; many women who have had breast enhancement breastfeed their children without problem.
It's not uncommon for patients to be in their late 40s, early 50s and beyond. Any woman who has decided to get their desired body and opted for breast augmentation may be a candidate. There are many older patients who couldn't be happier with the results, and they are thriving! The surgery has given them invigorated self esteem and they even feel younger now than they did before surgery. Your age shouldn't be a problem for your surgery as long as you are healthy and suffer from no conditions such as high blood pressure or heart failure.
Your pre-operative appointment is a comprehensive consultation that typically begins with a discussion fo your goals and thorough review of your medical history. Make sure to be open about existing medical conditions, previous surgeries, current medications, allergies, and your family health history. This information is crucial for ensuring your safety during the procedure.
The appointment will include a physical examination that may include measurements taken of your body and your skin quality as well as elasticity. Photos may be taken for surgical planning and documentation purposes.
A significant portion of the appointment will focus on implant selection. You'll discuss different types of implants, including silicone and saline options, and participate in sizing sessions to determine the ideal implant volume for your desired outcome. Your surgeon will explain various implant profiles and shapes, and you'll likely have the opportunity to try on sizers to visualize potential results.
The surgical plan may be discussed in detail, including incision placement options and implant placement. Your surgeon may explain their recommended surgical technique and provide an expected timeline for the procedure.
You'll receive specific pre-operative instructions, including guidelines about eating and drinking before surgery, medications, and any required lifestyle modifications. Your surgeon may also order necessary medical tests or bloodwork. These are necessary to clear you for surgery.
You'll also learn about post-operative care, pain management expectations, activity restrictions, and the typical recovery timeline. This helps you prepare adequately for the post-surgery period.
Once you've had your primary consultation with your surgeon, chose your implants and got your lab work done, it's time to start preparing. The date for your surgery will be set, and there are a couple of things you need to do in order to improve your recovery rate and minimize risks. Here's what you should do:
To make your experience comfortable, make sure to bring only necessary items with you. These include a button up shirt that you can easily put on and take off without lifting your arms, loose fitting pants and any medications that have been prescribed for your surgery. These are your breast augmentation essentials. Please don't bring any valuables with you, and make sure to remove all jewelry.
Most plastic surgeons strongly recommend altogether quitting smoking 4-6 weeks before surgery, with an ideal timeframe of 6-8 weeks prior to the operation.
The reasons for this recommendation are rooted in the significant health risks that smoking poses to surgical outcomes. Nicotine causes blood vessel constriction, which dramatically reduces blood flow to surgical sites and impairs the body's ability to heal effectively. Serious complications can result, including poor wound healing, infection, potential tissue necrosis, and even implant rejection.
Medical professionals emphasize the importance of completely stopping all nicotine products, including cigarettes, e-cigarettes, vapes, patches, and nicotine gum. Patients are advised to be completely transparent with their surgeon about their smoking history and to consider nicotine replacement therapies or smoking cessation programs to support their journey.
Ideally, patients should not only stop smoking before the surgery but maintain a non-smoking status long-term for optimal health and surgical outcomes.
Fat transfer breast augmentation enhances the size and shape of a patient's breasts using their fat instead of using silicone or saline implants.
According to the American Society of Plastic Surgeons, in 2020, nearly 84,000 breast augmentation procedures were performed using fat transfer, also known as fat grafting, a significant increase from the previous year. This rise reflects a growing trend towards procedures that use a patient's tissues, as they tend to result in a more natural result in both look and feel.
There are three key steps in fat transfer breast augmentation: harvesting, processing, and grafting. The surgeon begins by removing excess fat from other parts of your body – often the thighs, abdomen, or hips – using liposuction. This harvested fat is then purified and prepared for transfer. Finally, the refined fat cells are injected into the breasts to achieve the desired enhancement.
