Breast augmentation is one of the most frequently performed cosmetic procedures, with a high rate of patient satisfaction. Many women choose this surgery to enhance breast volume and shape, aiming for a more balanced and proportionate figure. Most patients report a significant improvement in their quality of life following the procedure.
This guide provides clear, straightforward information to help you understand the different types of implants, the surgical process, and what to expect during recovery.
Choosing the right implant is a key decision. Here are the most common options available:
Saline Implants: These implants have a silicone outer shell filled with a sterile saltwater (saline) solution. If the implant shell were to leak, the saline is safely and naturally absorbed by the body. Saline implants are FDA-approved for women 18 years and older.
Silicone Implants: Filled with a soft, cohesive silicone gel, these implants are often said to feel more like natural breast tissue. If a rupture occurs, the gel typically remains within the implant shell, which can make it difficult to detect without an MRI. The FDA has approved silicone implants for women aged 22 and older.
"Gummy Bear" Implants: A specific type of silicone implant, "gummy bear" or form-stable implants, contain a thicker, more cohesive gel. This makes them feel slightly firmer and helps them maintain their shape. They are also less prone to rippling and are thought to have a lower incidence of capsular contracture (scar tissue formation).
For those seeking a more natural alternative to implants, autologous breast augmentation is an excellent option. This procedure uses your own body fat, harvested from areas like the abdomen or thighs, and transfers it to the breasts.
Benefits of fat transfer include:
Completely natural look and feel.
Smaller incisions and lower complication rates.
The added benefit of contouring the area where fat is harvested.
Ideal candidates for this procedure have enough excess fat to achieve their desired breast volume.
Who is a good candidate for breast augmentation?
The best candidates are healthy individuals with realistic expectations. Common reasons for seeking breast augmentation include:
A desire for larger breasts.
Restoring breast volume lost after pregnancy, breastfeeding, or weight loss.
Correcting implant-related issues from a previous surgery, such as size dissatisfaction or capsular contracture.
How is the surgery performed?
Breast augmentation is typically performed under general anesthesia.
For Implants: The surgeon makes an incision—commonly under the breast, around the areola, or in the armpit—and creates a pocket to place the implant. This pocket can be either over or under the chest muscle.
For Fat Transfer: This method involves smaller incisions and is ideal for modest enhancements.
For Revision Surgery: If you have capsular contracture, the surgeon will perform a capsulectomy to remove the scar tissue. A dermal matrix may be used to help prevent it from returning.
What is the recovery process like?
Recovery varies from person to person, but here is a general timeline:
Downtime: Most patients require 1-2 weeks of downtime, though some return to work within a few days.
First Week: Expect moderate swelling and minor bruising. Discomfort from skin stretching is also common and can be eased with gentle massage.
First Month: The majority of swelling will subside. You should avoid all heavy lifting and strenuous exercise to allow the tissues to heal properly.
After One Month: Light cardio is usually permitted.
After Six Weeks: Lifting restrictions are typically lifted, and you can resume your normal exercise routine.
It is important to follow your surgeon's specific post-operative instructions to ensure a smooth and safe recovery.
If you’re ready to explore your options, consult with Dr. Han Hoang, a board-certified, UCLA-trained plastic surgeon, to create a customized plan tailored to your unique needs.
📞 Call us at 714-584-3507
📧 Email us at hanhoangmd@gmail.com