Breast Augmentation with Silicone Implant


Also referred to as an augmentation mammoplasty or breast implant surgery, a breast augmentation is a common aesthetic procedure among females across the world. The purpose of breast augmentation is to enhance the size and shape of breasts using silicone gel implants for achieving the beautifully defined breasts. This procedure can as well improve breast asymmetry, mild breast ptosis (mild sagging) and undefined cleavage.      


Typically, breast augmentation candidates come up with one of the following issues:

  • Small breast size
  • Asymmetric breasts
  • Mild breast ptosis (Breast sagging)
  • Undefined cleavage
  • Feeling unsatisfied with the original breast sizes

These may cause some women to lose their self-esteem and self-image. Breast augmentation surgery can be a good option to help women boost up confidence with the desired results.


There are four approaches to incision site of a breast augmentation with implant: 

1.    Inframammary fold incision

The inframammary fold incision is ideal for candidates who desire to conceal post-op wounds under inframammary creases. Using this approach, WIH surgeons can create tiny wounds hidden completely in inframammary creases. The benefits of this incision include a clear view inside the pockets which promote precision during the operation, decreased bruising and swelling, and fast recovery.  

2.    Transaxillary incision

Standard technique

The transaxillary or armpit incision is ideal for candidates who desire to hide post-op wounds in armpit folds without wound scarring on the chest. 

The drawback of this incision is a limited view inside pockets. It is recommended to entrust your breast augmentation to experienced board-certified plastic surgeons, so the best possible results can be achieved by using this approach. 

Endoscopic-assisted technique

The utilization of endoscope enables surgeons to perform transaxillary incisions clearly and precisely. This technique elevates quality of life by offering smaller wound size, less pain as well as faster recovery.

3.    Lower-areolar incision

The lower-areolar incision is ideal for candidates who do not desire to have post-op wounds in armpit folds or under inframammary creases. The surgeons can perform the technique to conceal wound scarring in the lower edges of areolae (barely noticeable when healed properly).  


WIH surgeons opt for 2 brands of the world's best high-standard silicone gel implants, including: 

1.    Mentor implant 

Mentor offers 2 standard options: smooth surface and textured surface

The smooth surface offers a softer silicone shell, delivering a more natural feeling when touched. However, it is more likely to have a higher capsular contracture rate than the textured surface

Mentor implants provide 2 shapes: round shape and teardrop shape. For candidates who desire softer breasts than the standard options, Mentor also offers Extra Gel which is the latest technology that can also help reduce the chance of rippling.    

2.    Motiva implant 

Motiva Implant has also become one of the world’s most popular implant brands due to the latest yet state-of-the-art silicone gel implant invention that delivers soft feeling like natural breasts and helps reduce the rate of capsular contracture effectively due to its Silk Surface design. The Silk Surface is micro-nano textured, which is safe and long-lasting.

Motiva offers 2 options: round shape and Ergonomix which is the latest innovation, providing natural movement when lying and anatomical shape when sitting or standing, considered closest to natural breasts nowadays.


Type of Anesthesia:   General anesthesia for patient’s utmost safety

Operation Time:         2 hours 

Length of Stay:          2 days 1 night


  1. After surgery, drainage tubes will technically help reduce post-op swelling.
  2. The compression garment is wrapped to reduce swelling as well as keep the implants in place.
  3. The compression garment will be removed day 3 after surgery. After that, a medical support bra is advised to wear in order to support the shape of the new breasts.
  4. When sleeping, keep your head elevated with 2 – 3 pillows as an incliner to help reduce post-op swelling.
  5. The stitches will be removed 7 – 10 days after surgery.
  6. Take medicines as prescribed by the doctor.
  7. Avoid strenuous activity or exercise as well as lifting heavy stuff for at least 2 - 3 months.


    1.    Which placement of breast augmentation is ideal for me? 

There are 2 placements for implant insertion: 1. subglandular placement and 2. submuscular (or subpectoral) placement.

Subglandular placement: the implant is inserted just over the pectoralis major muscle. It offers less pain and faster recovery than the submuscular placement. Subglandular placement is ideal for candidates with sufficient breast tissues. However, it has been reported with a higher rate of capsular contracture than the submuscular placement.

Submuscular or subpectoral placement: the implant is inserted under the pectoralis major muscle. This placement helps reduce a rate of capsular contracture and offers more natural touching than subglandular placement. This placement is ideal for candidates who have the small size of breast tissues to achieve a more natural result.

    2.    How to choose the right size of breast silicone implant?

The selection of the perfect breast silicone implant size depends on the concept of each individual. like whether you need drastic or minimal changes to most answer your unique lifestyle. Meanwhile, surgeons will advise how to select the size of silicone implant by based on the meticulous assessment of original breast tissues, ratio of the chest and shoulders together with your expectation to achieve the most ideal size for each individual.

    3.    Is breast augmentation surgery ideal for mild breast ptosis (mild sagging)?

For patients who have mild breast ptosis (mild breast sagging), breast augmentation surgery can improve firmness to some extent. However, if patients have moderate to high breast sagging, surgeons may recommend to have a breast lift together with a breast augmentation with silicone implant (also regarded as a breast augmentation lift).  

    4.    What is breast augmentation dual plane technique?

The breast augmentation dual plane technique (Partial muscular placement) is an advanced surgical technique for submuscular placement where the upper part of the implant is covered by chest muscle and its lower part by pure glandular tissue.

The benefit of this technique is offering a more natural movement to the implant without chest muscular contraction as you raise your arms, resulting in natural-looking results and more fullness of the upper pole as well as help reverse the sign of mild breast sagging (mild breast ptosis).

    5.    Can breast implants cause cancer?

Undergoing a breast implant doesn’t cause cancer. However, nowadays it has been reported with correlation to the chance of ALCL (Anaplastic Large Cell Lymphoma) in patients using textured surface implants. So, it is recommended to use smooth surface implants instead.

    6.    Can I breastfeed after a breast implant?

Augmentation with silicone implants doesn’t damage breast tissues, so you still can breastfeed after a breast implant.