Breast Augmentation Concerns: Risks, Maintenance, and Lifestyle Impact

Breast augmentation issues?

Hello, I am a 21-year-old woman with a flat chest, approximately a size 32A.
I have lacked confidence due to my flat chest and would like to ask the following questions regarding breast augmentation:
1.
My grandmother passed away from breast cancer.
Does this mean I cannot undergo breast augmentation surgery, or does it increase the risks associated with the procedure?
2.
If I have saline implants placed under the chest muscle, will they be more prone to sagging? I have always thought that placing an implant in the breast might cause it to sag over time, similar to how a stretched rubber band behaves compared to one that hasn't been stretched.
3.
I have seen reports stating that implants need to be replaced approximately every 10 years.
Is this true? If implants do need to be replaced every 10 years, will the cost be the same as the initial surgery, or will it be a reduced fee?
4.
If I decide to have the implants removed when I am older, will I have no breast tissue left, or will it result in significantly sagging breasts, or will there be no impact at all?
5.
After having implants, will I still be able to breastfeed?
6.
Can I fly, go scuba diving, or ride roller coasters after getting implants? Is there a risk that changes in pressure could cause them to rupture?
I apologize for asking so many questions, and I appreciate your answers.
Thank you!

Lin, 20~29 year old female. Ask Date: 2002/09/02

Dr. Luo Qihua reply Plastic Surgery

1.
If you have a direct relative with breast cancer, it is important to pay close attention to your own breast health and perform regular breast self-examinations.
If you notice any lumps, you should promptly consult a doctor for further evaluation.
However, this situation does not increase the risk associated with breast augmentation surgery.
2.
Even normal breast tissue that has not undergone augmentation can sag with age due to skin aging and the effects of prolonged breastfeeding.
Therefore, after breast augmentation, the breasts may also experience sagging over time, similar to individuals who have not had augmentation, especially as they age.
3.
The rate of tissue aging varies among individuals.
If, after ten or even twenty years, there is no sagging of the breasts and no asymmetry due to ruptured implants, there is no need to replace the implants.
Regardless of the reason for replacement, the cost will be the same as the initial procedure and may even be higher (the promotional price after ten years should be higher), rather than just a nominal fee.
4.
If implants are removed when one is significantly older, it is possible that the breasts may exhibit slight sagging due to skin laxity.
5.
Most breast augmentation techniques do not damage breast tissue, and individuals can still breastfeed afterward.
6.
Normal daily activities or exercise will not cause implant rupture due to pressure changes, unless there is direct trauma to the chest.
In the early postoperative period, there may be a sensation of fluid movement due to residual air in the implants, but this sensation will resolve as the air is fully absorbed within three to six months.

Plastic Surgeon Dr.
Kihua Lo

Reply Date: 2002/09/02

More Info

Breast augmentation is a significant decision that can impact various aspects of your life, including physical health, emotional well-being, and lifestyle. As a 21-year-old considering this procedure, it's essential to understand the potential risks, maintenance requirements, and lifestyle implications associated with breast implants.

1. Family History and Cancer Risk: Your concern about your grandmother's history of breast cancer is valid. While having a family history of breast cancer can increase your risk, it does not automatically disqualify you from undergoing breast augmentation. However, it is crucial to discuss this with your surgeon, who may recommend genetic testing or additional screenings to assess your risk. The surgical risks may be slightly elevated due to potential underlying genetic factors, but many women with a family history successfully undergo the procedure.

2. Implant Placement and Sagging: Placing implants under the muscle (submuscular placement) can provide a more natural look and may help reduce the risk of sagging compared to placing them above the muscle (subglandular placement). However, all breasts, whether augmented or natural, can experience changes over time due to factors like aging, gravity, and hormonal changes. While implants can provide volume, they do not prevent natural sagging. The analogy of a rubber band losing elasticity over time is somewhat accurate; however, the degree of sagging will depend on various factors, including skin elasticity and the size of the implants.

3. Longevity of Implants: It is generally recommended that breast implants be replaced every 10 to 15 years, although some may last longer without issues. This recommendation is based on the potential for complications such as rupture or capsular contracture. The cost of replacement can vary; typically, it may involve additional surgical fees, anesthesia, and facility costs, which can be similar to the initial surgery, but this can vary by provider.

4. Removing Implants: If you decide to have your implants removed in the future, the outcome can vary. Some women may experience sagging after removal, especially if they had larger implants or if their skin has lost elasticity over time. However, others may retain a more natural shape. Discussing your concerns with your surgeon can help set realistic expectations.

5. Breastfeeding: Many women with breast implants can successfully breastfeed. However, the ability to breastfeed can depend on the surgical technique used and individual anatomy. It’s essential to discuss this with your surgeon, especially if you plan to have children in the future.

6. Physical Activities: After recovery, most women can engage in activities like flying, diving, or riding roller coasters without issues. Implants are designed to withstand pressure changes, but it’s essential to follow your surgeon's post-operative guidelines. Avoiding high-impact activities immediately after surgery is crucial for proper healing.

In conclusion, breast augmentation can enhance your confidence and body image, but it is vital to weigh the benefits against the risks and maintenance involved. Consulting with a board-certified plastic surgeon who can provide personalized advice based on your medical history and aesthetic goals is crucial. They can help you navigate your concerns and ensure you make an informed decision that aligns with your lifestyle and health.

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