The Art and Science of Breast Augmentation

Breast augmentation surgery increases or restores breast size using silicone gel implants, saline implants or in some cases, fat transfer. One of the most popular and frequently performed aesthetic surgery procedures

In fact, the most indicated women who gets a breast augmentation are:

  • If they wish your clothes fit better.
  • When pregnancy, weight loss or aging has affected the size and shape of your breasts.
  • Need of reconstruction after breast cancer surgery or trauma, to correct developmental defects, or to correct or improve the results of a previous surgery.
  • When pregnancy, weight loss or aging has affected the size and shape of your breasts.

Women who are Not Indicated for breast implants

  • With Pre-existing pathology in the site of implantation
  • Breast cancer in progression
  • General or local infectious condition
  • Pregnancy or breast-feeding in progress
  • History of autoimmune disease
  • Repeated unsuccessful implantation of the same kind of implants
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Should You Be Worried Getting a Breast Augmentation?

9 out of 10 augmentations are flawless and the ones that aren’t are almost always able to be revised. But of course, like anything, you can find plenty of horror stories online with a quick Google search.

Truth be told, if you were not fearful of surgery, you probably would not be normal. Everyone is a bit nervous about surgery. Having a good relationship with your doctor and his staff will hopefully alleviate some of this anxiety.

Breast Size Selection

One of the most stressful experiences women feel while preparing for breast augmentation is selecting the size of breast implants to be used. This feeling is understandable, as implant shape and size will determine the look you have for years to come.

The size and aesthetics you wish to achieve with your breast augmentation are very personal choices and are up to you. However, many issues should be considered in determining your size. Such as:

  • Do I want my breasts to look natural; a little augmented; or obviously augmented?
  • How will my breast implants affect my lifestyle, such as athletic activities?
  • How will my breast implants affect available bra and clothing choices?
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  • How will my breast implants affect the health and aging of my breasts?
  • Will my breast implants put me at high risk for having visible implant ripples?
  • Will my breast implants put me at high risk for needing a breast lift later in life?
  • Will my breast implants affect posture and lead to back and shoulder pain, such as can occur in women with very large, natural breasts?
  • Will the size I am choosing now be desirable for me 10 or 20 years from now?

Average Size Chosen

The average size implant used is about 330 cc. Larger sizes are certainly used, but typically do not exceed 450 cc.


Rules when it comes to shape and type of breast implants:

This is always a not so easy to answer question. Because simply the question of shape will go right back at you by your surgeon asking, what shape do you feel is most appealing? If you are someone who wants to look as natural as possible, the shaped (tear drop) implant is likely the better fit. However, if you like upper breast fullness, then round implants will achieve this for you. Surgeons typically have their patients bring pictures of people’s breasts that they find attractive and use these as references. This makes the communication much easier. To avoid going too technical with names and types..etc.

Is it better to get silicone or saline implants? 

Always remember that the choice between saline or silicone should be your decision, not your surgeon’s. However the surgeon is required to provide the features of each and pros and cons. breast implant options: smooth, textured, round, and anatomical (teardrop shaped).

Silicone versus saline, general considerations.

  • ALL implants can ripple. Silicone implants tend to be less noticeable than saline
  • The breast tissue needs to hide the implant for a “natural” look. Choosing to go over or under the muscle is typically based on the amount of breast tissue you have.

  • Incision placement is a very personal decision, but has some impact on postoperative concerns such as capsular contracture rates. Periareolar (under the nipple) or inframammary (lower pole of the breast). However, the later incision provides excellent visualization of the implant pocket and avoids any gland dissection.

  • Implant monitoring. The FDA recommends an MRI at 3 years, and every 2 years following to identify any ruptures or leaks in these implants. This may or may not be covered by your insurance company. Saline implants do not require any monitoring as a rupture becomes obvious due to deflation of the implant.

How much safe is breast implants?

Although breast implants are approved by the FDA as being considered generally safe. Although it’s very crucial to Keep in mind that your doctor may have a strong recommendation for one type of breast implant over another. Certain things, like your body type or the current size of your breasts, might make one type of implant better & safer for you. To avoid any future complications. Many women are still concerned about long-term health risks, research has generally not found an association between breast implants and serious disease. Perhaps the most important thing is to develop realistic expectations. Find a doctor you really trust and talk frankly and openly. Make sure that you understand the risks of breast implants. Make sure you understand the best and worst case scenarios. The more you know, the more confident you’ll feel in your decision.

Vital factors to consider when thinking about safety.

ProsYour doctor should be board-certified. The most prestigious certification in Asia and specifically Malaysia comes from ‘Malaysian Association of Plastic, Aesthetic, and Craniomaxillofacial Surgeons (MAPACS). The official national examining board for professional plastic surgeons, whose members are qualified to perform reconstructive and plastic surgery, as well as aesthetic or cosmetic surgery

ProsThe anesthesiologist- any surgical procedure will require an anesthesiologist (an anesthesiologist is an M.D., whereas an anesthetist is not).

ProsThe procedure should take place in an accredited facility.



Your Initial Consultation Appointment

During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your surgeon will evaluate you as a candidate for breast augmentation and clarify what a breast augmentation can do for you. Understanding your goals and medical condition, both alternative and additional treatments may be considered.

You should come to the consultation prepared to discuss your complete medical history. This will include information about:

  • Previous surgeries
  • Past and present medical conditions
  • Allergies and current medications
  • Medical treatments you have received
  • Medications you currently take
  • Family history of breast cancer
  • Current mammogram results

Your plastic surgeon will examine, measure and photograph your breasts for your medical record. Your surgeon will consider:

  • The current size and shape of your breasts.
  • The breast size and shape that you desire.
  • The quality and quantity of your breast tissue.
  • The quality of your skin.
  • The placement of your nipples and areolas.
  • If your breasts are sagging, a breast lift may be recommended in conjunction with breast augmentation.
  • If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. The surgeon may recommend that you stabilize your weight before undergoing surgery.


Most patients report little to no pain in the evening following surgery, and perhaps some mild discomfort on Postop next day. Patients can resume all normal, non-strenuous activities of daily living immediately after surgery.

Postoperative Care

It is a full eight weeks before patients are allowed to return to activities that require forceful, repetitive, sustained pec major contraction – such as pushups and heavy weight lifting. But strictly, there is no heavy lifting over 5-10 lbs for first 4 weeks after surgery. So mom with toddlers often need help in this period and instructed to not carry the child.  It is important to ensure that the breasts are well supported in snug fitting sports bra (or two) when returning to impact exercise such as running or aerobics.

Breast Augmentation Cost in Malaysia

Many patients come all the way from France, Spain, USA, UK and Australia for breast implants in Malaysia. There are several reasons behind there travel but the major ones are high quality, low price and they get to have fun during their stay. Usually the cost starts from 4000 USD covering transportation, accommodation and ofcourse surgeon and medical facility fees. You can directly contact our iCARE team to help you out with more information regarding the next step. Meanwhile, you can also check an indication of the price range and what does it covers in more details.

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