Breast Augmentation (FAQ)

1. What is breast augmentation surgery?

Breast augmentation surgery is a surgical procedure to increase the volume and shape of the breasts.
The most common method is to use silicone or saline-filled breast implants.
An alternative technique is fat transfer, in which fat from the patient’s own body is injected.
This surgery is preferred to enhance the feminine appearance, to correct congenital or acquired breast asymmetry, or for reconstruction after mastectomy.
It is one of the most common plastic surgery procedures and has been performed safely for years.

2. Who are ideal candidates for breast augmentation?

Women with small or sagging breasts can opt for this surgery to add volume and achieve a fuller appearance.
It is suitable forthose who have lost breast tissue after pregnancy or breastfeeding.
People with asymmetrical breast structure can have surgery to reduce the difference between the two breasts.
Patients who want to have breast reconstruction after mastectomy can gain a natural appearance with breast implants.
People who want a more attractive and balanced body profile due to aesthetic concerns may also prefer breast augmentation.

3. Which implant types are used for breast augmentation?

Silicone gel-filled implants are the most preferred option as they offer the most natural feel and appearance.
Saline (saline-filled) implants contain fluids that can be naturally absorbed by the body but may feel firmer.
Round and drop (anatomical) shaped implants are selected according to the patient’s breast structure and aesthetic goals.
Implants with smooth and roughened surfaces can be used to reduce the risk of capsular contracture or to provide a more natural posture of the breast.
Combination implants can be used to provide volume and natural appearance by using both fat transfer and implant together.

4. How is breast augmentation surgery performed?

This procedure is performedunder general anesthesia and usually takes 1-2 hours.
The surgeon can choose one of three different incision sites to place the implant: inframammary fold (inframammary), periareolar (periareolar) or axillary (transaxillary) incision.
The implant can be placed under the breast tissue (subglandular), under the muscle (submuscular) or in a dual-plane method.
If the fat transfer method is preferred, fat is first removed from the patient’s own body by liposuction and injected into the breast area.
After the operation, the patient usually stays in the hospital the same day or overnight and can return to her normal life within a few weeks.

5. How long do breast implants last and do they need to be replaced?

The average lifespan of breast implants is between 10-15 years, but this may vary from person to person.
The condition of the implants should be monitored with routine health checks and replaced if any rupture, leakage or deformity occurs.
Some patients can use their implants for more than 20 years without any problems.
It is important to know that implants are not lifelong and may need to be replaced at some point.
The implants used today are longer lasting and more durable than in years past.

6. What is the healing process after breast augmentation surgery?

The first 1-2 weeks are the most critical period and during this period, it is necessary to follow the movement restrictions recommended by the doctor.
A supportive bra should be worn and the breast area should be protected from impacts.
Heavy lifting, sports and movements that will strain the chest muscles should be avoided for at least 4-6 weeks.
Most patients can return to work within a week, but full recovery may take several months.
It takes about 3-6 months for the breast shape to fully settle and have a natural appearance.

7. In how many days can I return to work after breast implant?

Rest is recommended for the first week, but patients with desk jobs can return to work in 5-7 days.
Those who work in jobs that require physical exertion should take at least 2-3 weeks off.
Light exercises can be started 3-4 weeks after surgery, but for jobs requiring heavy lifting, at least 6 weeks should be waited.
Most patients are able to do sports 3-4 weeks after surgery.
The recovery process may vary depending on the individual and return to work should be planned according to the doctor’s recommendations.

8. How long does the pain last after breast augmentation surgery?

The pain is most intense in the first 3-5 days, but can be controlled with painkillers.
Most patients can return to their normal activities within 1 week, except for mild pain.
For implants placed under the muscle, the pain may be greater and may last 2-3 weeks.
The pain usually resolves completely within 4-6 weeks, but mild sensitivity may persist with sports and heavy activities.
Muscle relaxants and painkillers can improve patient comfort during the healing process.

