Breast augmentation has consistently ranked among the most sought-after aesthetic surgery procedures in Singapore. This surgical intervention can significantly enhance appearance, boost self-confidence, and be genuinely life-changing for many.
However, deciding to undergo breast augmentation is a major decision that requires careful consideration.
Through years of experience in plastic surgery, specialists have encountered numerous patients and understand the common concerns of those contemplating breast augmentation.
This comprehensive guide aims to walk you through everything you need to know about breast augmentation and related procedures to help you make an informed decision.
Who Can Perform Breast Augmentation in Singapore?
In Singapore, only board-certified plastic surgeons accredited by the Academy of Medicine should perform breast augmentation procedures. These specialists are properly trained professionals who have completed plastic surgical training certified by the Ministry of Health.
The journey to becoming a plastic surgeon in Singapore is rigorous and demanding. Currently, out of approximately 20 to 30 doctors applying for plastic surgeon training positions in Singapore per year, only 5 candidates are successful.
This stringency in certification criteria testifies to the high quality of aesthetic care that these specialists provide.
Current Trends in Breast Augmentation in Singapore
General Expectations
In the past, many believed “the bigger, the better” when it came to breast augmentation. However, today’s trends lean toward a more natural look, which many surgeons personally advocate for.
Everyone’s body is different, and each aesthetic procedure (including breast augmentation) should be tailored to the individual.
Communication between the client and the plastic surgeon is integral to developing a trusting relationship, managing expectations, and setting goals that both parties can be satisfied with.
Many clinics now use sophisticated 3D imaging software to help simulate breast augmentation results, allowing patients to have a clearer and more visual idea of what can be achieved.
Breast Implant Preferences
Breast implants have historically been the main option for those seeking breast augmentation. There are several options available, with multiple technological advancements over the years offering different qualities such as shape, texture, and material.
Throughout the years, patient preferences have shifted between different implant materials and textures in pursuit of improved results and fewer complications. In recent years, textured implants have been associated with a rare form of lymphoma. Most of these implants are also teardrop-shaped.
Given these concerns, many plastic surgeons are now moving toward using smooth and round implants with cohesive gel filling. The cohesive gel is less likely to leak even if the shell of the implant ruptures. Nano-textured implants are also a recent development gaining popularity.
Breast Augmentation Methods
The technique of fat transfer breast augmentation is advancing. This process involves harvesting fat cells from areas of the patient’s body where they are in excess and then reinjecting them into the breasts.
Fat transfer offers a more natural augmentation method compared to using implants like silicone-filled ones since the fat cells come from the patient’s own body, unlike the foreign material used in implants. It can even be combined with breast implants to give optimal results.
Other Breast-Related Surgeries
There are many breast-related operations that can help different patients improve their lifestyles otherwise hindered by certain conditions of their breasts.
Depending on their desires and requirements, patients can undergo breast reductions, breast lifts, breast augmentations, or even a combination of these procedures.
How Is Breast Augmentation Performed in Singapore?
Surgery around the breasts, such as breast augmentation, requires a thorough understanding of anatomy.
The breast is made up of fat, connective tissues, ducts and glands. To increase the size of the breast, the size of the glandular component has to be increased, bearing in mind the limits of the skin.
Like any other medical operation, there is a process to follow, including a thorough assessment and evaluation tests before the main surgery.
Assessing the Breasts Before Operating
Every patient’s body is unique, calling for a customized treatment to obtain the best aesthetic results.
To determine the right course of action for breast augmentation, many factors need to be considered, including whether fat transfer or breast implants would be best, the proper position of the implant, and incision points.
What Options Do You Have for Breast Augmentation in Singapore?
Depending on your expectations and body compatibility, you can choose between these two broader options for breast augmentation:
- Fat transfer
- Breast implants
Fat transfer is an increasingly popular method due to its use of the patient’s own body fat instead of foreign materials like silicone in some breast implants.
With improved knowledge and techniques over the years, fat transfer has become a viable alternative to implants.
