Arriving at a decision to get cosmetic surgery must be given a lot of thoughts and preparation. There is something to be said about patients who are aware of what they are signing up for. With foresight, one can make better judgement and increase their chances of success. This is something that a lot of women who underwent breast implant surgery overlooked, resulting in less than desirable results – or worse – botched outcomes.

We find it necessary that patients are aware of the facts surrounding the procedure. This is to help you understand the surgery better and consider things realistically. Furthermore, the right knowledge will also help you make the right call when preparing for the surgery. So, here are 12 facts you must know before you make the first consultation.

1. Breast Implant Placement

Breast implant placement is one of the major considerations in breast enhancement surgery having a significant effect on the outcome of the procedure. There are 2 different approaches, with their own advantages and drawbacks that patients must consider in deciding which is a favorable option.


  • It is also referred to as over-the-muscle implant placement.
  • Under the breast tissue and over the chest muscle.
  • It gives implants an added lift in patients whose natural breasts have minimal sagging.
  • Quicker recovery because it doesn’t cause additional trauma to the chest muscles, and it is less uncomfortable.
  • There is a higher risk for capsular contracture, especially if a smooth surface implant is used.
  • It is a higher risk for rippling in patients with thin breast tissues.
  • Less breast tissue can be visualized on mammography.


  • It is also referred to as dual plane implants.
  • It is placed under or partially under the chest muscle.
  • Based on research, it has a lower risk for capsular contracture.
  • It offers a more natural breast contour, especially among very thin patients.
  • More breast tissue can be visualized on a mammogram.
  • There is a reduced risk of rippling (folds or wrinkles that are visible through the skin which necessitates a revision).
  • There will be more discomfort during recovery.
  • The implants can get flattened or distorted when the chest flex.
  • It has a higher chance of implant displacement due to the constant force of the muscles. This is particularly true with smooth-walled implants.

2. You Get to Balance Your Figure

Breast augmentation surgery can balance your body proportions in 3 ways:

  • It can fill up and fill out the bra

Breast implants can also create or restore breast fullness particularly among women who naturally have small breasts, undergone weight reduction, or after pregnancy. In most cases, a breast lift may also be done alongside augmentation to improve your breast’s overall profile.

Read: Breast Lift Sydney: The 10 True Causes of Breast Sagging

  • It can correct asymmetrical breasts

While it is normal for breasts to be slightly different, it is usually not noticeable. However, the size difference can be significant in some women. Examples of operations to create breast symmetry include:

  • The reduction of the larger breast to match the one that is smaller
  • The augmentation of the smaller breasts to match the larger one
  • The use of different sizes of implants in each breast
  • A combination of any of the above
  • It can help you achieve an hourglass figure

An hourglass physique is characterized by an ample bust line and hips. Enhancing your breasts with implants can create softer contours especially among women with a slender physique. With the right planning, it can help achieve attractive proportions.

3. Different Implant Projections Complements Certain Body Types

Your projection of your implants is among the important considerations you must make with your surgeon. The different profiles include:

  • Low Profile – It has minimal projection and it may appear relatively flat. This type of implant is ideal for women with wider chests.
  • Moderate Profile – It provides more projection compared to low profile implants, and it yields the most natural-looking outcome. It is appropriate for women with the smaller or narrower chest.
  • Moderate Plus Profile – This type of implants is the middle ground between modest low-profile implants and the dramatic high-profile implants. This is suitable for women who desire more roundness but doesn’t want the projection that comes with a high-profile implant.
  • High Profile – This breast implant has a narrower base compared to other implants to provide a maximum projection.  It has fuller and more rounded results which make it appropriate for smaller women who have a narrow chest wall. It gives the depth they desire without looking unnatural or the side effects like rippling.

4. Implants Don’t Prevent Breasts from Changing

Having breast implants is not the end all and be all when it comes to enhancing your breasts. As nature would have it, breasts inevitably change. This can be caused by aging, weight fluctuations, or pregnancy which significantly impacts the different structures of the breasts.

Over time the breasts may lose its elasticity and will eventually succumb to the effects of gravity which results in drooping. Faced with the inevitable, this gives you an important point for discussion with your surgeon in choosing the optimal breast implant size for you. Therefore, it is necessary that you be properly educated on the matter and to heed your surgeon’s advice.

For example, going to far by opting for excessive implant size or volume or excessive implant projection usually leads to uncorrectable tissue changes. It will also lead to problems such as:

  • Excessive tissue stretching and thinning
  • Implant edge visibility due to a lack of adequate tissue thickness covering the implant
  • Excessive pressure on the milk-producing tissues of the breast causing it to shrink, potentially affecting your ability to nurse
  • Compromised breast sensation

5. It Does Not Correct Droopy Breasts

On its own, breast augmentation does not correct droopy breasts. If you have severe ptosis (Grades III and IV) but breast tissue is ample, a breast lift alone is needed. However, if you also have sagging or deflated breasts a breast augmentation may be done together with a lift, and there are studies to support the safety of a combined procedure.

Even in women whose breast ptosis is to a lesser degree (Grade I and Grade II), a breast lift may be done with or without implants depending on the amount of breast tissue present.