9. When can I start doing sports after breast augmentation?

Light activities such as walking can be done from the first week after surgery.
Exercises that strain the arm and chest muscles should be avoided for 4-6 weeks.
Weight lifting and sports that strain the chest muscles should be waited for at least 8 weeks.
It is necessary to wait at least 3-4 weeks for activities such as pool and sea, care should be taken in terms of infection risk.
After the doctor’s approval, a special exercise program can be applied to the patient.

10. When does edema and swelling go down after breast augmentation?

Edema may be evident during the first 2 weeks, but this is normal and decreases over time.
Most of the edema goes down within 4-6 weeks, but it may take several months for the breast to take its full shape.
In the first days, keeping the head slightly elevated and reducing salt consumption can reduce edema.
The use of a supportive bra helps to control edema.
Patients usually notice that by the end of 3 months, the edema is largely gone and the breasts have a more natural appearance.

11. Will scars remain after breast augmentation?

The location of the incisions can affect the prominence of scars, but with proper care, scars will diminish over time.
Incisions made in the inframammary fold are usually the least prominent.
During the first 6 months, the scars may be red or pink, but over time they blend in with the skin color.
Silicone-based creams and other methods recommended by the doctor can be used to minimize scars.
Sun protection is important to prevent darkening of the scars.

12. What are the most common complications after breast augmentation surgery?

Capsular contracture: The body may perceive the implant as a foreign body and a hard tissue may form around it.
Asymmetry: Slight differences between the two breasts may occur and may require revision.
Implant shift or rotation: The implant may shift from its intended position and may need to be corrected.
Infection: Although rare, antibiotic treatment or removal of the implant may be required.
Hematoma or seroma: Blood or fluid may accumulate after surgery and may require drainage or additional procedures.

13. Which activities should be avoided after breast augmentation?

Heavy lifting, chest exercises and intense sports activities should be avoided for the first 4-6 weeks.
Excessive lifting of the arms should be avoided for the first 2 weeks, to prevent stretching of the sutures.
Activities such as sauna, steam bath and hot baths should be avoided for at least 1 month.
Avoid wearing tight bras or clothing that provides inappropriate support.
Avoid applying pressure to the chest area in the early postoperative period.

14. Is there a loss of sensation after breast augmentation surgery?

There may be loss of sensation in or around the nipple for the first few months, this is usually temporary.
Permanent loss of sensation may occur in some patients due to nerve damage, but this is rare.
In most patients, loss of sensation resolves within 6-12 months.
Patients with larger implants or incisions around the nipple are at greater risk of loss of sensation.
Massage techniques and treatments that support nerve healing can be applied in line with the doctor’s recommendations.

15. How many weeks should heavy lifting be avoided after breast augmentation surgery?

Heavy lifting is strongly discouraged for the first 4-6 weeks, because sufficient time is required for the chest muscles and implants to settle.
Excessive lifting of the arms should be avoided in the first two weeks, as this can cause the sutures to stretch and prolong the healing process.
After the sixth week, exercise with light weights is allowed, but movements that strain the chest muscles should be avoided.
It is recommended to wait at least 8 weeks for heavy physical activities and sports, especially exercises that affect the pectoral muscles should be avoided.
Although the complete healing process varies from person to person, the doctor’s approval should be obtained before starting heavy lifting.

16. Does nipple sensitivity change after breast augmentation?

Changes in nipple sensitivity may occur in the first few weeks after surgery, some patients may feel an increase or decrease.
Nipple nerves may be affected during surgery, but normal sensation usually returns within 6-12 months.
Some patients may experience permanent loss of sensation, but this is rare and can be minimized with the surgeon’s experience.
The risk of loss of sensation is slightly higher in patients with incisions around the nipple.
Doctor-recommended massage and sensory therapies can help restore sensitivity more quickly.