Fat Transfer vs. Breast Implants
Fat Transfer
The fat transfer process involves:
- Liposuction — The patient’s own fat is harvested from areas with large excesses, such as the abdomen, thighs, or buttocks.
- Processing — The fat sample is processed and purified to obtain the fat cells and stem cells within the fat.
- Reinjection — The fat is then carefully reinjected into the breasts, increasing their size. With a well-executed injection, at least 70% of the fat transfer will remain in the breast for a long period.
The process is easily repeatable. A few sessions may be required, depending on how large the patient desires their breast size to be. A period of three to six months must be given for the body to accept the previous fat transfer fully before attempting another session.
Some people have expressed concerns about whether fat transfer breast augmentation can interfere with breast cancer surveillance. Studies have shown that well-trained radiologists can still discern between a patient who has had a fat transfer and a suspicious breast lesion.
Breast Implants
Breast implants have been used for a long time and continue to be a popular option for breast augmentation. The technology has improved over the years, giving rise to countless different types, textures, and shapes of breast implants.
Different Types of Breast Implants
- Silicone-filled implants — These basic implants are filled with silicone gel. The gel content mimics the feel of natural breast tissue.
- Saline-filled implants — These basic implants are filled with sterile saltwater. In the case of an implant leak, the saline released will be naturally expelled by the body.
Different Textures of Breast Implants
- Smooth breast implants — These implants are more mobile within the breast during activity, helping them feel more similar to natural breast tissue.
- Textured breast implants — These implants are less mobile within the breast and are very unlikely to be repositioned.
- Nano-textured breast implants — These more recently developed implants are purported to be more compatible with the body’s own cell surfaces and are less likely to cause complications.
Different Types of Breast Implant Shapes
- Round breast implants — These implants can cause the breasts to appear fuller and are unlikely to rotate out of place.
- Teardrop breast implants — These implants have a firmer appearance and can provide a more natural look.
Types of Incisions Used in Breast Augmentation
In terms of incisions for breast implantations, there are a few approaches that may depend on the patient’s body type, expectations, and type of breast implants:
- Incision in the axilla (armpit)
- Inframammary fold (base of the breast)
- Around the areola (pigmented area around the nipple)
Some surgeons use a technique known as the Non-Touch technique for breast implants. This technique allows placement of the implant without needing to touch it physically, which means:
- Reduced risk of contamination
- Reduced risk of infection and post-surgical complications
The Non-Touch technique also reduces the duration of the procedure, further reducing surgical risk. Additionally, when performing this technique, the incision made is much smaller, resulting in:
- Shorter recovery time
- Smaller and less obvious scars — as small as 3cm!
How Big is the Scar from Breast Augmentation?
Depending on the type of incision, different lengths of scars will result:
- Incision in the axilla (armpit) — The resultant scar can be about 4cm but is well hidden.
- Inframammary fold (base of the breast) — The scar can be as small as 3cm depending on the size of the implant, which is considered very short!
- Around the areola (pigmented area around the nipple) — The scar will be well hidden within the pigmented part of the nipple.
Recovery After Breast Augmentation Surgery
After surgery, proper medications will be prescribed to reduce the risk of swelling and infection. Patients will also wear a compression garment to help shape the breast and reduce swelling.
First Two Weeks
For two weeks, patients are advised to avoid heavy physical activities and stick to regular day-to-day light activities.
At the 2-week mark, surgeons check if the augmentation and incision wounds are healing well. If they are, patients can return to light exercising, such as brisk walking and light jogging.
After Four to Six Weeks
At the four to six-week mark, patients are seen once more to check if everything is okay. As long as everything is healing appropriately, patients can go back to wearing normal bras without wires and engage in heavier physical activities like running and upper body exercises.
General Guidelines
Important recovery guidelines include:
- Eating healthy with plenty of protein and vegetables
- Taking prescribed medication
- Following doctor’s instructions
- Not sleeping on the implants (sleep on the back or side)
- Avoiding massages until the doctor deems appropriate
What Are the Symptoms of Breast Augmentation Capsular Contracture?
