Breast surgery · Patient information
Content owner: Dr. Zafer Atakan Practice · Nişantaşı, Istanbul · Updated: July 11, 2026
Breast augmentation is surgery that most often uses breast implants to increase breast volume and improve shape. Implant size is determined not only by the desired bra size but also by the chest wall, breast base, skin capacity and existing tissue.
What Is Breast Augmentation (Breast Implants)?
Implants differ in surface, shape, fill and profile. The incision site and whether the implant is placed above or below the muscle or in a dual plane are chosen according to tissue thickness, lifestyle and goals.
Breast implants should not be considered lifetime devices. Over time, reoperation may be required due to imaging findings, capsular contracture, rupture, changes in shape or patient preference.
The basis of personalized planning
| Planning 1 | The breast base, tissue thickness, skin elasticity, asymmetry and chest wall are measured. |
|---|---|
| Planning 2 | Breast imaging appropriate to age and risk, family history and pregnancy/breastfeeding plans are evaluated. |
| Planning 3 | The implant brand/model, surface, serial/lot information, warranty coverage and patient card are explained. |
| Planning 4 | The incision, placement plan, possible need for a lift and long-term follow-up are discussed. |
Who May Be a Candidate?
- Adults who want augmentation for naturally small breasts, volume loss or significant asymmetry
- People with suitable breast examination/imaging and general health suitable for surgery
- People who understand the need for long-term follow-up and possible replacement/removal of the implant
- People with a realistic volume goal who accept the safe limits of the skin
How Does the Process Work?
- The implant pocket is prepared in a safe anatomical plane through the chosen incision.
- After bleeding control and sterility are ensured, the implant is placed and symmetry is checked.
- Incisions are closed in layers; a bra, dressing and follow-up plan are provided.
Possible risks and complications
- Bleeding, infection, seroma, wound problems and anesthesia risks
- Capsular contracture, implant displacement, rippling and asymmetry
- Implant rupture/deflation, changes in sensation and the need for reoperation
- BIA-ALCL associated with the capsule around the implant and other very rare reported malignancies
- The need for additional imaging during breast screening
Recovery and follow-up
In the early period, tightness, pain, swelling and temporary changes in nipple sensation may occur. Arm movements, driving, and returning to work and sports are determined according to implant placement and healing. Newly developing one-sided swelling, hardness or persistent pain requires a check-up.
Results, scars and limitations of the method
The goal is a volume consistent with body proportions and tissue capacity; a definite bra size and perfect symmetry cannot be guaranteed. Routine breast screening continues after implants, and implant information should be given to the radiology team.
Alternatives and complementary options
In people with suitable donor fat, fat grafting can provide a more limited volume. If volume loss is accompanied by sagging, a lift may be considered on its own or together with an implant.
Frequently asked questions
Do breast implants last a lifetime?
There is no fixed year for replacement; however, implants are not lifetime devices and require clinical/imaging follow-up.
Do implants affect breastfeeding?
Many people can breastfeed; the incision, surgical technique and personal factors may have an effect. No guarantee can be given.
Which implant is better?
There is no single best implant. The choice is made based on tissue, goals, risk profile and current product information.
What is BIA-ALCL?
It is a rare type of lymphoma associated with the capsule around the implant, and it is not breast cancer. The risk varies according to factors including the implant surface and should be discussed during informed consent.
Before deciding: Breast imaging, pregnancy/breastfeeding plans and individual risks can change the choice of procedure; online information does not replace a definitive surgical plan.