The breast implant is a prosthesis used to enlarge the volume of breasts. This is used during a breast augmentation or breast enhancement procedure. The surgery is commonly used for aesthetic purposes to improve the overall look of a person. However, breast augmentation is also used for breast reconstruction after a mastectomy surgery. Recent findings indicate that it is one of the most performed cosmetic surgeries. The breast implants are used for breast augmentation to improve the shape and look of the breasts and give the body nicer proportions. Breast reconstruction, on the other hand, is done in order to replace the mammary tissue that was removed after mastectomy, but at the same time, it involves a mammary reconstruction or a breast augmentation procedure. Why choose the breast augmentation surgery? The patients who usually benefit from the breast augmentation procedure with breast implants are usually young women with a good health condition. It doesn’t matter if they are married, single, have or don’t have children. Your health affects how successful the surgery will be. During the initial consultation, most patients discuss how uncomfortable or unhappy they are with their appearance, how it affects them getting dressed in certain outfits, and even with regards to their sexual appeal. There are also those who admit to how their insecurities reflect on their personal and professional life. Having a small bust size makes them feel unattractive, as well as gives them low self-esteem. Consequently, breast augmentation is the best option for them. After the surgery, the patients notice an improvement in their emotional and psychological condition, which usually leads to an increased self-esteem, a rich and joyful social life, hence to an improvement in their quality of life. There is no doubt that when women feel better about themselves, they will find it easier to engage with other people, either on a personal or professional level. Because they got rid of their “small breasts” complex, they feel more confident. When you feel good, it is much easier for other people to like you and feel attracted to you, compared to a woman who is always concerned/conscious about the size of their breasts or the lack of cleavage. The surgical intervention for breast augmentation usually lasts up to 2-3 hours, depending on the technique chosen. This includes the type of incision, the type of implant, and the location of the implant. The length of the surgery is also dependent on whether it is the only procedure done or in conjunction with other cosmetic procedures in one sitting. Surgical practices contraindicated for the breast implant As it is the case with any surgery, there are things recommended and things that are strongly advisable to avoid. Injecting liquid through the surface of the implant is one of the things completely discouraged after the breast implant surgery, as is putting more implants on one breast. It sounds funny, I know, but I have seen this recommended and even performed. Also, patients who have the following conditions are advised against this procedure: Autoimmune diseases, such as lupus Afflictions that prevent wound healing and blood coagulation A weak immunity system (that might be on immunosuppressive therapy at the moment, for example) Decreased blood circulation around the tissue area where the procedure will be done No visible scars at the level of the bust The breast augmentation method via fat transfer is usually performed under general anesthetic. The great thing about fat transfer to the breasts is that it leaves no visible scars on your breasts. Hence, it is less traumatizing for the patient. The incisions required are approximately 4 to 5 mm and can be found in the donor areas where fat was extracted. Additional considerations for the breast implant surgery The mammography before breast augmentation procedure: it is usually recommended to have a mammography right before the surgery and another one after six months to a year after the procedure was performed in order to properly assess the progress. Interference with mammography: the implant might prevent the discovery of breast cancer during the mammogram or can make it difficult even to perform the test. This is why it is essential to tell the technician in charge with performing the mammography that you have an implant before the examination is performed. The technician can use special methods to minimize the possibility of rupturing the implant and still get the best images of the mammary tissue. Because the breast is pressed during the mammography, implant rupture is possible, if not handled with care. How the mammary tissue with implant feels? Your plastic surgeon will insist on how important it is to perform a personal examination of your breasts every month after the breast augmentation procedure. To have an efficient self-exam, ask your doctor to help you identify the difference between the implant and the mammary tissue. Should you find any new bumps, swelling or wounds in your breast region, consult your doctor and have it assessed. If a biopsy is deemed necessary, you must inform them about your implant to avoid any implant perforation. More contraindications and precautions for breast implant surgery You should also know that the closed capsulotomy procedure (tightening or forcing pressure on the fiber capsule around the implant to break the capsule of the scar) is not recommended as it can produce the rupture of the implant. It has been established that the MRI is the best method to find out if your implant is ruptured. When doing an MRI scan, you should not have metal objects Conclusion While the breast augmentation procedure with breast implants is becoming a procedure more and more sought after each month, there are still contraindications and precautions to take after the procedure in order to ensure your implants stay intact. The contraindications are not complications of the breast augmentation procedure, but things to be avoided after the surgery is performed in order to sustain positive results. Once again, we can’t stress enough on the fact that being informed is essential for any cosmetic surgery procedure. A patient who knows exactly what will happen before, during and after the procedure and who is fully aware of the evolution of the breast implants in time, is a patient who is ready and prepared for the surgery. Moreover, a patient must understand that the breast implants surgery results are not immediate, but it will take some time to develop and adjust to the new implants. In conclusion, you should be aware of all these precautions to prevent any complications, as well as to get the best-possible looking breasts you can achieve.