Overview
The aim of breast augmentation is not just to reach a volume number; The breast base, existing tissue thickness, skin elasticity and the person's expectations are evaluated together. The shape of the implant, its dimensions and the tissue plane in which it will be placed are related to these features. Although fat transfer is a different option, it has different limits in terms of the volume and fat survival it can provide. In cases of significant sagging, simply adding volume may not be enough and lifting may be discussed separately. Implants are not devices that are guaranteed to remain problem-free for life. Breast health checks, monitoring of the implant, and the possible need for additional surgery in the future should be part of the initial discussion.
What is evaluated?
- Measurement of breast base, tissue coverage, skin elasticity and existing asymmetry.
- Discussing pregnancy and breastfeeding plans, weight change, breast disease, and imaging history.
- Evaluation of volume expectation, degree of sagging, and long-term implant follow-up.
Approach and options
- Implant size and muscle-related layout can be selected based on tissue characteristics.
- In case of limited volume or contour needs, augmentation with one's own fat can be considered.
- If sagging is accompanied by volume loss, it can be discussed whether augmentation and lifting should be done together or gradually.
Recovery and follow-up
Swelling, tightness and tenderness may be among the expected early findings. Instructions for support bra and incision care are followed. Heavy lifting and returning to movements that strain the chest muscles are evaluated separately. If rapidly increasing swelling, redness or fever develops in one breast, the medical team should be notified.
Risks and limits
- Capsular contracture, implant displacement or rippling.
- Implant rupture and need for future replacement or removal.
- Bleeding, infection, or change in nipple sensation.
- Asymmetry, scars or failure to achieve the expected appearance.
- Risks associated with rare cancers such as BIA-ALCL and BIA-SCC around the implant.
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- Is the recommended implant size compatible with my tissue thickness and breast base?
- Is enlargement alone sufficient for sagging?
- How will the implant and my breast health be monitored long-term?
Resources
- ASPS – Breast augmentation ↗
- ASPS – Implant placement ↗
- ASPS – Breast enlargement risks ↗
- ASPS – After breast augmentation ↗
Access to sources: September 2026. The content has been prepared for general information purposes.