Breast augmentation is one of the most popular cosmetic surgeries according to statistics from the American Plastic Surgeons Society. However, it’s not a one-and-done procedure as many women may need additional surgeries after about 10 years due to implant leakage or scar tissue formation. The overall cost of the surgery varies depending on factors like the surgeon, location, and individual patient needs. While the average cost of the surgery in 2013 was estimated to be around $3,678, this only covered the surgeon’s fee and didn’t include anesthesia, facilities, or materials. Recovery typically requires about a week off work, and it’s worth noting that augmented breasts may feel different from natural ones. Silicone implants, for instance, do not look or feel exactly like natural breast tissue.
It’s also important to consider limitations in size transitions. For instance, you can’t go from a small A cup to a large DD in one surgery without risks; gradual increases are safer. Additionally, breast augmentation may affect your ability to breastfeed, and women who are obese, smoke, or have a family history of breast cancer face higher risks of complications. A thorough health screening is necessary before surgery, as well as deciding between silicone or saline implants. Silicone was the more common option, comprising 77% of implants used in 2014, while saline implants are more prone to rippling but easier to detect in case of a rupture. Another option gaining popularity is autologous fat transfer, where fat from another part of the body is used to enhance the breasts.
Various incision options are available, such as underarm, through the breast crease, or around the areola. Patients may also consider an areola reduction procedure, known as a mastopexy, alongside their augmentation. A breast exam or mammogram is essential before surgery, and physical activities like cardio that involve chest movement are restricted post-surgery. Implants may feel more comfortable when done after having children, as breast changes during pregnancy can affect the results.
#### Candidacy for Breast Augmentation
Breast augmentation is often recommended for women whose breasts have sagged due to aging, childbirth, breastfeeding, or weight loss. However, this surgery isn’t suitable for just anyone. Candidates must be in good health, with no major medical issues. Reconstruction following breast cancer surgery is another reason for breast augmentation. Ideally, patients should be close to their ideal weight and meet the age requirements: at least 22 years old for silicone implants and 18 for saline. Thoroughly weighing the risks and benefits is crucial for an informed decision.
#### Preparing for Breast Augmentation
If you’re considering breast augmentation, doing your homework is essential. Research the procedure, talk to people who’ve undergone the surgery, and consult with healthcare professionals like your primary doctor or gynecologist. Look at before-and-after photos and review video testimonials to get a realistic sense of possible outcomes. It’s also vital to ensure your surgeon is board-certified and experienced in breast augmentation procedures. Consulting at least two or three surgeons is recommended before making your final choice.
#### Questions to Ask Your Surgeon
Before moving forward, ask key questions to prepare yourself:
– What is your medical background and experience with breast augmentation?
– Are you board-certified and accredited?
– How many breast augmentation procedures have you performed?
– What can I expect regarding recovery time and post-surgery care?
– What are the potential risks or side effects, and how will these be managed?
– What steps should I take before surgery?
– What will the procedure and aftercare involve?
Clear answers to these questions will help you make an informed decision and set realistic expectations.
#### Types of Implants
There are different types of breast implants, and choosing the right one depends on personal preference and body type. Silicone and saline are the most common options, while cohesive gel implants are another alternative. Silicone implants often feel more natural, but they require a larger incision and are harder to detect if they rupture. Saline implants are easier to spot in case of a leak and require smaller incisions but may lead to rippling. Cohesive gel implants, sometimes called “gummy bear” implants, offer better resistance to leaks and sagging.
Implants are measured in cubic centimeters (cc) rather than bra sizes, so the larger the volume, the bigger the results. Keep in mind that dramatic size increases or implants too large for your frame can cause issues like sagging and back pain later. The placement of the implant—either above or below the muscle—affects recovery and comfort. Smooth implants are less likely to ripple, while textured implants bond better with surrounding tissue.
#### Risks and Recovery
As with any surgery, breast augmentation has risks. Implants can shift out of place, ripple, or rupture due to trauma or improper filling. Silicone implant ruptures may go unnoticed, which is why the FDA recommends periodic MRIs to monitor them. Other risks include capsular contracture (where scar tissue tightens around the implant), infection, bleeding, and anesthesia complications. Implants can also interfere with mammograms. Post-surgery pain, numbness, swelling, and scarring are common during recovery.
To prepare for surgery, avoid certain supplements, vitamins, herbs, and medications that may increase bleeding, along with smoking and alcohol. After surgery, expect to wear a surgical or compression bra for support, and avoid heavy lifting or strenuous activities for up to six weeks. Scarring varies depending on the incision, but advancements like laser treatments can help reduce their appearance over time.
#### Costs of Breast Augmentation
The price of breast augmentation surgery varies widely. The average surgeon’s fee is around $3,700, but this doesn’t include costs for implants, anesthesia, or facilities, which can bring the total bill between $7,900 and $10,000. Depending on the type of implant, cohesive silicone models tend to cost more than saline. Because it’s considered a cosmetic procedure, most health insurance plans don’t cover it, so patients must plan for out-of-pocket expenses.
#### Making the Decision
Breast augmentation is an elective procedure, so it’s important to think about your personal motivations, desired outcomes, and the potential risks. Consider factors like implant type, size, shape, placement, incision type, and your post-surgery lifestyle when making your decision. Take your time to understand all aspects so you can achieve the best possible results.