Breast augmentation surgery is a common cosmetic procedure aimed at enlarging the breast volume through implants or autologous tissue, improving shape and symmetry. This procedure is suitable for patients with underdeveloped breasts due to genetics, postpartum atrophy, or medical reasons, effectively enhancing appearance satisfaction and self-confidence.
The surgery mainly involves two methods: "implant placement" and "autologous fat transfer." Implants typically consist of saline or silicone gel-filled sacs, inserted through incisions into the breast tissue or beneath the pectoral muscle. Autologous fat transfer involves harvesting fat from other parts of the patient’s body, purifying it, and injecting it into the breasts, though the survival rate may be lower.
Incisions are commonly made in the armpit, inframammary fold, or around the navel to hide scars. The procedure is performed under general anesthesia, lasting approximately 2-3 hours, with adjustments to implant size and shape (such as teardrop or round) based on the patient’s chest structure and desired results.
The procedure requires general anesthesia in an operating room. The surgeon will calculate the appropriate implant volume based on the breast base area, typically recommended between 100-300 cc. The implant size should consider the original chest circumference, body posture, and patient expectations; excessively large sizes may increase the risk of capsular contracture.
Postoperative compression garments should be worn for 4-6 weeks, with regular follow-up to monitor the implant status. Multiple sessions of autologous fat transfer may be necessary to achieve the desired outcome.
Common short-term risks include hematoma, infection, or anesthesia complications, with an incidence of about 1-5%. Long-term risks include capsular contracture (hardening of tissue around the implant), implant rupture or leakage, which may require secondary surgery for removal or replacement.
Serious Warning: Silicone implants may rarely induce lymphoma (BIA-ALCL); regular imaging examinations are necessary. Breastfeeding function is generally unaffected, but implants may interfere with mammography results.
Contraindications include coagulation disorders, severe autoimmune diseases, or insufficient psychological readiness. Preoperative consultation with a physician is essential to evaluate physical condition and expectations. Pregnant or breastfeeding patients should wait until their body stabilizes before considering surgery.
Strenuous activities should be avoided within six months post-surgery, and lifting heavy objects should be minimized to prevent implant displacement. Women planning pregnancy within five years should inform their doctor to assess implant safety.
If breast augmentation is combined with breast lift surgery, the tension on tissues and scar locations should be evaluated. Patients undergoing radiation therapy or anticoagulant medication should have their treatment plans adjusted by their physician.
Autologous fat transfer may be combined with liposuction, requiring assessment of fat survival rate and surgical risks. It should not be performed concurrently with systemic immunosuppressive therapy.
Clinical studies show that 70-85% of patients are satisfied with the results, with long-term follow-up indicating a rupture rate of less than 1% annually, but capsular contracture occurs in about 10-15%. Postoperative breast shape and size can be confirmed stable through imaging examinations.
Patient satisfaction surveys indicate that over 85% report increased confidence, though results vary depending on individual tissue conditions. Clear communication with the surgeon regarding expectations is essential.
Non-surgical options include wearing prosthetic bras or using inflatable external supports, but these have limited effects and require daily replacement. Autologous fat transfer is natural but has a survival rate of about 50-70%, often requiring multiple procedures.
Drug-induced breast development currently lacks a safe and effective method. Laser or radiofrequency treatments are ineffective for volume enhancement. The final choice should be based on health status and budget considerations.
How long after surgery can I resume daily activities? What actions should I avoid?
Typically, rest for 1 to 2 weeks is recommended, with avoidance of lifting heavy objects or vigorous exercise for at least 4 weeks. Wearing a non-underwired, seamless sports bra is advised, and overhead arm movements or impacts on the chest should be minimized to reduce tissue damage and implant displacement risks.
Is it normal to feel hard lumps or experience redness and swelling after surgery? How should I handle this?
Minor lumps and swelling are natural responses to tissue healing and usually resolve within a few weeks. If accompanied by fever or persistent redness and swelling, it may indicate infection, and immediate consultation with a doctor is necessary for evaluation and possible antibiotic treatment or surgical adjustment.
Does breast augmentation affect breastfeeding ability? Are there special precautions?
The surgery may affect breastfeeding in some patients, but modern techniques have significantly reduced this risk. Incisions made in the armpit or around the areola can minimize interference with mammary glands. Discuss personal risks with your doctor before surgery. If breastfeeding difficulties occur postpartum, consult a lactation specialist.
What is the lifespan of the implants? Do they need regular replacement?
Silicone or saline implants typically last 10 to 15 years, but this varies with individual conditions. Regular ultrasound or MRI examinations every two years are recommended. If abnormalities such as capsular contracture or implant swelling are detected, evaluation for replacement or removal is necessary.
How should I choose the right bra after surgery? What are the impacts of different materials or styles?
In the early postoperative period, it is recommended to wear a non-underwired, seamless sports bra to avoid compressing the tissue. After six weeks, switch to a supportive everyday bra, avoiding tight or metal-embellished designs that could affect implant positioning or cause discomfort.
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