Introduction The internet is flowing with all sorts of information about the breast implants. Some of this information is false or contradictory. The subject of silicone implants one of the most debated in the world of plastic surgery. There are plenty of questions and myths related to it. We always emphasize the need to gather information from specialized and trustworthy sources. Otherwise patients may find themselves in the position of not knowing what and who to believe. This is why we decided to discuss five of the most common myths about silicone implants. If the breast implant is big enough there is no need for a breast lifting. In many cases, the silicone implant is placed under the pectoral muscle. Breast ptosis is caused by the sagging of the mammary tissues which include the mammary gland, fat tissue, and skin. When the silicone implant is introduced under the muscle, it will stay relatively fixed on the thorax, while the rest of the mammary tissue will come over it. The sagging skin and tissues will still be saggy and the ptosis might visible after introducing a big silicone implant. In time, the sagging can become more evident, and may even create the unwanted aspect of a “double bubble.” This is when the muscle with the implant will show as a projection on the thorax, and the original mammary tissue that will sag over the breast implant will show as the second projection. If you are seeking positive results after the silicone implant surgery, the excess skin and tissue will be need to be removed, thereby correcting the mammary ptosis. We see patients who believe that sagging breasts can only be corrected with a big implant. It is important to be aware that mastopexy, the breast lifting surgery, is an intervention on its own. It can solve ptosis without the need for implants. In addition, big breast implants cause thmost complications after the breast augmentation procedure. They can contribute to neck and back pain, post-operative opening of the wound, scars that lack an aesthetic appearance, and a rippling effect. Silicone implant surgery can be performed by laser. Any type of implant intervention will be performed with a scalpel. Currently, there is no breast augmentation procedure with silicone implants that can be performed without having the need to section the tissues in order to place the implant. When considering an important surgery such as the breast augmentation with silicone implants, the patient needs to know that there will be permanent scars after the procedure. There is no way to avoid having scars after implants surgery, and performing this procedure with a laser is impossible. However, scars are hidden in the folds of the body, and in most cases, follow the natural lines. If there are no complications or delayed wound healing issues, the scars will barely be visible. There are personalized silicone implants that can be ordered made to one’s specific measurements. Each breast augmentation procedure with implants is unique. The results differ from patient to patient and depend on a wide variety of factors. No two patients look identical, as there are no two breasts that are identical. There is no such thing as personalized silicone implants. However, the important silicone implant manufacturers offer high quality silicone implants in an impressive range of sizes, volumes, and shapes. Every woman will be able to find something to suit her needs. Silicone implants have a lifetime warranty. Breast implants have a limited life span and warranty. In most cases, they are guaranteed up to 10 or even 15 years. After this period of time, it is recommended that the patient replace them. While there are patients who won’t ever need to have a revision of the breast implants, others will have to change them as per the manufacturer’s recommendation. Failure to do so may result in post-operative complications such as capsular contracture, rippling, or rupture of the implants. You can’t fly if you have silicone implants. We had patients concerned about being able to fly in an airplane after the breast augmentation with implants surgery. Traveling by plane has no connection to the potential rupture or leakage of the silicone implant. The planes are pressurized. There is nothing different in the atmosphere and air in the plane than the air we breathe each day. Conclusion While there will always be false or misleading information to be found online about medical topics, it is important for the patient to be informed about the procedure. We believe in research and in the patient’s need to be informed about all the details before making a decision. This is why we recommend setting up an appointment with the surgeon to discuss all the facts about the breast augmentation with silicone implants procedure. After an extended analysis of the patient’s medical history and present anatomy, the size, shape, and type of the implant should be chosen together with the doctor. This is the only way to ensure a satisfying result for after the surgery. Allowing your doctor to come with suggestions about the size and shape of the implant can improve your experience on many levels. Remember that there are no two bodies alike, and what worked well for your friend might not be the best choice for you.