One of the main appeals of fat transfer breast augmentation is its dual benefit: it increases breast size (or reshapes them) and slims down the area where the fat was harvested. Additionally, because the procedure uses your fat cells, there's no risk of rejection or allergic reaction, a potential concern with traditional implants.
However, it's important to know that fat transfer breast augmentation may not suit everyone. Generally speaking, this procedure is suitable for patients who are looking for a one-cup increase in breast size and have enough donor fat from other areas of their body. Furthermore, since the procedure involves using your fat, results may vary based on weight loss or gain.
Despite these considerations, patient satisfaction rates for Fat transfer breast augmentation are high. A study published in the Aesthetic Surgery Journal found that 98% of women reported satisfaction with their post-surgery results, citing improved appearance and self-confidence.
Like any surgical procedure, fat transfer breast augmentation carries potential risks, including infection, changes in sensation, and scarring. However, choosing a board-certified plastic surgeon with experience in fat grafting can help minimize these risks.
Generally speaking, up to 400cc of fat can be transferred to the breasts in one procedure. If both breasts are targeted, that means it is equivalent to a 200cc implant. The majority of women have enough fat. However, some of the transferred fat may be reabsorbed by the body. (It is difficult to say exactly how much is reabsorbed.) For a more dramatic improvement, another procedure may be performed to achieve optimal results.
This is a common question from patients: Which is better breast implants or fat transfer? The right answer depends on your goals and physiology. If you want a modest size increase of up to two cup sizes, and want to get rid of fat at the same time, then fat transfer may be more suitable for you. Those who opt for this enjoy not having to deal with implants.
However, if you want a more dramatic increase in size, don't have enough fat to transfer or like predictability of results, then breast implants may be a more suitable option.
Immediately after your breast enlargement surgery you'll begin taking prescribed pain medication to help ease the pain during your recovery; most women are allowed to go home the same day of the surgery. We strongly suggest having someone reliable to pick you up from the clinic or hospital, as you will be disoriented and in no condition to make your own way home. This is particularly important since general anesthesia is typically administered during surgery.
Simply put, you need to focus on recovery. When the implants have been placed beneath the muscle it is common to feel as though you have done one thousand push-ups when you first wake up. This is because of the stretching the chest muscles sustained during surgery. After your breast augmentation surgery, the next step is the recovery phase which will be guided by your surgeon every step of the way. It is vital that you follow your surgeon's instructions completely.
Each patient will have a different recovery period depending on how well they listen to their doctor's instructions, and how their body reacts to the implants. It is important to remember that more often than not a poor recovery might jeopardize the whole breast augmentation, it doesn't matter how skilled your surgeon is, if you don't take care of yourself and do what your plastic surgeon recommends, you may endanger the whole breast enhancement procedure.
Bruising, numbness and swelling are common side effects that follow breast augmentation surgery. All of these can last for a few days to weeks, the rate of which varies depending on how your recovery goes, as well as your physiology. If you tend to heal faster, you can expect these to go away in a few weeks. If you usually take longer, you can expect these to last for months. However, by the third month or so, brusing, swelling and numbness should all be mild.
When breast implants are placed inside your body, they are compressed at first and as a result, may look smaller. This is because your body needs to adapt to their presence. Over a few weeks, tissue expansion occurs, making more room for the implants. Once complete, the implants will no longer be compressed and can settle into their intended position, revealing the predicted results.
During the first several weeks of recovery after your breast augmentation surgery you should wear a compression band or a sports bra; your plastic surgeon will recommend the best one for your specific needs. This compression bra helps ensure that your incisions heal well, with minimal scarring and that the implants stay in place while the tissue around them heals properly.
The bra or band should fit snugly but not cut off circulation to the breasts or surrounding are. For this reason, your surgeon will recommend one for you to make sure that you're wearing the right one.
