Breast Augmentation

dr ko breast augmentation

Breast augmentation or augmentation mammoplasty (better known as ‘boob job’) is a surgical procedure to increase breast size. Breast size can be increased by:

  • Inserting implants under the breast tissue (subglandular) or chest muscles (submuscular)
  • Transferring fat from other parts of the body into the breasts (autologous fat transfer)
  • Injecting synthetic gel fillers e.g. hyaluronic acid

There are many reasons why you might need a breast augmentation. It may be for aesthetic or reconstructive purpose:

  • Enhance and improve your appearance if you think your breasts are small or there is asymmetry in your breasts size
  • Improve your self-confidence
  • Adjust for a reduction in breast size after pregnancy or significant weight loss
  • Breast reconstruction after mastectomy
  • Correction of tubular breast deformity
dr ko breast augmentation

Before you decide on which method, do consult a qualified and experienced plastic surgeon to discuss about:

  • Your expectation
  • Any pre-existing medical condition or known allergy
  • Any pre-existing breast problems or previous breast surgery
  • Which method is a better option
  • Details of the procedure and choice of anaesthesia
  • Risks and complications of procedure and recovery period

If you are choosing implant as your choice of breast augmentation, the current recommendation is to use a smooth surface silicone implant. This is because textured surface silicone implant has been associated with risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). Other risks include:

  • Infection
  • Breast pain
  • Changes in nipple and breast sensation
  • Scar tissue that distorts the shape of the breast implant (capsular contracture)
  • Implant position changes
  • Implant leakage or rupture

There are a few approaches to introducing the implants into the breasts:

  • Inframammary
  • Periareolar
  • Axilla
dr ko breast augmentation

The planes the breast implants are inserted into include:

dr ko breast augmentation

If you prefer autologous fat transfer to your breasts, the fat can be harvested via liposuction from the following areas:

  • Abdomen
  • Flank
  •  Inner thighs
  • Hips

The fats are then processed via centrifugation and injected with a cannula through keyhole incisions made on the inframammary folds. The amount of fat that can be injected depends on the amount of fat harvested and laxity of the breast skin envelope. You may need more than 1 session to achieve the desired breast size as some of the fat may be resorbed.

Some of the risks of this procedure include:

  • Infection
  • Calcification of fat
  • Necrotic fat cysts presenting as breast lumps

By Dr Kathleen Chang
Consultant Plastic Surgeon & Reconstructive surgeon
Ko Skin Specialist Centre.

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