Breast Augmentation

Understanding breast augmentation

Reasons for considering breast augmentation vary. They may include naturally small or uneven breasts or changes after pregnancy, weight loss or ageing. Surgery is considered only after physical development is complete.

Existing breast shape, width, tissue coverage, skin quality and personal preferences all influence implant selection. Surgery can improve asymmetry, but cannot always achieve identical breasts.

Implants, placement and incisions

Depending on the anatomy and plan, an incision may be made in the breast crease, around the areola or in the armpit. An implant can be positioned behind the breast tissue or deeper in relation to the chest muscle.

Implants differ in shape, size and other characteristics. The product selection, implant pocket, incision and tissue coverage are discussed together; the safest access is not always the one with the smallest possible scar.

What results are possible?

Implants can change breast volume and shape with the aim of achieving proportions suited to the patient's body and expectations. Swelling and tissue tightness can make the early appearance different from the final result.

Breasts continue to change with age, pregnancy, weight fluctuations and gravity. Implants are not guaranteed to last a lifetime without further treatment, and later surgery may be necessary.

Anaesthesia and clinic stay

Breast augmentation is generally performed under anaesthesia with a short clinic stay. In selected, smaller procedures, local anaesthesia with sedation may be considered.

The appropriate anaesthesia and whether an overnight stay is needed are determined individually by the surgical and anaesthesia team.

Preparing for surgery

Depending on age, medical history and breast findings, a mammogram or ultrasound may be recommended. Medical conditions, allergies, medications, smoking and alcohol use are reviewed before the operation.

Patients should plan for rest and practical help during the early recovery period. Medication changes are agreed only with the treating clinician.

How breast augmentation is performed

An implant pocket is prepared through the agreed incision and the implant is inserted. Shape, positioning and symmetry are checked before the wound is closed with fine sutures and a supportive medical bra is fitted.

The clinic's existing guidance describes an operation time of approximately 60 to 90 minutes, depending on the individual procedure.

The period after surgery

Pain, tightness, swelling and bruising are common in the early days. Movement of the upper body may be uncomfortable, especially when the implant is placed near the chest muscle.

Scars generally become less noticeable but do not disappear. The breast contour can continue to settle for several months, making early assessment of the final result unreliable.

Risks and potential complications

In addition to general surgical risks, implants can cause specific issues. A tissue capsule normally forms around each implant; if it becomes excessively thick or tight, the breast may harden or change shape, sometimes requiring further surgery.

Implant displacement, asymmetry and temporary or lasting changes in nipple sensation are also possible. Product-specific risks and recommended long-term implant checks are discussed during the medical consultation.

Aftercare

The clinic's existing guidance recommends wearing a medical support bra continuously for three weeks and at least during the day for a further three weeks.

Return to work depends on job demands and healing. Office work is usually easier to resume than physically demanding duties.

Physical activity after surgery

Protect the breast from pressure, pulling and intense exertion in the first weeks. The clinic's existing guidance advises particular caution with significant physical strain during the first six to eight weeks.

Resume sport, lifting and heavier tasks gradually according to the surgeon's assessment.

Frequently asked questions