Capsular contracture is a known phenomenon that happens with any sort of implant placed in the body. For any foreign material in your body, your body develops a foreign body reaction to it.
Symptoms of Capsular Contracture:
- Hardening in the breast
- Tightening sensation in the breast
- Distortion of breast implant
- Pain in the breast
For breast implants, a fibrous layer forms around the implant.
Studies found that about 10% of capsular contracture conditions were serious enough to require a change of breast implants to remove the capsule.
There are different grades of capsular contracture, from Grade 1 to 4:
- In Grade 1, there is mild hardening of the capsule which does not bother most patients, depending on their individual tolerance levels.
- Grade 4 is the most serious level where the patient will experience severe pain and significant distortion of the breast.
The Non-Touch technique mentioned earlier is an effective way to reduce the risk of capsular contracture after an implant-based breast augmentation.
Are Non-Surgical Breast Augmentation Methods Legitimate?
No, treatment methods claiming to be non-surgical breast augmentation are not FDA-certified, are unsafe, and hence not allowed in Singapore.
In the past, there have been cases of people injecting substances into the breast, called “Amazing Gel” in China. Some may claim to provide minimally invasive procedures for breast augmentation, but if it sounds too good to be true, it is because it is. It is not recommended to undergo such treatments.
Complications have been seen in patients who underwent such procedures, including developing infections. There have been severe cases where, due to the extent of infection, the whole breast had to be removed.
If you are looking for breast augmentation procedures, find a qualified plastic surgeon that you can trust.
Can I Get a Breast Augmentation Revision?
Breast augmentation revisions happen rarely. Some patients may not be fully satisfied with their breasts post-operation and can seek another session.
Most of the time, the same incision location can be used for breast augmentation, especially for cases where the implant has to be changed entirely. The position of the implant may need to be changed, depending on where it was placed previously.
Fat transfer may also be a recommended option.
It would help someone who has had a previous breast implant to camouflage certain areas of the breast where she might not have been happy. The whole implant does not necessarily need to be changed entirely, and better results can be obtained with just additional fat grafting.
What Should I Discuss With My Plastic Surgeon in the First Consultation?
Communication is key! The initial consultation with your plastic surgeon is really important. You should express your desires and then set realistic goals while managing expectations with the help of your trusted specialist.
Be upfront with your plastic surgeon about your medical history and past surgical operations. This information helps the surgeon predict how your recovery will go.
Some general questions you should be clarifying and considering are:
- Type of breast implants
- Size of breast implants
- Types of incisions
- Time for recovery
- Potential for complications
- Resultant shape and size
- Position of nipple
- Visibility of scar
It is very important for the patient to be able to express their desires and concerns to the surgeon so that they can implement the appropriate treatment. If the clinic has 3D image morphing AI-assisted software, this pre-operative technology can help tremendously with your decision.
It is really a discussion between two parties to plan for the final result. Having both parties express their expectations ensures that they can both meet at something that everyone can be satisfied with.
Types of Breast Augmentation
Breast Implants
In Singapore, breast implants stand as a prevalent method for enhancing the aesthetics of the breast. Saline and silicone variants are the most commonly utilized types.
Silicone Breast Implants
Silicone breast implants are known for their natural feel and safety features. They are designed with a unique, cohesive silicone gel that maintains form and minimizes risks of implant leakage.
Silicone implants are acclaimed for their lifelike texture and lasting nature, making them an excellent choice for those seeking an authentic breast appearance without undue concern for rupture.
Their durability is between 10-20 years.
Motiva Implants
Motiva implants are recognized for their variety of shapes and sizes, catering to individual preferences and body types. They often feature technologies like RFID tagging for easy identification and tracking. Known for their smooth surface, these implants are designed to reduce the risk of complications like capsular contracture.
Gummy Bear Implants (Form-stable Breast Implants)
Renowned for their form-stable nature, these implants maintain their shape even if the shell is compromised, thanks to the thick, gummy-like gel inside.
