Breast Augmentation: Complete Guide for 2025

What is breast augmentation?

Direct answer: Breast augmentation is a plastic surgery that uses silicone implants to increase breast volume and improve their shape. It is performed in a hospital setting, under general anesthesia, lasting an average of 1 to 2 hours.

It is one of the most performed plastic surgeries in Brazil and worldwide. The procedure involves individualized implant planning, choice of access incision, and placement plane (subglandular, submuscular, or dual plane).

Dr. Fernando Amato explains: "Breast augmentation is much more than simply placing an implant. It is a detailed planning that considers each patient's anatomy, their expectations, and their lifestyle."

How to choose the ideal implant size?

Direct answer: The ideal size is defined by chest width, skin quality, height, body proportions, and the patient's lifestyle — not just by the desired volume in milliliters.

• Chest width: the implant base must be compatible with chest width
• Skin quality: more elastic skin accommodates larger volumes
• Lifestyle: very active women may prefer moderate volumes
• Expectations: the result should be harmonious with the body

What are the types of incisions?

Direct answer: There are three main access incisions: inframammary, periareolar, and axillary. The inframammary is the most used as it offers better surgical control and a discreet scar.

1. Inframammary: better visualization of the pocket, lower risk of complications
2. Periareolar: scar camouflaged at the color transition of the areola
3. Axillary: no scar on the breast, but with a steeper learning curve

What is the post-operative recovery like?

Direct answer: Recovery takes about 30 days for resuming normal activities and 3 months for the result to approach its definitive state.

• First 7 days: rest, surgical bra, avoid raising arms
• 2 to 4 weeks: gradual return to light activities
• 4 to 6 weeks: clearance for low-impact exercises
• 3 months: result closer to definitive

Does breast augmentation hurt?

Direct answer: Discomfort is moderate and controllable with medication. Most patients describe a sensation of heaviness and pressure in the chest for the first 3 to 5 days, rather than intense pain.

With multimodal analgesia protocols and long-acting anesthetic infiltration, post-operative recovery is increasingly comfortable.

When can I return to work?

Direct answer: Office work can be resumed in 7 to 10 days. Jobs requiring physical exertion require 30 days off.

Frequently asked questions

How much does breast augmentation cost in São Paulo?

The cost varies according to the technique, type of implant, and hospital. During the consultation, we provide a detailed quote after individualized evaluation.

What is the best silicone implant size?

There is no universal size. The ideal is determined by chest width, skin quality, height, and body proportions. I use 3D simulators to help with the choice.

Can a silicone implant rupture?

Modern implants are extremely safe. In the rare event of a rupture, the cohesive gel does not spread. I recommend annual ultrasound for integrity monitoring.