Breast Augmentation: What You Really Need to Know
People will call it different things; breast augmentation, getting implants or even – boob job. Whatever you call it, augmentation mammoplasty is one of the most popular cosmetic surgical procedures in the world. Whether you’re considering it for aesthetic reasons, reconstructive purposes, or to restore volume lost after pregnancy or weight loss, understanding the procedure, risks, and outcomes is key to making an informed decision. As a board-certified plastic surgeon, my goal is to give you the information you need to make an informed decision.
What Is Breast Augmentation?
Breast augmentation most commonly involves the surgical placement of implants to increase breast size, enhance shape, or improve symmetry. Many times, women choose to have implants simply to try and get back to what they looked like before they had children. This is often part of what people call “Mommy Makeovers.”
Implants are typically either silicone or saline. Both have been shown to be safe over time. There are many different reasons why someone would choose one over the other. There is a lot of bad and/or misleading information out there regarding the differences in implants. This topic is something that we will discuss in detail during your consultation.
The procedure can also involve fat transfer (with or without implants), where fat is taken from another part of your body and injected into the breasts. This is also a great option for people who do not want an implant long term.
What to Expect Before, During, and After Surgery
Before Surgery:
- Consultation: A detailed consultation with a board-certified plastic surgeon is essential. You’ll discuss your goals, medical history, and surgical options. The focus will always be on you and your vision.
- Preparation: Before surgery you may be advised to stop smoking, avoid certain medications, or complete a mammogram depending on your age.
During Surgery:
- Anesthesia: Breast augmentation is typically done under general anesthesia with you completely asleep.
- Incisions: Incisions are typically made underneath the breast where they are not visible.
- Implant Placement: Implants can be placed either under the pectoral muscle (submuscular) or directly behind the breast tissue (subglandular). There are pros and cons with each.
After Surgery:
- Recovery: Mild swelling, bruising, and muscle soreness are common in the first few weeks. Most patients return to non-strenuous work within a week.
- Results: Final results take a few months to settle as swelling goes down and implants settle into place. Scars are not final until 1 year after the procedure.
Risks and Considerations
Like any surgery, breast augmentation carries risks. These may include:
- Bleeding or Infection
- Capsular contracture (scar tissue hardening around the implant)
- Implant leakage or rupture
- Changes in nipple or breast sensation
- Need for revision surgery
- BII/BIA-ALCL
It’s important to weigh these risks and have realistic expectations about the results.
Choosing the Right Surgeon
Your choice of surgeon is critical, look for:
- Board certification in plastic surgery from the American Board of Plastic Surgeons. Search at https://www.abplasticsurgery.org/
- Experience with breast augmentation specifically
- Positive patient reviews and clear communication
- Find someone who listens to you and your thoughts and makes you feel comfortable, if you feel pressured or rushed, run for it!
Final Thoughts
Breast augmentation can be a life-changing procedure for many people, offering enhanced confidence and self-image. However, it’s not a decision to be taken lightly. Do your research, ask questions, and choose a board-certified surgeon who understands your vision and supports you throughout the process. I would love the opportunity to sit down with you and discuss your thoughts and concerns and ultimately, your goals for yourself book a consultation today.