Breast augmentation is one of the most popular cosmetic surgeries, as shown by data from the American Society of Plastic Surgeons. However, it’s not a one-and-done procedure—many women require another surgery within a decade due to issues like implant leakage or scar tissue buildup. It’s important to note that the surgeon’s fees typically don’t cover costs like anesthesia, facilities, and materials, so the total price can vary based on the doctor, location, and patient circumstances. Back in 2013, the average cost for this surgery was estimated at $3,678. Recovery usually requires about a week off work, but keep in mind that breasts with implants often feel different from natural tissue. Also, trying on different sizes beforehand can help you settle on the best fit.
If you’re starting with a small cup size, drastic changes like jumping from an A cup to a DD cup in a single procedure may not be feasible. Adjustments are often done gradually. Another key consideration is future breastfeeding; implants can sometimes interfere with this ability. Additionally, women who are obese, smoke, or have a significant family history of breast cancer are at a higher risk of complications.
Before the procedure, medical screening and evaluations are necessary. You’ll need to decide between silicone and saline implants, with silicone being the more popular choice (77% of implants in 2014 were silicone). However, both types have pros and cons. Silicone ruptures can be harder to detect, while saline implants might show ripples in certain areas of the breast. Alternatively, there’s a newer option called autologous fat transfer, which uses fat from other parts of the body to enhance the breasts. Some women also opt for areola reduction through a procedure known as mastopexy. Breast examinations or mammograms are essential before surgery, and post-op restrictions include avoiding exercises like cardio that involve bouncing. Many find the implants more comfortable when the procedure is done after childbirth, as opposed to beforehand, because augmented breasts can affect posture similarly to natural breast weight.
### Are You a Candidate for Breast Augmentation?
Women might consider breast augmentation or a breast lift if their breasts have sagged due to aging, childbirth, breastfeeding, or weight loss. Candidates for the surgery should generally be in good health, without significant medical issues, and close to their ideal weight (typically no more than 30 pounds overweight). Age is also a factor—women must be at least 22 for silicone implants and 18 for saline versions. It’s important to weigh the risks and benefits carefully, as breast augmentation is a decision that shouldn’t be rushed.
### Preparing for Surgery
The better informed you are, the higher your chances of a successful procedure. Research your options, consult with others who’ve had the surgery, and speak with healthcare providers, including your gynecologist, for additional guidance. It’s crucial to choose a certified and accredited surgeon. Make a list of potential surgeons to consult and select one who addresses your concerns and meets your expectations.
When meeting your surgeon, ask important questions, such as:
– What is your experience with breast augmentation surgeries?
– Are you board-certified?
– How many such procedures have you performed?
– What is the typical recovery time, and what are the possible side effects?
– What steps should I take before the surgery, such as lifestyle adjustments?
You should also inquire about how the surgery will be performed, what aftercare will involve, and what kind of support will be needed during recovery.
### Deciding on the Details
Breast augmentation is a personal decision, driven by your motivations, whether they’re personal or professional. You’ll need to make choices about implant type (silicone, saline, or cohesive gel), size and shape (round or teardrop), incision type, and implant placement (above or below the muscle). Keep in mind that cup sizes are not standardized; implants are measured in cubic centimeters (cc), with sizes ranging from 125cc to 450cc and beyond.
Your body shape and chest width also affect how cleavage will look after surgery. Wider chests result in less cleavage, while textured versus smooth implants can impact how they settle in the chest. These factors, along with your surgeon’s precision, directly influence your final results.
### Implant Types and Placement
There are three main types of implants: saline, silicone, and cohesive gel (sometimes called gummy bear implants). Saline implants are less expensive and have easier-to-detect ruptures but may ripple. Silicone implants feel more natural but require larger incisions and regular MRIs to monitor for leaks. Cohesive gel implants are firmer and less prone to leaks or rippling because their gel-like composition holds its form even if cut.
Placement options for implants include submuscular (beneath the pectoral muscle) or subglandular (above the muscle and beneath the breast tissue). Your surgeon will recommend the best placement based on your body type, skin elasticity, implant size, and overall goals.
### The Risks
Like any surgery, breast augmentation carries risks. Common complications include bleeding, infection, implant rupture, and improper positioning. Textured implants are less likely to shift but are more prone to rippling. Saline implants can deflate if ruptured, while silicone ruptures may go unnoticed for some time. Mammograms can also be affected by the presence of implants, requiring specialized techniques for screening. Capsular contracture, where scar tissue tightens around the implant causing pain, is another potential issue. Additional risks include nerve damage, numbness, and reactions to anesthesia.
### Recovery and Aftercare
After surgery, expect swelling, bruising, and some discomfort. Over-the-counter or prescribed pain medication can help manage these symptoms. Patients typically need to wear a surgical bra or compression garment during recovery to minimize swelling and provide support. Strenuous activities, including heavy lifting, should be avoided for at least two weeks, while full recovery may take several weeks. Scarring is inevitable but often fades over time, with options like laser treatments available for more noticeable scars.
It’s essential to follow your surgeon’s advice regarding follow-up visits and monitor for warning signs such as excessive bleeding, high fever, or severe inflammation. Wearing compression garments and staying hydrated can also aid in healing.
### Cost Considerations
The cost of breast augmentation varies widely, with an average surgeon’s fee of around $3,700. However, additional costs—such as the implants, anesthesia, and medical facility fees—can increase the total to $7,900 or more. Expenses fluctuate based on factors like implant type, surgeon expertise, and location. Since breast augmentation is considered cosmetic, insurance typically doesn’t cover it. Be prepared to fund the procedure entirely out of pocket if you choose to move forward.
### Final Thoughts
Breast augmentation is a significant decision that requires careful thought and preparation. From choosing the right surgeon and type of implant to understanding the risks and aftercare involved, every step matters in achieving the best possible outcomes. While the procedure isn’t suitable for everyone, being informed and realistic about your goals can help you decide whether breast augmentation is right for you. Hold off on the final decision until you’ve explored the process thoroughly and consulted well-qualified professionals.