Introduction Nowadays it is easier than ever to enhance features of the body with the help of plastic surgery. Moreover, the procedures are affordable and available for patients from different walks of life and have fewer risks and complications than in the past. The development of modern medicine has taken plastic surgery to the next level, also in terms of the results that can be achieved with breast implant surgery. If up until a decade ago, getting implants mostly meant getting fake-looking breasts, now it is more about getting results so natural that people will never suspect your breasts came from the talented hands of a plastic surgeon. The experience and talent of the plastic surgeon are important when considering enhancing your breasts with plastic surgery. Not only because he performs the procedure, but also because he will be the one advising you and making sure the healing process goes according to plan. In this article, we will discuss breast implant surgery and whether it is worth getting breast implants in your 20s. Breast augmentation with implants When it comes to increasing the size of the breasts, there are only two methods available nowadays that can really make a difference. One is the breast implant surgery, and the other is fat transfer. Using fat transfer, patients can achieve an augmentation of no more than a bra cup, which often is not enough for most patients. A more considerable increase in the size of the breasts can only be achieved by using implants. Breast implants are medical devices that have been checked and approved by the FDA in the United States after going through a lot of controversy over the last few decades. Implants have been used for breast augmentation purposes for over sixty years now. They are not new, and they are not something we experiment on. Now we are using the fifth generation of breast implants which are safer and associated with fewer complications than past generations. Moreover, these implants won’t leak in case of implant rupture as their consistency is similar to the gummy bears we eat. Because of this, the implants are also called gummy bears and provide the best possible results. You should know that breast implants are used not only for breast augmentation surgery, but they can also be recommended during a breast lift and even a breast reduction. When we use implants of a high quality, we can control the shape of the breasts and accomplish the patient’s aesthetic goals. Breast implants are made out of silicone gel or saline solution and come in different shapes, surface texture, and volumes. The most suitable type of breast implants to be used for your particular case will be determined by the plastic surgeon during the pre-operative consultation and after extensive measurements. Keep in mind that getting implants that are too big for your anatomy can trigger complications and discomforts and potentially the need for a revision surgery to remove and replace the implants. Getting breast implants in your 20s Breast augmentation surgery can be performed on patients of different ages. When breast implants made out of silicone are used, the recommendation is to schedule the procedure after the patient has turned 21 years old, while saline solution implants can be used on patients who are at least 18 years old. Does this mean that you should jump on the operating table and get the implants as soon as the law allows it? A responsible and experienced plastic surgeon will tell you that this is not always recommended. Breast implant surgery has different aspects that need to be well-known and discussed before scheduling the procedure very early in life. Here are some things to keep in mind and discuss with the plastic surgeon: – Lifespan of breast implants When getting breast implants in your 20s, you should know that the lifespan of these implants is ten to fifteen years. This means that you will need to remove and replace your implants at least once, but more likely more than once in your life. This means that you will need to make a budget for other procedures and keep in touch with the plastic surgeon. Also, the inframammary incision is often preferred for patients who are very young as this is the only type of incision that could be used again for another procedure. The periareolar incision can only be used once, and the same is valid for the transaxillary incision as well. – Complications that might require revision surgery When getting breast implants at an early age, you should be aware of the complications that might occur and determine the need for revision surgery such as capsular contracture, unsatisfactory results, and the rupture and leaking of the implants. The incidence rate to develop a complication after getting breast implants is low and young patients have the benefit of age and health on their side; however, you should be aware of the risks and complications of the procedure. – Getting pregnant after breast implants One of the factors that can have a considerable impact on the aesthetics of the breasts is weight fluctuations and pregnancy. This means that if a pregnancy occurs after getting breast implants, chances are the results of your procedure will be altered and you might need a revision surgery. Pregnancy affects the breasts in different ways, but more commonly, patients notice that their breasts start to sag after breastfeeding. This means that even if the implants are good, the patient might need to undergo a breast lift to correct the imperfections left behind after the pregnancy. Also, the sagginess of the breasts can also occur if massive weight loss occurs suddenly. For most patients with implants, breastfeeding won’t be a problem, especially if the transaxillary or inframammary incisions were used to insert the implants. – Effect of the natural aging process on breast implants The results of breast augmentation surgery won’t last forever, and this is something that young patients need to remember as it can be rather disappointing to notice that the breasts will start sagging in time, just like breasts without implants. Breast ptosis is a natural phenomenon that affects all women sooner or later in their lives. However, studies show that women with overly large breasts tend to develop this condition earlier in life compared to women with smaller breasts. If you are getting breast implants in your 20s and they are rather large, chances are you might need a breast lift later on in your life. Of course, the volume of your breasts won’t be affected by the passing of time and aging, but their shape and position on the chest wall will be. Conclusion There are multiple pros and cons to undergoing a breast augmentation with implants early in life. The procedure can provide emotional comfort and relief from emotional pain. Patients often notice an incredible boost of self-esteem and confidence following getting bigger breasts, and this might be a good reason to undergo the procedure early in life. Keep in mind that silicone implants can be used on patients over 21 years and saline solution implants are a suitable option after the patient is 18 years old. The implants can be used early in the patient’s life if the procedure has a restorative purpose or is performed to correct the effects of breast cancer or other breast-related trauma. Breast implants will need to be removed and replaced later on as their lifespan is ten to fifteen years. This means that the patient will probably have at least one more breast surgery later on in her life. Also, there are complications associated with getting breast implants, and young patients should carefully weigh in the pros and cons before making the decision to go forward with the procedure.