Different Shapes of Implants
Round Implants: A fit for those desiring a pronounced and voluminous look, these implants offer uniformity that prevents aesthetic issues even if rotation occurs.
Smooth Implants: Celebrated for their supple and authentic feel, these implants move with the breast, creating a natural dynamic.
Textured Implants: Crafted with an outer texture that clings to breast tissue, they minimize movement and reduce rotation risks, potentially lowering capsular contracture occurrences.
Teardrop Implants: Designed to reflect the breast’s natural slope, teardrop implants present a fuller base tapering upwards, favored by many for their anatomical resemblance.
Fat Grafting
A natural alternative to traditional implants, breast fat grafting entails relocating one’s fat to the breast area, catering to those desiring a modest increase in size. Results may vary as the body potentially reabsorbs some of the fat, making it ideal for those desiring subtle improvements and possessing adequate donor fat. Fat transfer results typically last up to five years.
Hybrid Breast Augmentation
A method that synergizes implant and fat grafting advantages, this option is tailored for those pursuing a custom-fit and natural enhancement.
Offering both volume and a natural sensation, it’s a comprehensive choice for those open to a more intricate procedure with durability of approximately 10-20 years.
Comparison of Breast Augmentation Options
| Type of Breast Augmentation | Description | Considerations | Durability |
|---|---|---|---|
| Silicone Breast Implants | Variants like Gummy Bear, Round, Smooth, Textured offer form-stability and realistic texture | Lifelike feel, durable, with a variety of shapes for different aesthetic goals | Up to 20 years |
| Fat Grafting | Transfers the patient’s own fat to the breast, offering a natural and modest size increase | Less predictable outcome with possible reabsorption of fat, suitable for subtle enhancements | Typically up to 5 years |
| Hybrid Breast Augmentation | Combines benefits of implants and fat grafting for a tailored and natural-looking enhancement | Volume from implants and natural feel from fat, complex but offers customized enhancement | Approximately 10-20 years depending on factors like implant type and patient’s body response |
Breast Implant Placement Options
Submuscular (Under the Muscle)
The implant is placed beneath the pectoral muscle. This placement can offer a more natural look over the upper pole of the breast, especially in women with little natural breast tissue. It may also reduce the risk of capsular contracture.
Subglandular (Over the Muscle, Under the Gland)
The implant is placed between the breast tissue and the pectoral muscle. This placement can offer a more pronounced silhouette and may result in a shorter recovery time.
Sub-fascia
A new trend in sub-glandular pectoral implant placement. Fascia is the hard tissue that covers the muscle, enveloping the muscle. The placement of the implant sub-fascia gives a more natural look and more stability to the implant compared to the sub-glandular approach.
Dual Plane
This technique positions the top part of the implant beneath the chest muscle and lets the bottom part rest under the breast tissue, above the muscle. This combines aspects of both under and over the muscle placement for a balanced result.