Read: Breast Surgery: Why It Doesn’t Have to be All About Breast Augmentation

Breast Lift Versus Breast Augmentation: When to Tell Which is Needed?

6. Fat Transfer Is Not for Everyone

Autologous fat transplantation has already been accepted as a suitable approach in breast augmentation. In this procedure, your own fats are removed from certain parts of your body such as the outer thighs and then injected into your breasts.

The catch here is that this is an option only for women who are looking for a relatively small increase in breast size.  So, if you prefer a significant increase, this will not be suitable for you. Your breasts must already have a nice shape and good skin tone. If you have poor skin quality and you have sagging breasts, you this option may not provide you with optimal results.

7. Expect the “Drop and Fluff”

Immediately after breast implant surgery, patients experience an inflammatory process that results in tissue swelling and tightening of the chest muscles. This may cause the implants to appear smaller.

Over time, the swelling resolves and tissues loosen up. The shape of the breast implants starts to become more apparent as it exerts itself on the overlying tissues. It settles into a lower and more aesthetically pleasing position on the chest and appears softer and rounder hence the term “drop and fluff”. By the end of the healing process, your breasts round out and looks fuller.

The rate at which this “drop and fluff” occur will depend on different factors. But generally, it takes around 6 weeks to 3 months. It will take longer in the following cases:

  • In women whose chest tends to have tighter skin.
  • When a patient has larger implants because it will take more time for the skin to expand to accommodate its size.
  • When textured implants are used as they are more stable and do not require post-operative breast massage.

8. Incision Sizes Differ Based on Your Implants

An incision for silicone implants would require a longer incision as opposed to a saline implant. In the latter, the deflated shell casing is first inserted on the site before it is filled with saline solution.

When it comes to silicone implants, incision size becomes an entirely different ballgame. This type of implants already come prefilled which is why a larger incision is necessary to accommodate its insertion.

9. There Are Different Types of Incisions that Vary According to Area


  • It is done along the bottom of the breast crease or folds.
  • It is the most preferred type of incision by surgeons because it gives them better control in placing the implants and achieving breast symmetry.
  • It can be easily concealed.


  • It is created along the curve of the nipple.
  • It is also preferred by doctors due to its proximity to the breast tissue.
  • The areola can disguise the scars, unless the patient has the risk of poor scarring (something that you must discuss with your surgeon).
  • It can sever milk ducts which is why it is not recommended to women who plan to breastfeed in the future.


  • The incision in this approach is done on the armpit.
  • It is a preferred approach for women who opt for smaller implants (around 200cc to 350cc).
  • It is easier for surgeons to create incisions due to the natural folds that exist in the armpit.
  • It is preferred by some women because it leaves the breast untouched, however, it can’t be re-used for future surgeries.


  • This is also called the TUBA (Transumbilical Breast Augmentation) incision.
  • Empty implants are inserted through the belly button and up to the breast, then inflated.
  • While it may be preferred by some women because the scar is simply concealed by the bellybutton, most surgeons are not keen to use it because it is difficult to achieve breast symmetry and natural-looking results.

10. Breast Massage is an Important Part of the Recovery Process

The rationale behind a breast massage after breast augmentation surgery is to maneuver the implants into place to help it settle. This prevents the area on which the implant sits to tighten. A surgeon’s instructions usually vary on when it is appropriate for the massage to be started, and there is also a variety of techniques that can be recommended.

A breast massage is an important component to your aftercare. The repeated movements can reduce the risk of scar tissue hardening around your breast implants, also known as a capsular contracture. It makes the breast pocket in which the implants are placed bigger than the implants itself.

11. Results Can Look Natural

Breast implants often carry with it the misconception that they are a tad bit too obvious every time. However, this isn’t always the case because there is a variety of techniques for it to look natural. Although there are women who prefer to flaunt their assets, some prefer a less dramatic outcome.

It takes a good surgeon with a good eye for aesthetics to make it look natural. Recent trends also make it possible for women to have a moderate-sized implants and shapes that are more biologically faithful to the real thing. So, women now have the range of options to achieve results that can appear as subtle or dramatic as they want it to be.

12. Areola Reduction is Possible Too

If you want to enhance the appearance of your breasts, you can also take it further as to change the size of your areola. Areola reduction is a surgical procedure that reduces the diameter of the one or both of your areolas. This will make them more proportional to your new breast size, creating an aesthetically pleasing outcome.

This procedure is suitable for the following patients:

  • Women who are not happy with the size of their areolas.
  • You have stretched areolas after having lost a significant amount of weight or it has changed due to pregnancy.
  • Individuals with puffy or protruding areolas.
  • Those with asymmetrical areolas.

An advantage with this procedure is that the area around the nipple is very forgiving when it comes to scarring.

These facts are just some of the many about breast implants and breast augmentation in general. Knowing the finer details allows you to weigh your decision better and make informed decisions before signing on the dotted line.

If you have more questions, come and talk to us at the Dr. Daood Clinic today.  Know your surgery comprehensively first before signing up for it.

Read: 10 Questions on Breast Implants that You’re Too Embarrassed to Ask