Breast augmentation is a plastic surgery procedure that increases breast volume through the insertion of breast implants, achieving a harmonious shape proportionate to the patient's body. It is one of the most requested cosmetic procedures worldwide, capable of significantly improving body image and self-esteem. The goal is not only to increase breast size but to create a natural and balanced result that enhances individual proportions, respecting the patient's desires and their chest anatomy.
Implants are inserted through incisions in the inframammary fold (the crease under the breast, the most commonly used approach), the periareolar area (along the lower edge of the areola), or the axilla (in the armpit, leaving no scars on the breast). The choice of approach depends on the patient's anatomy, implant type, and the surgeon's preferences. Implants can be placed in different positions: subglandular (above the pectoral muscle, for a more projected effect), submuscular (below the pectoralis major, for better coverage), or dual plane (partially under the muscle, the most versatile and widely used technique). The choice is personalized during the pre-operative consultation through careful analysis of chest measurements and result simulation.
There are several options for breast augmentation, customizable based on the patient's needs: • Round implants: for uniform volume increase with a fuller décolletage, ideal for those seeking a natural "push-up" effect • Anatomical (teardrop) implants: for a more natural appearance that reproduces the breast shape, with greater volume in the lower portion • Dual plane: the most versatile placement technique, with the upper part of the implant covered by the muscle and the lower part in contact with the gland, combining the advantages of both planes • Breast fat grafting: augmentation with autologous fat harvested from the patient, indicated for moderate increases (about one cup size) or to refine implant results
Breast augmentation is recommended for women who wish to improve the size and shape of their breasts: • Small or hypotrophic (underdeveloped) breasts, whether congenital or due to constitutional factors • Significant breast asymmetry, with a visible difference between the two breasts in volume or shape • Volume loss after one or more pregnancies, prolonged breastfeeding, or weight loss, with deflated and less toned breasts • Desire for better body proportion and silhouette harmony • Breast reconstruction after mastectomy or surgical procedures on the breast
The procedure is not recommended in the following cases: • Ongoing pregnancy or breastfeeding, as hormonal changes and breast modifications during this period may alter the result • Uninvestigated breast conditions, such as lumps or suspicious lesions that require diagnostic investigation first (mammogram or ultrasound) • Unrealistic expectations regarding the outcome: it is essential that the patient understands the limits and possibilities of the procedure during the pre-operative consultation • Under 18 years of age, when breast development is not yet complete • Active autoimmune conditions that may interfere with the healing process
The procedure takes 1-2 hours and is generally performed as day surgery, allowing the patient to return home the same day. Recovery requires 1-2 weeks: during the first days, a sensation of chest tightness and swelling that gradually subsides are normal. A special support bra must be worn for approximately 4-6 weeks to support the implants during settling. Light daily activities can resume after 3-5 days, while sports, particularly those involving the upper body, should be avoided for at least 4-6 weeks.
Yes, breast augmentation is performed under general anesthesia to ensure maximum patient comfort and optimal operating conditions for the surgeon. A pre-operative anesthesiology consultation with complete preoperative tests (blood work, ECG) is performed to assess suitability and personalize the anesthetic protocol. The duration of anesthesia is relatively short and recovery is generally quick and well tolerated.
Results are visible immediately after surgery, but in the first weeks the breasts appear more swollen and higher than the final result. The implants take approximately 3-6 months to fully settle into their natural position: during this period, the breasts soften, assume a more natural shape, and the lower pole gradually rounds out. The final result is breasts with harmonious volume, a natural shape, and proportionate appearance.
Modern cohesive silicone breast implants are extremely safe medical devices, certified according to rigorous European and international standards. The cohesive silicone gel maintains its shape even if the outer shell is compromised, eliminating the risk of material dispersion. Latest-generation implants come with lifetime warranties from manufacturers and have been the subject of decades of clinical studies confirming their safety and durability. Regular ultrasound check-ups are still recommended to monitor the condition of implants over time.
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