Choice of Breast Implants Incision
Inframammary Incision
- Made under the breast along the fold
- Provides direct access, allowing precise placement of the implant
- Scar is concealed by the breast fold, making it less noticeable
- Ideal for larger implants or revision surgeries
Periareolar Incision
- Made around the edge of the areola (colored circle around the nipple)
- Scar blends with the natural transition of the areola to the breast skin
- Offers good access for accurate implant placement
- Suitable for women with well-defined areolar edges or those undergoing a lift with augmentation
Transaxillary Incision
- Made in the armpit, leaving no scars on the breast
- May involve the use of an endoscope for implant placement
- Favored by patients seeking to avoid visible breast scarring
- Best for first-time breast augmentation patients
Breast Augmentation Procedure
Before the Procedure
- Preparation: Be mentally and physically ready
- Initial Discussion: Schedule a meeting with an experienced plastic surgeon specializing in breast augmentation
- Discussion Topics: Personal goals, medical history, and expectations
- Assessment: Surgeon evaluates breast size, shape, and balance for implant selection
- Pre-Operative Instructions: Avoid smoking and certain medications; follow surgeon’s guidelines
- Support: Arrange for a reliable adult to accompany you and assist post-surgery
During the Procedure
- Anesthesia: Administered for comfort, ensuring a pain-free experience throughout the surgery
- Implant Placement: The surgeon creates a pocket either behind the breast tissue or beneath the pectoral muscle, taking into account the desired size and location for optimal aesthetic results and symmetry
- Fat Grafting Steps (if applicable): Fat is harvested from another area of the body using liposuction, then purified and injected into the breasts to enhance volume naturally
- Hybrid Breast Augmentation Steps (if applicable): This combines implant placement with fat grafting, where the surgeon inserts the chosen implants and then finely contours the surrounding breast tissue with the patient’s own fat for a more customized result
- Surgery Duration: The procedure generally spans 1 to 2 hours, with the patient under continuous monitoring
After the Procedure
- Post-Operative Care: Follow surgeon’s instructions, including wearing a surgical bra or compression garment
- Normal Symptoms: Expect some discomfort, swelling, and bruising
- Medication: Take prescribed drugs and avoid unapproved supplements
- Activity Restrictions: Avoid strenuous activities and heavy lifting
- Sensation Changes: Temporary nipple sensation changes are common
- Follow-Up: Attend all scheduled appointments for monitoring and addressing concerns
Breast Augmentation Recovery Timeline
- Immediate Post-Op (Day 1-3):
- Rest is crucial; limit movement and sleep in a semi-upright position
- Manage pain and swelling with prescribed medications
- Minimal activity; no lifting, bending, or straining
- Early Recovery (Week 1-2):
- Continue to rest, allowing the body to heal
- Gradual increase in light activities like walking to promote circulation
- Follow-up visit to the surgeon to check on incision healing
- Moderate Recovery (Weeks 3-6):
- Gradual return to normal daily activities
- Avoid strenuous activities or heavy lifting
- May begin light exercise as per the surgeon’s advice
- Later Recovery (Weeks 6-12):
- Most swelling should subside, and incisions largely healed
- Final implant settling may occur, revealing the true outcome of the surgery
- Full return to exercise and normal activities, including those that are more strenuous
- Ongoing (Months 3-6 and Beyond):
- Regular check-ups as advised by the surgeon
- Monitor breast health and any changes or concerns with implants
- Continue to follow any specific instructions from your surgeon for long-term care of your augmentation
Who is a Good Candidate for Breast Augmentation?
Breast augmentation might be suitable for you if you:
✓ Are in good overall physical and mental health
✓ Have fully developed breasts
✓ Are dissatisfied with your breast size, shape, or upper breast fullness
✓ Are not pregnant or breastfeeding
✓ Possess realistic expectations about the surgery and its outcomes
✓ Seek to enhance breasts that have become smaller or lost shape due to aging, weight changes, or pregnancy
✓ Have asymmetrical or unusually shaped breasts
✓ Are at least 18 years old for saline implants and 22 for silicone implants
However, breast augmentation might not be appropriate if you:
✗ Experience significant breast sagging (requiring a breast lift)
✗ Suffer from active infections or untreated cancer
✗ Are currently pregnant or breastfeeding
✗ Have unrealistic expectations about the surgery’s results
✗ Suffer from severe heart conditions or uncontrolled diabetes
✗ Have a history of problematic wound healing or keloid scarring
✗ Lack stable mental health, which could impact decision-making and satisfaction
✗ Are allergic to specific implant materials or anesthetics
✗ Are under 18, as your breasts may still be developing
Implant Volume vs Breast Cup Size
When considering breast augmentation, it’s crucial to think about how implant size might affect your cup size. Implant volume, measured in cubic centimeters (cc), plays a significant role in determining breast size and shape. Cup sizes vary across different bra manufacturers, so there may be variations.
