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Breast Enlargement

Breast augmentation, also known as mammoplasty, is a surgery that is done to increase the size of the breasts. It involves placing breast implants under breast tissue or chest muscles.

For some women, breast augmentation is a way to improve their confidence. For others, it is part of breast reconstruction due to various diseases.

If you are thinking of undergoing breast augmentation, consult a plastic surgeon. Make sure you understand what surgery involves, including possible risks, complications, and follow-up care.

Why is it done?

Breast augmentation may help you:

  • Improve your appearance if you think that your breasts are too small or that one is smaller than the other.
  • Adjust them due to a reduction in size after pregnancy.
  • Correct unbalanced breasts after breast surgery due to other conditions.
  • Improve the confidence in yourself.
  • Talk about your goals with the surgeon so you can be realistic about what breast augmentation can do for you.


A breast augmentation involves different risks, for example:

  • Scar tissue that distorts the shape of the breast implant (capsule contracture).
  • Breast pain
  • Infection.
  • Changes in the sensitivity of nipples and breasts.
  • Losses in the implant or rupture of this.
  • Solving these complications could involve a new surgery, either to remove or to replace the implants.

How to prepare?

You will make a consultation with a plastic surgeon to discuss your preferences for size, sensation and appearance of the breasts. The surgeon will describe specific types of implants (smooth or textured, round or drop-shaped, saline or silicone) and possible surgical techniques.

Carefully review the written information, for example the patient information provided by the manufacturer of the implant you will receive, and keep copies for your information.

Before deciding to perform surgery, keep in mind the following:

  • Breast implants will not prevent the breasts from falling. To correct drooping breasts, you may need to perform a breast lift in addition to breast augmentation.
  • There is no guarantee that breast implants will last forever. The average life time of an implant is 10 years. It is possible for an implant to break. In addition, the breasts will continue to age and factors such as weight gain or loss may change the appearance of the breasts. Probably, these problems will lead to more surgeries.
  • Making mammograms could be more complicated. If you have breast implants, in addition to routine mammograms, you will need additional specialized reviews.
  • Breast implants can hinder the task of breastfeeding. Some people are able to breastfeed successfully after a breast augmentation. For others, however, breastfeeding is a challenge.
  • Health insurance does not cover breast implants. Unless it is necessary for medical reasons, such as after a mastectomy, the breast augmentation does not have health insurance coverage. Get ready to take care of the expenses, including the cost of related surgeries and diagnostic imaging tests that are performed in the future.
  • You may need additional surgery after removing the breast implants. If you decide to remove the implants, you may have to have a breast lift or other corrective surgery to help restore the appearance of the breasts.
  • You may have to have an MRI done. The FDA recommends routine monitoring with magnetic resonance after three years. However, recent studies show that there is little information to support routine screening unless you have symptoms.
  • You may need to have a baseline mammogram before surgery. The doctor may also adjust the dosage of certain medications before surgery. For example, it is important to avoid aspirin or other medications that can increase bleeding.
  • If you smoke, the doctor will ask you to stop doing it for a certain time before surgery.
  • Coordinate with someone to take you home after surgery and stay with you at least the first night.

What you can expect?

The breast enlargement can be done in a surgical center or in an ambulatory hospital center. You are likely to return home the same day. Rarely, the procedure requires hospitalization.

Sometimes, the breast enlargement is carried out under local anesthesia, that is, you numb the bust area while you are awake. However, in general, breast enlargement is done under general anesthesia, with which you remain asleep during surgery.

During the procedure

To place the breast implant, the surgeon makes a single cut (incision) in one of three possible places:

  • In the crease under the breast (submammary)
  • Under the arm (axillary)
  • Under the nipple (periareolar)
  • After making the incision, the surgeon will separate the breast tissue from the muscles and connective tissue of the breast. This creates a pocket behind or in front of the outer muscle of the chest wall (pectoral muscle). The surgeon will place the implant in this pocket and center it behind the nipple.

The saline implants are placed empty and once they are in place they are filled with sterile saline. The silicone implants are pre-filled with silicone gel.

When the implant is in place, the surgeon will close the incision, usually with stitches (sutures), and place a bandage with adhesive strips to close the skin and surgical tape.

After the procedure

You may feel pain and swelling for a few weeks after surgery. It is also possible that you have bruises. Scars will diminish over time, but they will not disappear completely.

During recovery, it may be useful to use a compression bandage or sports bra to give extra support and to keep the breast implants in place. The surgeon may also prescribe analgesics.

Follow the surgeon’s instructions about when to resume normal activities. If you do not have a job with high physical demands, you could return to work in a few weeks. Avoid strenuous activities, that is, anything that can increase heart rate or blood pressure for at least two weeks. During recovery, remember that the breasts will be sensitive to physical contact or sudden movements.

If the surgeon used sutures that are not absorbed alone or if you placed drainage tubes near your breasts, you will need to attend a follow-up visit for removal.

If you feel warmth or redness in the breast, or if you have a fever, you may have an infection. Contact the surgeon as soon as possible. You should also contact the surgeon if you have shortness of breath or chest pain.


Breast augmentation can change the size and shape of the breasts. The surgery could improve your body image and your self-esteem. However, have realistic expectations and do not expect perfection.

In addition, the breasts will continue to age after the increase. In addition, the increase or loss of weight could change the appearance of the breasts. If you do not feel comfortable with the appearance of the breasts, you may need more surgery to correct those issues.

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