17. What happens if the breast implant bursts?

If saline implants burst, the fluid is absorbed by the body and does not pose a health risk.
With silicone gel-filled implants, rupture is usually not noticeable (“silent rupture”) and is detected by MRI or ultrasound.
In case of rupture, the implant usually needs to be replaced because the silicone can leak out and capsular contracture can occur.
The FDA recommends that people with breast implants have an MRI or ultrasound check-up every 5-10 years.
Routine check-ups and medical examinations are important as some ruptures can occur without symptoms.

18. How to maintain a natural appearance after breast augmentation?

The shape and size of the implant used in breast augmentation surgery is important for a natural appearance.
Adequate subcutaneous fat tissue helps the implant feel more natural.
Implants placed under the muscle (submuscular) provide a natural drop and mobility.
Using anatomical (drop-shaped) implants instead of round implants may be more suitable for the natural breast shape.
Postoperative massage techniques and the use of appropriate bras can help the implants to settle naturally.

19. Which bras should be used after breast augmentation surgery?

A supportive medical bra should be used for the first 6 weeks, this helps to keep the implants stable.
Unsupported bras should be avoided and underwire bras should not be used for at least 3 months.
Special bras after surgery can help reduce edema and swelling faster.
Doctor-recommended bras help to maintain the position of the implants and support the proper breast shape.
After 6 weeks, soft and flexible bras can be used, but tight and compression bras should be avoided.

20. What should be the sleeping position after breast augmentation?

For the first 4-6 weeks, you should sleep on your back, because sleeping on your side can disrupt implant placement.
Keeping the head slightly elevated helps to reduce edema and swelling faster.
Sleeping on your side or face down can change the position of the implant and put pressure on the breast tissue.
Wearing a supportive bra overnight can help keep the implants stable.
After 6 weeks, the patient can start sleeping in the position she feels comfortable, but care should be taken within the first month.

21. Is breastfeeding affected after breast augmentation surgery?

Breast augmentation surgery usually does not damage the milk ducts and breastfeeding is possible.
Incisions around the nipple can affect the milk ducts and reduce milk production.
Implants placed under the muscle can maintain milk production with less pressure on the mammary glands.
Breast tissue may change after pregnancy and the postoperative appearance may differ.
Patients planning to breastfeed are advised to inform their surgeon in advance so that the appropriate technique can be chosen.

22. Should I massage after breast augmentation?

Some surgeons recommend massage for faster implant placement, while others find it unnecessary.
Massage is usually not recommended for implants with smooth surfaces, but it can sometimes be recommended for implants with rough surfaces.
It should be done taking into account the techniques and timing recommended by the doctor, as incorrect massage can alter the position of the implant.
Massage may reduce the risk of capsular contracture, but is not necessary for all patients.
The surgeon’s instructions based on the individual case should be followed, as different techniques may be required for each patient.

23. Is there asymmetry after breast augmentation?

Slight asymmetries after breast augmentation are normal and usually resolve over time.
The natural breast structure may already be slightly asymmetrical, so a completely symmetrical result should not be expected.
The placement of the implant and the healing process can affect the final result.
In severe asymmetries, minor correction surgeries may be required.
During the first 6 months, the shape of the breasts may not be fully established, so early intervention is not recommended.

24. What is the risk of capsular contracture after breast augmentation surgery?

Capsular contracture is an abnormal tightening of the hard scar tissue created by the body around the implant.
It can occur in about 5-10% of patients and can cause a feeling of stiffness, pain or disfigurement.
Risk factors include infection, bleeding, genetic predisposition and implant surface.
Textured implants may reduce the risk of capsular contracture, but in recent years smooth implants are more often preferred.
Treatment options include surgical intervention, capsulectomy (removal of the capsule) and implant replacement.

25. How soon should breast implants be replaced?

The average lifespan of breast implants is considered to be 10-15 years, but they do not need to be replaced if there are no problems.
The FDA recommends that people with breast implants should have regular check-ups, especially more often after 10 years.
Some implants can last more than 20 years, but should be replaced if complications such as rupture or capsular contracture occur.
Newer generation implants are more durable, but there is no such thing as a “lifetime guarantee”.
The decision to replace should be based on the patient’s health status, lifestyle and the condition of the implant.