Different Breast Implant Sizes
| Implant Size | Volume Range (cc) | Enhancement Description |
|---|---|---|
| Small Implants | 100 cc to 300 cc | Subtle enhancement for those seeking modest changes |
| Medium Implants | 300 cc to 450 cc | Noticeable yet natural augmentation |
| Large Implants | 450 cc and upwards | More dramatic increase in breast size |
| Most Common Size | 300 cc to 400 cc | Natural enhancement, potential increase of about 1 1/2 to 2 cup sizes |
The same volume of implant can look different on people depending on their frame, current breast tissue, and skin elasticity. For example, an implant of 350 cc to 400 cc could result in a small to large C cup, but this varies widely among individuals.
In terms of cup size, here’s a general estimation of the increase you might expect with different volumes:
- 250 – 300 cc could take you from an A to a B cup
- 300 – 350 cc might go from A to C cup
- 370 – 430 cc could lead from A to D cup
- 250 – 350 cc could increase from B to C cup
- 350 – 400 cc might go from B to D cup
- 300 -350 cc could lead from C to D cup
- 370 -450 cc might take you from C to DD cup
The “try on” method with sizers and 3D imaging can be very helpful during the consultation process to visualize potential outcomes.
Risks and Complications of Breast Augmentation
Common Side Effects
- Swelling: Post-operative swelling is expected and typically subsides within a few weeks. Cold compresses and elevation can help reduce swelling.
- Bruising: Some bruising is common after the procedure, usually fading within a couple of weeks.
- Pain and Discomfort: Temporary pain, soreness, and tightness in the chest area are common and can be managed with prescribed pain relievers.
- Changes in Nipple Sensation: Some patients may experience increased or decreased sensitivity in the nipple area, which usually resolves over time.
Potential Complications
- Capsular Contracture: This occurs when the scar tissue that forms around the implant tightens and squeezes the implant, causing the breast to feel hard and potentially requiring surgical intervention.
- Implant Rupture or Leakage: Over time, breast implants can break or leak. If a saline implant ruptures, the saline is safely absorbed by the body. Silicone implant leaks are harder to detect and may require imaging tests.
- Implant Displacement or Malposition: The implant may move from its original position, leading to asymmetry or an unnatural appearance, potentially requiring surgical correction.
- Infection: As with any surgery, there’s a risk of infection. If an infection occurs around an implant, the implant might need to be removed.
- Scarring: While incisions are made to be as discreet as possible, scarring can vary based on individual healing and the incision type.
- Breast Implant Illness (BII): Some patients report symptoms like fatigue, joint pain, and cognitive issues attributed to breast implants, though research in this area is ongoing.
- Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL): A rare type of non-Hodgkin’s lymphoma that can develop around breast implants, more commonly associated with textured implants.
Cost of Breast Augmentation in Singapore
The cost of breast augmentation in Singapore varies based on factors like procedure complexity, implant type and quality, surgeon expertise, and clinic location. Here’s what you can expect to pay for various procedures:
| Type of Breast Augmentation | Estimated Costs |
|---|---|
| Saline Breast Implants | $10,000 – $16,000 |
| Silicone Implants | $12,000 and up |
| Fat Grafting | $6,000 – $14,000 |
| Hybrid Breast Augmentation | $7,000 – $16,000 |
Subsidies for Breast Augmentation in Singapore
Generally seen as an elective cosmetic procedure, breast augmentation usually doesn’t qualify for medical insurance coverage, meaning specific subsidies are rare. However, in certain cases, like for breast cancer survivors needing reconstruction, subsidies or insurance might cover the costs. Some clinics offer financing plans or deferred payment options to make the procedure more affordable. It’s recommended to discuss with your surgeon and insurance company to explore any available subsidies or aid programs.
Frequently Asked Questions
1. What is the difference between breast augmentation and breast implants?
Breast augmentation is the term for the overall procedure that increases breast size, which can be done with various methods. Breast implants (silicone or saline) are just one of these methods, alongside fat grafting. In short, breast implants are a specific tool used for breast augmentation, not the procedure itself.
