One of the most common cosmetic surgery procedures is breast augmentation. While there are no absolute contraindications to breast surgery, the procedure is suitable for any healthy woman.
The question, however, is whether every woman needs it. Breast surgery is typically considered by women with naturally small breasts or those who had fuller breasts before pregnancy and now wish to restore their pre-pregnancy state. Some women also want breasts similar to what they had during pregnancy. Breast surgery offers clear aesthetic benefits (better-fitting clothes, fuller and more feminine breasts, and improved self-confidence due to satisfaction with one’s appearance).
Dr. Jaan Troost from Health Clinic frequently answers questions about breast surgery and addresses common myths about breast augmentation.
What Is the Best Time for Breast Augmentation/Lift Surgery?
Breast augmentation is suitable for adult women of any age. It is not performed on women under 18 unless there is a medical indication.
Breast lift surgery is performed when the breasts have sagged due to pregnancy, breastfeeding, or significant weight loss. Ideally, the procedure should be planned at least one year after the end of breastfeeding. A stable body weight is also essential for achieving optimal results.
Before the procedure, it’s crucial that the patient is healthy: inflammation must be ruled out, and the breasts should be examined (via ultrasound or mammography).
Breast Surgery and Pregnancy, Breastfeeding – Do Implants Interfere?
It is generally recommended to avoid pregnancy for one year after the placement of implants. Breast implants do not interfere with breastfeeding.
Choosing Breast Implants and Surgical Techniques – What Are the Options?
Breast implants are broadly categorized into round and anatomical (teardrop-shaped) implants. There are also ergonomic and lightweight implants on the market. The choice of implant is made in consultation with the surgeon and depends on the patient’s body structure and desired result.
The incision is made in the inframammary fold and is about 5 cm long. The implant can be placed above the breast muscle or partially/completely beneath the pectoral muscle.
Breast Augmentation, Breast Lift (or Both)?
While patients may have their expectations, it’s essential to consider the current breast size and circumference. Decisions are made based on individual circumstances and goals. Breasts are naturally slightly different in size and shape, and if the difference is significant, implants of different sizes may be considered.
Do Breast Implants Need to Be Replaced?
Opinions on this vary. There are no lifetime implants. The key is to undergo regular check-ups with the surgeon at least once a year. If the implant ruptures, capsular contracture occurs, or the patient is dissatisfied with the implant size, it may be time for replacement.
Does Breast Implant Illness Exist, and Have You Encountered It?
I have not personally encountered patients with Breast Implant Illness (BII). Although the condition is mentioned in scientific literature, it has not been conclusively confirmed. It is currently considered a collection of symptoms rather than a distinct disease. Notably, some symptoms have improved after the removal of the implant and surrounding capsule, but the exact cause remains unclear.
Can Breast Implants Cause Cancer or Other Known Risks?
Extensive studies have shown that breast implants do not cause breast cancer.
However, certain implants have been linked to a rare malignant lymphoma (ALCL – Anaplastic Large Cell Lymphoma), which develops in the capsule surrounding the implant. ALCL in stages I and II is treatable.
Patients should contact their surgeon immediately if they notice any changes in their breasts.
How Safe Are Breast Implants for Health?
Modern cohesive silicone-filled implants have undergone rigorous testing, making them relatively safe. However, no procedure can guarantee 100% safety. Despite meticulous sterility during surgeries, the risk of implant-related infection always exists. Rare allergic reactions to silicone have been reported (1 in 100,000), potentially causing implant rejection.
Recovery – What Is the Most Important Advice for Women?
Recovery is always individual, just like pain tolerance. Generally, pain may occur during the first 3–4 days post-surgery, requiring pain relief. There may also be a slight increase in body temperature.
It’s essential to wear a special compression bra 24/7 for the first 6 weeks. Light physical activity can resume after about a month, while intense exercise should wait for at least 2 months. Final results develop over 6–12 months.
Note: Studies show that smokers experience significantly slower scar healing.