Underwire bras are not recommended because they can irritate the incision site of your augmentation, especially if it was done in the inframammary fold under the breast. Your breasts may stay distended and sore for a while after your augmentation surgery; final size and shape of your new breasts will not set in for several months, so relax and focus on your recovery. Many surgeons recommend wearing the compression bra every day and night for at least 4 weeks. While we know it's not that comfortable to wear it for so long, but you must understand that it's part of the process to ensure you have a complete and full recovery.
Once your breast augmentation surgery is complete, you will begin the recovery phase to ensure that your body has time to heal and look its best. This recovery requires that patients minimize physical activity for 3 to 7 days before slowly resuming more strenuous tasks.
Having said that, however, the amount of downtime required and the amount of time needed to make a full recovery that allows you to resume all normal activity ultimately depends on:
your general physical state
where the incision is placed
the size of implants used
whether the breast implant was placed above or below the pectoral muscle
most importantly, how you follow your surgeon's post-op instructions
Your surgeon will guide you through the entire process step-by-step and they'll explain how long your recovery time might be depending on the variables of your own breast enhancement.
Your surgeon will let you know when you'll be able to go bra shopping after surgery. Generally speaking, it takes about 3-4 months for the breasts to settle, however it may take longer depending on your recovery rate.
Push-up bras generally have metal wiring, therefore it would be best to wait until after you've fully recovered from surgery and your implants have settled into their intended positions.
The exact timeline for when you can sleep braless varies depending on factors like:
Follow Dr. Kesarwani's instructions on wearing bras. Sleeping braless too soon could potentially affect your results or healing.
Some surgeons recommend massaging the breasts after an initial recovery period has passed. This is because massage has been found to limit your risk of the soft tissue capsule shrinking and squeezing on the implant (a complication known as capsular contracture). Also, it is believed to be a good way to help your scars heal properly and to settle the implant. We recommend waiting a week or two after breast augmentation to start your massage therapy if recommended by your surgeon. This allows the stitches to properly heal and your tissues to become strong enough so massage doesn't cause any more soreness or pain.
Capsular contracture refers to the hardening of scar tissue around breast implants; this compresses the implant and hardens/deforms it, which can be uncomfortable and in some cases even painful. Capsular contracture can occur around any kind of object implanted in the body, and at any time after surgery (the earliest being a few weeks afterward). in the rare event that capsular contracture occurs, it can be resolved as is the case with most complications. Surgery can be performed to remove the capsule, and new implants might be needed which means you can change their size, shape or filling.
We recommend waiting at least 3 weeks post-op before restarting regular sexual activity; having sex any sooner could result in healing issues. Here are some helpful tips for your partner that will make your first sexual experience after surgery enjoyable:
Playing with the implants before the 6 week mark or so could dislodge them, so keep it gentle and hands off!
No jiggling the breasts before 12 weeks or so. We know your partner loves to see your girls bounce, but doing it too early might cause displacement or other complications.
Don't try any positions that might leave your breasts hanging downward or to the side before you are 12 weeks post-op.
Be advised, some women might have heightened sensitivity in their nipples while others might have their sensitivity reduced. Experiment to see where in the sensitivity spectrum you fall.
Consult with your surgeon before doing anything soon after your breast augmentation. If you are not sure or feel hesitant on what to do, and just have fun!
Some women are concerned about getting mammograms with implants. You can and should get mammograms as advised by your doctor. Screening for breast cancer is very important and it is recommended that women over 40 have yearly mammograms and other cancer screening tests. After breast augmentation, the screening could be a bit more difficult because the implants can make it hard to see tumors on the mammograms. However, if you see a specialist or a tech who has experience in doing mammograms for women with implants, then you can be screened without issue.
Mammograms may be painful and uncomfortable with or without implants, but early detection of cancer can save your life.
After breast augmentation surgery, it's generally recommended that patients wait at least six months to a year before getting a mammogram. That's typically allows enough time for the implants to settle into their final position ("drop and fluff") and for affected tissues to heal sufficiently, ensuring more accurate imaging results.