2. How much does breast augmentation cost in Singapore?
The cost of breast augmentation in Singapore typically ranges from $12,000 to $18,000, depending on several factors. These include the method chosen (fat transfer vs. breast implants), the types and brands of implants used, and the experience and reputation of the plastic surgeon. While some clinics may offer lower prices, it’s important to prioritize quality and safety over cost when considering this procedure.
3. How long do breast implants last?
Modern breast implants are designed to be long-lasting. With newer implants, there is no longer a recommendation to change them every 7-10 years as was previously advised. Today’s implants are medically advanced and often come with a lifetime warranty against cracking or leaking. However, regular check-ups are still recommended to monitor their condition.
4. Do breast implants feel different to touch?
Implants generally feel very firm during the first 6 months after surgery. While they won’t feel identical to natural breasts initially, implants gradually soften over time. After about a year, it becomes difficult to distinguish between augmented and natural breasts, especially if the patient had reasonable breast tissue to begin with. Soft, smooth surface, cohesive gel implants tend to feel the most natural and can be almost indistinguishable from real breasts if the procedure is done well.
5. Will I be able to breastfeed after breast augmentation?
Most women can breastfeed after breast augmentation. However, factors such as implant size, placement, and surgical technique may affect breastfeeding ability. Incisions around the areola might potentially impact milk ducts and nerves. Discuss your future breastfeeding plans with your surgeon to choose the appropriate surgical approach.
6. How painful is breast augmentation recovery?
Pain levels vary among individuals, but most patients experience moderate discomfort rather than severe pain. The first 3-5 days typically have the most discomfort, which gradually improves. Prescribed pain medication helps manage symptoms effectively.
7. Can breast implants cause cancer?
Breast implants themselves do not cause breast cancer. However, textured implants have been associated with a rare type of lymphoma called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). Smooth implants have not been linked to this condition. Regular breast cancer screening is still important after augmentation.
8. What is capsular contracture and how common is it?
Capsular contracture is the hardening of scar tissue around breast implants, which can cause discomfort and distort breast appearance. Incidence rates vary from 0.5% to 30%, with about 10% of cases requiring surgical intervention. Modern surgical techniques like the “No-Touch” method and smooth implants have reduced this risk significantly.
9. How long after surgery can I resume normal activities?
Light activities can usually be resumed within a few days after surgery. Most patients return to work within one week if their job doesn’t involve heavy lifting. Exercise can be gradually reintroduced: light walking after a few days, moderate exercise after 2-3 weeks, and full activity including upper body workouts after 6 weeks, as advised by your surgeon.
10. Will breast augmentation correct sagging breasts?
Breast augmentation alone does not correct significant sagging (ptosis). If your breasts sag considerably, you might need a breast lift (mastopexy) either combined with augmentation or as a separate procedure. Your surgeon can advise the best approach based on your specific condition.
11. Does a breast lift reduce your cup size?
Breast lifts typically result in some reduction in cup size, generally a minimum of half a cup size. However, the lift compensates for this reduced volume in appearance, as droopy breasts often look smaller than perky breasts of similar volume. There are techniques to maintain cup size after a breast lift, which your surgeon can advise on during consultation.
12. How do I choose the right implant size?
Selecting the right implant size involves considering your body frame, existing breast tissue, skin elasticity, and aesthetic goals. Most surgeons use sizers during consultation and may offer 3D imaging to visualize potential results. Focus on proportion rather than cup size, as the same implant volume can look different on different body types.
13. How many cc is a size C implant?
There is no fixed cc (cubic centimeter) volume that corresponds to a specific cup size. The relationship between implant volume and cup size depends on many factors, including your original breast size and rib cage circumference. If you’re aiming for a C cup, your surgeon will need to analyze your body shape and structure during consultation to recommend the appropriate implant size.