26. When do breasts look natural after breast augmentation?

In the first few weeks, edema, swelling and hardness may be felt in the breasts, this is completely normal.
The implants usually fit completely within 3-6 months and gain a more natural appearance.
In the first months, the breasts may be slightly elevated, but over time they will settle down to a natural position.
Implants placed under the muscle gain a more natural feeling and appearance over time as the muscle relaxes.
It usually takes 6-12 months to finalize, patients should be patient during this process.

27. Are sensory changes after breast augmentation permanent?

There may be temporary sensory changes in and around the nipple, but most patients return to normal within a few months.
Rarely, there may be permanent loss of sensation due to nerve damage, but this occurs in 1-5% of cases.
Incisions around the nipple can increase the risk of nerve damage, so the incision site should be chosen carefully.
Gentle massage and sensory stimulation may be recommended to speed up the healing process of sensory changes.
Patients should consult their doctor if they are concerned about sensory changes.

28. What are the most common conditions that require revision after breast augmentation?

Capsular contracture can cause hardening and pain, in which case revision surgery may be required.
Implant displacement or asymmetry are other common reasons for revision.
If the implant ruptures or leaks, the implant needs to be replaced.
Changes in the breast tissue (pregnancy, weight gain and loss) may lead to the need for aesthetic revision.
Aesthetic results that do not meet the patient’s expectations may also require revision surgery.

29. What should be done to speed up the healing process after breast augmentation surgery?

Regularly wearing the supportive bra recommended by the doctor ensures that the implants remain stable and swelling decreases.
Heavy lifting, excessive raising of the arms and sudden movements should be avoided for the first few weeks.
A protein-rich diet and plenty of water help the tissues to heal faster.
Regular walks contribute to faster resolution of edema by increasing blood circulation.
Smoking and alcohol consumption should be avoided, as these can slow down the healing process and increase the risk of complications.

30. What should be the sleeping position after breast augmentation?

For the first 4-6 weeks, you should sleep on your back, as sleeping on your side or face down can disrupt implant placement.
Providing support with pillows with the head slightly elevated allows edema and swelling to decrease faster.
For patients who want to sleep on their side, body pillows can be used to provide balance.
Prone sleeping should be avoided during the first month, as this position can put pressure on the implants.
Most patients can sleep in the position they are comfortable after 6 weeks, but the doctor’s recommendations should be followed.

31. Is loss of sensation permanent after breast augmentation?

Most patients may experience temporary loss of sensation in or around the nipple after surgery, but it usually resolves within 6-12 months.
Nerves take time to heal, so mild tingling or numbness may be felt in the first months.
Incisions around the nipple may increase the risk of loss of sensation, but this is usually not permanent.
Some patients may experience permanent loss of sensation, but this is rare and usually depends on the nature of the surgery.
Gentle massages and sensory stimulating therapies may be recommended to support sensory recovery.

32. What should be considered when exercising after breast augmentation?

Heavy exercises and movements that strain the chest muscles should be avoided for the first 4-6 weeks.
Slow-paced walks can be started 1 week after surgery, but activities such as jogging should wait 6 weeks.
Weight-bearing exercises, especially for the upper body, should be postponed for at least 8 weeks.
Overstraining the chest muscles can change the position of the implant, so care should be taken.
After the doctor’s approval, the sports program should be started gradually and gradually increased.

33. What tests should be done after breast augmentation surgery?

Blood tests and breast ultrasound should be performed preoperatively so that the surgeon can assess the general health status of the patient.
In the first 6 months after surgery, the condition of the implants can be checked by ultrasound or MRI.
The FDA recommends that patients with breast implants have an MRI check every 5-10 years.
If loss of sensitivity in or around the nipple persists, tests to evaluate nerve function may be performed.
If capsular contracture or implant slippage is suspected, imaging tests may be ordered.