If you are planning to undergo breast augmentation, do your research. Although it is an elective surgical procedure that's relatively safe with a high success rate, it is still surgery after all. Any surgery can be traumatic to the body, and the more informed you are, the smoother and more satisfying your experience will be.
For women considering breast augmentation or those who have already undergone the procedure, a common concern is whether they can still breastfeed their babies. The question, "Can you breastfeed with implants?" is frequently asked by many mothers.
The short answer is yes; most women with breast implants can breastfeed successfully. However, breast augmentation can potentially affect breastfeeding in some cases. Factors such as the type of incision, implant placement, and individual anatomy can all play a role in determining the likelihood of breastfeeding success after surgery.
Breast augmentation surgery involves placing incisions in the breast tissue and inserting implants, which can potentially impact milk production and flow. According to the National Institutes of Health, insufficiency of lactation ranges from 28% to 64% following breast augmentation, whether it be with silicone or saline breast implants. It has been found that the peri-areolar incision may also increase the risk of impacting breastfeeding.
While most women with breast implants can produce enough milk to feed their babies, some may experience reduced milk supply. This can be due to various factors, including damage to milk ducts or nerves during surgery, scar tissue formation, or insufficient glandular tissue development. However, it is important to note that many factors unrelated to breast augmentation can also affect milk supply, such as hormonal issues, certain medications, or inadequate stimulation.
Some women may encounter breastfeeding challenges after breast augmentation, such as difficulty with latching, nipple sensitivity, or engorgement. Techniques such as different breastfeeding positions, using a nipple shield, or frequent milk expression can help overcome these challenges.
Generally speaking, women with breast implants can successfully breastfeed their babies. However, it is crucial for those considering breast augmentation to discuss their plans for future breastfeeding with Dr. Kesarwani beforehand. By understanding the potential impact of breast augmentation on breastfeeding and taking necessary precautions, women can increase their chances of a positive breastfeeding experience.
Breast implant displacement is a rare risk of breast augmentation. It occurs when the implant in one or both breasts shifts out of position. This can cause an abnormal appearance, discomfort or pain. Displacement can occur for various reasons, and it's important to be aware of the symptoms.
Breast Implant Displacement Symptoms
1. Visible asymmetry: One breast may appear higher, lower, or differently shaped than the other.
2. Unusual movement: The implant may shift when you change positions or during physical activity.
3. Discomfort or pain: You may experience discomfort, especially when moving your arms or during certain activities.
4. Rippling or wrinkling: The implant's edges may become visible through the skin, particularly on the sides or bottom of the breast.
5. Changes in nipple position: The nipple may point in an unnatural direction due to implant shifting.
6. "Bottoming out": What Is Bottoming Out After Breast Augmentation? The implant drops too low on the chest wall, causing the nipple to appear too high.
7. "Symmastia" or "uni-boob": The implants move too close to the center of the chest, creating a joined appearance.
Breast implant displacement typically requires corrective surgery. This can involve repositioning the implant, creating a new pocket, or using internal sutures to secure the implant. Replacing the affected implant with a different shape or size may help.
Capsulorrhaphy may also be performed. This is a surgical technique to tighten the capsule around the implant.
Whether you're experiencing complications, your aesthetic preferences have changed, or you simply no longer want implants, you're not alone.
There are several reasons why women opt for breast implant removal:
1. Health concerns: Some women experience complications like capsular contracture or implant rupture.
2. Change in aesthetic preferences: Your ideal body image may have evolved over time.
3. Lifestyle changes: You might find implants interfere with physical activities or comfort.
4. Implant age: Implants aren't designed to last forever, and replacement or removal may be necessary.
Breast implant removal, also known as explant surgery, is typically performed under general anesthesia. The surgery usually takes 1-3 hours, depending on the complexity of the case. Your surgeon will make an incision, often in the same location as your original implant surgery, to remove the implants and any surrounding scar tissue if necessary.
