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Breast Surgery · Planning

Breast Implant Selection Guide

Choosing an implant is a three-dimensional planning process—not a choice based on cup size or volume alone.

At a glance

AnaesthesiaDepends on the selected procedure
Hospital stayDay case or 1 night
Typical operating time1–2 hours
Initial downtimeAbout 7–14 days
CostIndividual plan — request consultation

These are general estimates; the final plan depends on examination and the procedures combined.

Choosing an implant is a three-dimensional planning process—not a choice based on cup size or volume alone.

What the assessment considers

  • Chest-wall shape and breast-base width
  • Existing breast tissue, skin thickness and elasticity
  • Asymmetry, nipple position and inframammary-fold level
  • Desired upper-pole fullness, projection and overall proportion

How the plan may be built

  • Volume, base diameter and projection are considered together
  • Implant shape, fill, surface and pocket are selected for the individual anatomy
  • A lift may be more appropriate than a larger implant when skin excess or ptosis is present
  • Sizers or imaging can support discussion but cannot guarantee a result

Above the muscle, below the muscle or dual plane

A subglandular pocket places the implant above the pectoral muscle and may offer a shorter recovery, but implant edges or rippling may be more visible when tissue cover is thin. Subpectoral or dual-plane placement provides additional upper-pole cover, yet can involve more early discomfort and animation change. Tissue thickness, fold position, activity, breast shape and the need for a lift guide the choice.

Round, anatomical and tall oval implants

Round implants distribute volume symmetrically and their effect changes with profile and gel characteristics. Anatomical implants distribute volume unevenly; a taller oval or elongated footprint may sometimes suit a long chest, a large clavicle-to-breast distance or a deflated, ptotic envelope. Shape alone cannot correct sagging, a constricted base or a misplaced fold, and shaped implants introduce issues such as rotation and product-specific surface considerations.

A three-dimensional decision

Volume in cubic centimetres is only one variable. Base width, height, projection, gel, pocket and the patient's own tissue form one system. Oversizing can increase visibility, palpability, tissue stretch and later reoperation; sizers and imaging support communication but do not predict an exact result.

Who may be a candidate?

Suitable candidates are generally healthy, have realistic goals and understand the scars, trade-offs and possibility of revision. Smoking, unstable weight, uncontrolled illness, anaemia and future pregnancy plans may change timing or technique.

Recovery and safety

Recovery depends on the extent of surgery and whether procedures are combined. Swelling, bruising, temporary tightness and scars are expected to varying degrees. The plan should include thrombosis prevention, wound care, activity limits and a clear follow-up schedule. Combining more procedures is not automatically better; staging may be safer in selected patients.

Important

This page provides general information. The appropriate operation, staging and implant choice can only be determined after an examination.

Frequently Asked Questions

Can several procedures be performed together?
Sometimes, but the decision depends on operating time, medical risk, recovery support and the procedures involved. A staged plan may be recommended.
Are results permanent?
Results can be long lasting, but ageing, pregnancy and weight change continue to affect skin and soft tissue. No operation can stop these processes.

Medical references

Request a private consultation

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