34. Can women with breast implants have mammograms?

Yes, but during the mammogram the technician should be informed that you have implants so that special techniques can be used.
Implants can make it difficult to visualize parts of the breast tissue, but this can be overcome with additional imaging methods.
Breast ultrasound and MRI are more reliable alternative screening methods for patients with implants.
Damage to the implants during mammography is very rare, but too hard pressure should not be applied.
Regular breast screenings should be performed at intervals recommended by the doctor, especially for patients with a family history of breast cancer.

35. How to reduce scars after breast augmentation surgery?

Silicone-based scar creams can help surgical scars heal and fade faster.
Sun protection is critical to prevent darkening of scars, SPF 50 should be used for at least 6 months.
It is recommended to massage the area of the scars for the first few months, this can help soften the scar tissue.
Techniques such as laser treatments or microneedling can reduce the appearance of prominent scars.
The wound care instructions recommended by the doctor should be strictly followed so that the stitches do not become infected and heal properly.

36. Do breasts move naturally after breast augmentation?

Implants placed under the muscle provide a more natural movement because they put less pressure on the breast tissue.
In the first months, the breasts may be hard and high, but over time they soften and gain a more natural posture.
Small implants and methods such as fat transfer can provide a natural feel and mobility.
Implants with a rough surface can fuse better with body tissue, providing a more stable movement.
After the full seating process is complete, the breasts can move like natural breast tissue, but may not have exactly the same flexibility.

37. How should medication be used after breast augmentation surgery?

Antibiotics prescribed by the doctor should be used regularly and the risk of infection should be prevented.
Blood thinners and products such as aspirin should not be used for the first few weeks because they may increase the risk of bleeding.
Painkillers should be used in the doses recommended by the doctor and overdose should be avoided.
Anti-inflammatory drugs can be used to reduce swelling and edema, but should only be taken with a doctor’s approval.
Supplements such as vitamin C and zinc can support tissue healing and speed up the healing process.

38. What are the long-term aesthetic changes after breast augmentation?

Over time, there may be small changes in the position of the implant, the breasts may shift slightly downwards due to the effect of gravity.
As skin elasticity decreases, slight sagging of the breast tissue may be seen due to the aging process.
Pregnancy and weight changes can affect the placement of implants and breast shape.
In the long term, complications such as capsular contracture, implant rupture or asymmetry may develop.
Patients should have their implants checked regularly and consult their doctor if they notice any changes.

39. Can sagging breasts after breast augmentation be prevented?

Implants after breast augmentation can delay but not completely prevent sagging breasts.
Gravity, aging and weight changes can cause sagging of breast tissue over time.
The use of supportive bras can help the breasts maintain their shape.
Regular exercise can strengthen the pectoral muscles and support the firmness of the skin.
If severe sagging occurs in the following years, revision can be performed with breast lift (mastopexy) surgery.

40. Is there a risk of implant perforation after breast augmentation?

Modern breast implants are very durable and the risk of perforation is very low.
Trauma, accidents or strong pressure can cause the implant to rupture.
If saline (salt water) implants rupture, the fluid is absorbed by the body and a significant loss of volume is observed.
Silent rupture can occur with silicone gel implants and may need to be detected with imaging tests such as MRI.
The FDA recommends that women with breast implants have a follow-up examination every 5-10 years.

41. Is breast hardness normal after breast augmentation surgery?

A feeling of hardness and tightness in the breasts is normal in the first few weeks.
As the swelling goes down, the breasts gain a more natural feeling, this process may take 3-6 months.
If the stiffness persists for a long time or the breast becomes excessively hard, capsular contracture may have occurred.
Regular massage and following the doctor’s care instructions can help reduce stiffness.
Implants placed under the muscle provide a more natural feeling of texture as the muscle relaxes.

