Breast implants, prostheses used to enhance and alter the size and shape of a woman’s breasts, have become the most popular cosmetic surgery in the United States. Breast implant surgery (or breast augmentation, breast enlargement, mammoplasty enlargement, augmentation mammoplasty), is most commonly done for cosmetic reasons and breast reconstruction. Breast reconstruction surgery is frequently done for male-to-female gender transition, women who have had mastectomies, and women who have congenital chest wall deformities.
While there is a stereotype of women seeking breast implants that massively increase their bust, that is not always the case. While it is mostly young women who seek breast augmentation, some are just looking for a subtle boost. It’s may seem surprising, but many breast implants are completely unrecognizable. These are the women who seek a subtle change, and the women who are getting implants following a mastectomy. Most women who have breast augmentation following a mastectomy prefer to return to their original size. It is true that some women seek that DDD cup, but the Playboy image of large artificial breasts is not the norm.
There are two types of breast implants – saline and silicon gel. The shells of silicone implants are made of a silicone elastomer and the implant itself is filed with saline (salt water) after the implant is placed in the body. Saline breast implants were first manufactured in 1964, aiming for small surgical incisions. Silicone implants were developed in 1961. There are five “generations” of silicone breast implants. The fifth generation, the one used today. The implants are filled with a semi-solid gel that prevents silicone from migrating. The fifth generation has shown significant safety improvements.
It is very important to consult your doctor to decide which breast augmentation surgical procedure is right for you. Each procedure takes approximately two hours and varies on incision type, implant material and implant pocket placement. The five different incision locations are below the breast, along the areolar border, in the armpit, the navel and the abdomen. Each incision is a different approach to placement and is used for different reasons. Each procedure also results in different types of scars and results.
The immediate results of breast augmentation are larger, newly shaped, or new breasts (for mastectomy and transgender patients). There are, however, common risks in breast augmentation surgery. The first complications can arise from the surgery itself – adverse reactions to anesthesia, post-operative bleeding or fluid collection, surgical site infection, breast pain or alterations in sensation, and thinning of the breast tissue. The surgery can also result in unsightly scarring. Breast implants can remain intact for decades but all fail at some point and will need to be replaced.
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