It goes without saying that no two breasts are the same. Genetics, age, pregnancy, breastfeeding, and weight changes are just a few of the factors that can impact that size and shape of the breast, and, for women who consider their breasts to be too small, there are several types of breast augmentation procedures that can increase bust size and address a lack of volume or volume loss.
Female Breast Anatomy
For patients who are also experiencing drooping or sagging breasts, breast augmentation surgeries can be combined with an invasive or non-invasive breast lift (read our full guide to Breast Lift Solutions). In the case of women who have undergone a lumpectomy or mastectomy either preventatively or as part of cancer treatment, breast reconstruction that augments the existing size or shape of the breasts is also possible. For more information, you can review our guide to breast reconstruction.
Given their popularity, breast augmentation surgery techniques have been and continue to be refined to allow for highly personalized and effective results. Generally speaking, there are two main types of breast augmentation.
- Breast Augmentation with Implants: The procedure most commonly associated with the so-called "boob job" involves placing an implant either under the pectoral muscle of the chest (i.e. sub-pectoral) or over it (a.k.a. pre-pectoral) to augment the breast. There are silicone breast implants, saline-filled breast implants, and blended implants, and implant placement size, and shape are informed by the patient's desired outcome and the expertise of the plastic surgeon.
- Breast Augmentation with Autologous Fat Transfer: As an alternative to implants, this two-part procedure involves harvesting fat from a donor site on the body (think: thighs, love handles, abdomen, etc.) before purifying and injecting it into the breasts. This type of augmentation typically yields a smaller cup size than implants, and, while there is no chance of rejection with the procedure, some of the fat will likely be reabsorbed into the body.
The third form of breast augmentation is a hybrid surgery that combines an implant with fat transfer. Because women seldom have naturally symmetrical breasts, this technique allows plastic surgeons to shape and size each breast as needed and create a more natural-looking result than implants alone can often achieve.
The length and nature of recovery depends on the procedure. Fat transfer and hybrid procedures, for example, often take a bit longer to heal due to the two surgical sites. But the results of all procedures are immediate and long lasting. Breast augmentation incisions are relatively inconspicuous and fade over time. To better understand the healing and downtime associated with the procedure, check out our complete guide to breast augmentation recovery.
While the timing of any cosmetic procedure is a personal one, women who are planning to have children may choose to put off breast procedures until after pregnancy and breastfeeding. Breast volume fluctuates greatly before, during, and after pregnancy, which could impact previous breast augmentation or surgical results.
Breast revision procedures do exist to address such concerns (read our guide to Breast Reduction & Revision Solutions), but patients who wish to avoid multiple procedures should consider postponing breast surgery until after they give birth and breastfeed.
With this in mind, candidates in generally good health, who have had a breast exam to rule out underlying disease, can consider a breast augmentation procedure.
A patient who is dissatisfied with the size, shape, or symmetry of her bust will benefit from a discussion with a board certified plastic surgeon to determine which breast augmentation procedure would be most beneficial for her desired aesthetic.