42. How many years after breast augmentation should I have a check-up?

You should go to the doctor within the first year after surgery.
Regular examinations should be performed within the first 5 years, and if any abnormalities are observed, a doctor should be consulted immediately.
The FDA recommends that women with silicone implants have an MRI scan every 5-10 years.
Early intervention is necessary if the implants show signs of leakage, capsular contracture or deformation.
Implants that pass without problems may not require replacement for many years, but regular examinations are important.

43. Which vitamins accelerate healing after breast augmentation?

Vitamin C promotes tissue repair and accelerates wound healing.
Zinc strengthens the immune system, reducing the risk of infection.
Vitamin D supports bone health and the overall immune system.
Omega-3 fatty acids can speed up the healing process by reducing inflammation.
Protein-containing foods provide essential components needed for tissue healing.

44. In which cases should you consult a doctor after breast augmentation?

If sudden or severe pain, abnormal swelling or bleeding is noticed, a doctor should be consulted immediately.
A change in breast color, a feeling of excessive warmth or signs of inflammation may be a sign of infection.
If there is a sudden change in breast shape or stiffness, implant slippage or capsular contracture may have occurred.
If a sudden decrease in breast size is noticed, implant leakage or perforation may occur.
Surgical evaluation should be performed if postoperative loss of sensation lasts longer than 1 year or if asymmetry becomes apparent.

45. Does the breast fluctuate after breast augmentation?

If the implant under the skin becomes prominent, fluctuations can be observed, especially in people with thin skin.
Implants with a rough surface can reduce the risk of rippling.
Implants placed under the muscle show less rippling on the skin surface.
In advanced cases, rippling can be corrected with fillers or fat injection.
If the patient’s own tissue is not sufficient, this risk can be reduced by choosing thicker silicone implants.

46. Which patients may need revision after breast augmentation surgery?

Patients with incorrect implant placement may require revision surgery.
Patients with capsular contracture may require capsule removal or implant replacement with revision.
Changes such as pregnancy and weight gain and loss may affect the shape of the breasts and require revision.
Revision is inevitable in case of implant leakage or rupture.
Patients who do not meet their aesthetic expectations can have revision with different implant sizes.

47. Can silicones be felt by hand after breast augmentation?

In patients with thick skin and sufficient breast tissue, implants are usually not felt by hand.
They can be felt slightly in patients with thin skin or implants placed on the muscle.
Larger implants may cause skin stretching and palpation over time.
Submuscular implants feel more natural and are less palpable.
Implants with a rough surface may integrate better with the tissues, reducing the possibility of being felt.

48. Is swelling in the lymph nodes normal after breast augmentation?

Mild swelling of the lymph nodes may be the body’s natural inflammatory response after surgery.
The swelling should go away on its own within a few weeks, but if it persists, a doctor’s check-up is necessary.
Long-term swelling of the lymph nodes may occur due to infection or implant reaction.
Gentle massages and movements may be recommended to increase lymphatic drainage.
If the swelling becomes hard or painful, it may be a sign of an underlying problem.

49. How to prevent capsular contracture after breast augmentation?

Appropriate massage techniques and a doctor-recommended care program should be followed after surgery.
Rough implant surfaces may reduce the risk of capsular contracture.
Smoking and alcohol consumption should be avoided and tissue healing should be supported with a healthy diet.
Hygiene rules should be followed to prevent infections and antibiotic treatment should be administered completely when necessary.
The implant position, surgical technique and aftercare recommended by the doctor are very important.

50. How to prevent implant displacement after breast augmentation?

Heavy physical activities and movements that strain the chest muscles should be avoided for the first 6 weeks.
The use of a supportive bra can help stabilize the implant.
Implants placed with the correct surgical technique minimize the risk of displacement.
Doctor’s recommendations should be followed when practicing sports that strain the chest muscles.
If the implant is displaced, it can be corrected with surgical revision.