What is silicone implant breast augmentation? Physicians explain the mechanism, indications, and complications

Silicone implant breast augmentation is a breast augmentation procedure that inserts a silicone Implant (prosthesis) into the chest to create size and shape. Unlike methods using your own fat, it is characterized by the ease of achieving the targeted size clearly, and is one of the breast augmentation methods widely practiced in the world[1]Zettis Beauty Clinic offers such Treatments.

Where and what to insert? — Implant material and placement layer

The current standard filling is cohesive silicone gel with high viscosity. Design and material evaluation have advanced to prevent the contents from leaking even if the outer shell breaks, and biocompatibility testing has become systematized[2]The insertion layer options include under the mammary gland, under the fascia, and under the pectoralis major muscle, with the choice depending on the patient's breast tissue volume and body type. Patients with thinner tissue are more prone to visible contours and rippling, which is managed by combining the implant type with the appropriate placement layer.[1]。

Who is it suitable for? — When prioritizing size and reliability

It is ideal for those who want to add substantial volume in one procedure, those with little fat where fat transfer would be difficult to increase volume, and those who wish to correct asymmetry between the breasts.[1]On the other hand, since tissue changes due to pregnancy, nursing, and aging are possibilities that may occur in the future, it is realistic to plan with the expectation that replacement or revision surgery may be needed long-term.

Things to Know About Complications — Capsular Contracture, Rupture, and BIA-ALCL

The most common are capsular contracture (the membrane surrounding the Implant (prosthesis) becomes stiff and shrinks), Implant (prosthesis) rupture, displacement, and rippling, any of which can be a reason for revision surgery[3]The possibility of rupture or capsular contracture should be thoroughly discussed before surgery[1]As a rare complication, BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma), mainly associated with textured surface types, is known; it is reported to be noticed as breast swelling, lumps, or deformity approximately 9 years after insertion on average[4]In recent expert consensus, this is positioned not as "rare" but as a complication that is "infrequent but possible"[5]。

Not a one-time procedure — ongoing monitoring as a prerequisite

Once an Implant (prosthesis) is inserted, it cannot be used indefinitely as-is; this is a treatment that requires regular self-monitoring and follow-up appointments to observe its condition. Post-market surveillance also continuously evaluates long-term safety[6]The earlier abnormalities are detected, the more options are available for management. The final decision regarding suitability and Implant (prosthesis) selection will be made by a physician at Zettis Beauty Clinic after examining your breast condition.