Most patients return to light activities within a week. Full recovery typically takes 4-6 weeks. Dr. Kesarwani will provide specific aftercare instructions, which may include:
After implant removal, your breasts will likely appear different than before. They may appear deflated and saggy. For this reason, a breast lift performed at the same time as implant removal is often done for many patients.
It takes a few months for the optimal results to appear after surgery. Patients are usually asked to wait about 6 months to pass after surgery before considering another breast augmentation, unless otherwise recommended. Usually, most patients are happy with the results they get from one surgery.
The actual breast implants always remain the same in texture and size if no rupture/breakage occurs. However, the breast tissue around the implant can change. Any hardening that occurs is often related to a buildup of scar tissue, which can compress the implant. If this occurs, the implant may feel harder. In some cases, if an excess of scar tissue develops in the case of capsular contracture, surgical correction may be involved.
It is important that pre and post-operative care instructions provided by your surgeon are followed closely. In addition, massage, as prescribed by your surgeon, can be performed.
It's important that you wear comfortable clothing after surgery. This includes cotton and flannel items that aren't abrasive and easy to slip on and off. Opt for button up shirts that you don't have to lift your arms to put on.
It's important to wait at least a month or two before you do anything physically demanding. Doing anything too soon can compromise your recovery, and put you at a higher risk of developing complications such as capsular contracture.
You should be able to return to work within a few days, depending on how your recovery goes. Most patients take a week off from desk work, and longer if their work is more physically demanding.
Scars can take up to a year or so to fully mature. During this time, it's important to keep them covered up and clean.
Your surgeon will remove the bandages for you. If they are adhesives, you may be able to wait until they fall off on their own.
It is usually within a couple of days. You may need to wait a bit longer to lift your arms in order to wash your hair.
It is important that you use ice packs only with the advice of your surgeon. Instructions govern the area on which they can be placed and the duration/frequency of usage.
It depends on your recovery rate. You may be able to sleep on your side in as soon as a month.
It depends on the opinion of your surgeon. You may need to wait for a few weeks.
Your surgeon will let you know. The incisions should be fully sealed so there is no risk of infection.
This is generally about 3-4 months. This can take a little longer for patients who have smaller, firmer breasts.
Breast augmentation is a surgical experience that, while may not be as invasive as other procedures, is still traumatic to the body. The effects of anesthesia, combined with the recovery process, can all be factors contributing to fatigue.
In the first couple of months after surgery, your body needs time to adjust to the presence of the implants. At first, your nipples may be too low, but as tissue expansion occurs, the implants will settle into position and your nipples will adjust. Nipple soreness is a part of the recovery period.
This may be associated with the surgical experience, or your body adjusting to the weight of the implants. If the pain is a concern, please speak with your surgeon.
The breasts are not identical, and surgical techniques applied may be different on each breast. The size/type of implant may also differ. For this reason, the recovery rate for each may be different as well. This includes discomfort, swelling and "dropping and fluffing."
Your surgeon will let you know how much you can lift after surgery. Generally speaking, you should avoid lifting anything heavier than a few pounds.
Your implants were sized according to the body proportions you had at the time of surgery. Weight loss can disrupt these proportions, making your implants appear larger on your frame in some cases. In some cases, dramatic weight loss can cause rippling.
If dissolvable sutures were used during your surgery, they should dissolve within a couple of weeks. In some cases, it may take up to two months for them to dissolve completely. They can be removed if the tissues have sealed and their presence is no longer necessary.
If you had your implants placed through the armpit (tranaxillary) then discomfort may arise since the incisions were placed there. However, if you did not, discomfort in the armpit and ribs may be associated with the mainipulation of tissues during surgery, along with the pressure of the implants now in your body. This discomfort should be controlled with pain medication prescribed by your surgeon. If it is unusually painful, please speak with your surgeon for an assessment.