What It Is

Breast augmentation with implants is a cosmetic surgical procedure that enhances the size, shape, and projection of the breasts using silicone or saline implants. It is one of the most commonly performed plastic surgeries worldwide and in Korea, sought after for both aesthetic enhancement and reconstructive purposes (e.g., after mastectomy).

In Korea, the procedure is performed by highly trained plastic surgeons who specialize in natural-looking results, minimal scarring, and advanced implant technology. Options include different implant shapes (round or anatomical/teardrop), textures (smooth or microtextured), and placements (under or over the muscle).

Why It’s Done

Patients undergo breast augmentation because:

• They want to enhance naturally small breasts.
• They wish to restore breast volume after pregnancy, breastfeeding, or weight loss.
• They seek correction for asymmetry or congenital breast underdevelopment.
• They want to regain confidence after breast cancer surgery or trauma.

Good candidates include:

• Adults with fully developed breasts.
• Women in good overall health.
• Patients with realistic expectations about size and outcome.

Alternatives

• Fat grafting (lipofilling): Uses the patient’s own fat for augmentation, but volume increase is limited compared to implants.
• External prostheses: Non-surgical option for temporary or reversible enhancement.
• No intervention: For those satisfied with natural size but seeking supportive bras or padding.

Preparation

Before breast augmentation in Korea, patients will:

• Have a consultation including 3D imaging to simulate expected results.
• Choose implant type, size, and placement with their surgeon’s guidance.
• Undergo blood tests and general health evaluation.
• Stop smoking and alcohol 2–4 weeks before surgery.
• Avoid blood-thinning medications and supplements.

How It’s Done

• Anesthesia: General anesthesia is used.
• Incisions: Commonly made in the inframammary fold (under the breast), periareolar (around the nipple), or transaxillary (under the armpit).
• Implant placement:
  • Subglandular (above the muscle) for shorter recovery and more cleavage.
  • Submuscular (under the chest muscle) for more natural results and less implant visibility.
• Closure: Sutures are placed, and dressings applied.
• Duration: 1–2 hours, usually outpatient.

Recovery

• First week: Swelling, bruising, and tightness are common; pain medication is provided.
• Support bra: Worn for several weeks to aid healing and implant positioning.
• Return to activities: Light activities after 5–7 days; strenuous exercise avoided for 4–6 weeks.
• Final results: Breasts settle into a natural position within 2–3 months.

Possible Complications

• Capsular contracture (scar tissue hardening around the implant).
• Implant rupture or leakage.
• Infection or delayed wound healing.
• Changes in nipple sensation.
• Need for revision surgery in the future.

Treatment Options in Korea

Diagnosis

Korean surgeons use 3D simulation software, breast measurements, and imaging (ultrasound or MRI if necessary) to plan implant type and placement.

Medical Treatments

• Non-surgical options (fat grafting, external prosthetics) for patients who prefer alternatives.

Surgical or Advanced Therapies

• Silicone implants (most popular in Korea) for natural feel.
• Saline implants as an option for patients preferring adjustable size.
• Microtextured implants to reduce complications.
• Hybrid augmentation (implant + fat grafting) for refined results.

Rehabilitation and Support

• Postoperative scar care with silicone sheets or laser therapy.
• Regular follow-ups with imaging to monitor implant condition.
• Patient education on long-term implant maintenance and replacement if needed.
• International patients benefit from Korea’s advanced implant technology, cosmetic artistry, and comprehensive aftercare programs.