14. What is the difference between over-the-muscle and under-the-muscle placement?
Under-the-muscle (submuscular) placement positions the implant beneath the pectoral muscles, offering more tissue coverage and a more natural look, especially for women with less breast tissue. Over-the-muscle (subglandular) placement puts the implant between breast tissue and chest muscles, which may provide more pronounced results and shorter recovery, but with potentially higher risks of visible implant edges and capsular contracture in thin-tissued women.
Many surgeons now recommend a “dual plane” placement, which positions the top part of the implant beneath the chest muscle while the bottom part rests under the breast tissue. This approach provides better lift, is less likely to sag, and reduces the chance of the implant being felt through the skin.
15. What’s the safest breast implant?
While the surgeon’s experience is the most significant factor in breast implant safety, smooth or nano-textured cohesive gel implants are generally considered to have the highest safety profile. These implants minimize the risk of complications such as capsular contracture and BIA-ALCL (a rare type of lymphoma associated with textured implants).
16. Can I get breast augmentation without implants?
Yes, breast augmentation can be performed without implants using fat transfer. This method harvests fat from areas of your body where it’s in excess (like abdomen, thighs, or buttocks), purifies it, and injects it into the breasts to increase their volume. This provides a completely natural approach to breast enhancement, though it typically offers more modest size increases compared to implants.
17. Is 50 too old to get breast implants?
Age itself is not a barrier to breast implants. If a patient is in good health, breast augmentation can be safely performed at age 50 or beyond. The most important factor is your overall physical health rather than your age. Your surgeon will assess your health status during consultation to ensure you’re a suitable candidate for the procedure.
18. When should I start to massage my breast implants?
Breast massage after implant surgery helps prevent capsular contracture and assists implants in settling into their optimal position. However, timing varies depending on your surgeon’s protocol. Generally, many surgeons recommend beginning gentle massage about 1-2 weeks after surgery, once initial healing has occurred. Always follow your surgeon’s specific instructions, as they may vary based on your individual case and the type of implants used.
19. What happens if you don’t replace breast implants?
The belief that implants must be routinely replaced every 5-7 years is outdated. Modern implants are designed to last much longer and don’t require routine replacement unless complications arise. Most current implants come with lifetime warranties against rupture and leakage. If you have older-generation implants, your surgeon might recommend evaluation to determine if replacement would be beneficial, but this is assessed on a case-by-case basis.
20. Are there non-surgical alternatives to breast augmentation?
There are no legitimate non-surgical breast augmentation methods approved in Singapore. Fat transfer is the least invasive option but still requires surgical liposuction and injection processes. Be wary of treatments claiming to enlarge breasts non-surgically, as they are typically ineffective and potentially dangerous.
21. How visible will my scars be?
Scar visibility depends on the incision type, your healing characteristics, and post-operative care. Inframammary incisions (under the breast fold) typically measure 3-4 cm and are hidden in the natural crease.
Periareolar scars blend with the areola edge. Transaxillary incisions are hidden in the armpit. Most scars fade considerably over time and can be further minimized with proper care and treatments like silicone sheets and laser therapy.
22. What happens if I’m not satisfied with the results?
If you’re dissatisfied with your results, discuss your concerns with your surgeon. Minor issues may resolve during the healing process as swelling subsides and implants settle.
For persistent concerns, revision surgery is an option, which might involve changing implant size/type, adjusting placement, or adding fat grafting for refinement. Maintaining realistic expectations and clear communication with your surgeon throughout the process helps prevent dissatisfaction.
Conclusion
Breast augmentation in Singapore offers individuals an opportunity to enhance their breast profile, boost self-confidence, and address medical concerns. By understanding the procedure, implant options, and potential risks, individuals can make informed decisions about undergoing breast augmentation.
The journey to enhanced breasts involves careful consideration, thorough consultation with qualified surgeons, and realistic expectations. With the right approach and professional guidance, breast augmentation can be a rewarding procedure that improves both appearance and self-confidence.
Remember that finding a board-certified plastic surgeon who understands your goals and concerns is key to achieving the best results. Take your time researching and consulting before making this important decision.