Since having my breast augmentation and writing my blog, i have come across a lot of common misconceptions/ myths surrounding ‘boob jobs’. So i thought i would turn them into a blog post. This isn’t me saying they’re not valid questions… they are… but i do think a lot of people who circulate these myths/misconceptions don’t have any knowledge of breast augmentation, and i’ve found that its typically those who have no interest in getting a BA, or who are negative about cosmetic surgery that have the most to say.
1. Tear drop implants are the best for a natural look… rounds are fake looking and only people who want the ‘fake’ look get rounds….
Okay so… probably going to be the biggest explanation for this, and this one i’ll forgive because you would think that a teardrop implant (known medically as anatomical) would provide the most ‘natural’ look when getting implants. And in some cases this is true… but typically in cases where there is a lot of breast tissue to begin with, and i hear a lot of reconstructions are done with anatomicals. I think a lot of people hear ‘teardrop’ and think that means the implant will be like an actual teardrop shape from the front… like this…
when in actual fact i would say ‘teardrop’ refers more to the profile/projection of the implant. What i mean by this is that the actual implant has a flat base and the projection resembles a tear drop… more volume at the bottom of the implant, less at the top, like this…
In someone with little breast tissue to begin with, like myself, a teardrop implant would not be ideal. The reason for this is that with little breast tissue to cover it, the top of the implant with less volume would look flat and it would give me lower pole fullness but no upper pole. A lot of people think round implants mean they’re going to stick out and give you a ridge at the top of your breast… this is simply not true. When you hold the top of a round implant the volume increases at the base, whilst still maintaining some upper pole fullness… it actually resembles a more tear drop shape when positioned this way, which is how it is positioned in your breast. I will try and get hold of an implant to show you exactly what i mean, but hopefully you understand.
2. Implants come in cup sizes.
I feel like i’ve really beaten the drum with regards to this haha but i just can’t stress it enough. You do not choose your implant size based on cup size. Repeat after me… implants don’t come in cup sizes… seriously this is probably my biggest pet peeve, and i know it’s not most peoples fault, if you don’t have any BA knowledge you’d think they would come in cup sizes, but cup sizes don’t equate to implant sizes. For example i am a 30FF with 375cc implants, but someone with 375cc implants might be a 34D or a 32D, it depends on your body, band size, height, weight… there are literally so many factors to your cup size… and different bra manufacturers do different sizing so you may be a 30FF in one shop and a 32E in another. Implants come in CCs and you should try and get it into your head when going for a consultation that you want a certain ‘look’ as opposed to a certain cup size.
3. ‘You have to have your nipples cut off and stitched back on’
Another one that i get allllll the time is ‘don’t you have to have your nipples cut off and stitched back on, isn’t that how they put the implant in?’. There are 3 types of incision for silicone implants, 4 for saline (i’ll do a separate post on this). Nipple/ Periareolar incisions are not the only choice, and there are different incisions available, mostly your incision placing will be based on what type of surgery you’re having, eg implants and areolar reduction or certain types of breast lift involve periareolar incisions, but it can also be dependent on your surgeons training. Nipple incisions can make it more difficult to breast feed… which leads me onto my next misconception/myth…
4. You can’t breast feed with breast implants
This one makes me want to bang my head against a wall and i get this the most out of everything. ‘You’re never going to be able to breastfeed’ ‘women with breast implants can’t breast feed you know’ ‘i take it you don’t want to breastfeed then if you got implants’… deep breath… HAVING BREAST IMPLANTS DOES NOT MEAN YOU CANT BREASTFEED. As i mentioned in point 3… certain incision types, ie periareolar incisions, do heighten the risk of difficulty when breast feeding later on in life, and you may want to consider another form of incision or a lactation specialist if you have this kind of incision and want to breast feed… but it doesn’t mean to say if you do have this type of incision or breast implants in general that breast feeding is impossible. Breast augmentations do not involve the milk ducts, there is a greater risk of damage to the milk ducts with periareolar incisions because they involve cutting around the nipple, but inframammory (crease), transumbilical (belly button) and transaxillary (armpit) incisions have little risk and most women have no problems breast feeding after their BA.
5. If you’re young you don’t need an uplift.
Okay, you’re age literally has nothing to do with your need for a Breast Uplift with your implants. Nothing, at all. True uplifts are usually carried out on older women, but not solely. You could be 23 and go for your consultation and be told you need an uplift as well as implants. Natural breast tissues sags. It’s life… i don’t know what us women ever did to gravity to deserve it but it’s life. People with more breast tissue than others will be more susceptible to this sagging, people who have lost weight may see a decrease in breast size, and a ‘sagging’. People who have had children and breast fed will likely see some sagging. And that’s what determines your need for an uplift. You could have B cup breasts naturally that are a little on the saggy side, and you may need an uplift when you have your implants otherwise without an uplift and removing the excess ‘saggy’ skin, the breasts are just going to ‘sag’ even more with the increased weight. (The word sag/saggy is starting to loose all meaning now)
6. You have to have them redone every ten years.
Probably the second most common myth/misconception and, after the breast feeding comments, the one i get the second most. You do not need to get your implants changed every ten years. Heck you don’t even have to get them changed after 20 years if there’s nothing wrong with them. The only reason you would need to change your implants/ have them redone, is if the implant fails or there is a problem. Mostly the only reason people change their implants after time is if they want to go bigger.
7. Breast implants are made with mattress fluid/ dodgy silicone and if they leak you can die.
No. No. No… just… No. You get some cases of implants containing ‘mattress fluid’ and being dangerous and now everyone thinks all implants are contaminated. Not the case. Breast implants have to be FDA approved, this means ‘The U.S. Food and Drug Administration (FDA) examines, tests, and approves a wide range of items for medical use, including drugs and medical appliances. In the simplest terms, “FDA approval” means that the FDA has decided the benefits of theapproved item outweigh the potential risks for the item’s planned use.’ If they aren’t, don’t go there… seriously, there are more than enough implant brands out there who are FDA approved for you to not need to go for ones that aren’t. Implants can ‘leak’ they can rupture. But most implants are designed so that if they do rupture it is ‘safe’. Saline implants are the most common to rupture/leak/burst, however the saline is usually absorbed into the body with no problems. You can notice a saline leak usually straight away because the implant will deflate and your breast will change shape and size. You should still have this sorted as soon as possible even though usually it is not harmful. Silicone implants that rupture tend to go unnoticed as there is usually no change to the shape or size of the breast, but again, there is usually no real danger when this does happen. Your implant sits in a pocket/capsule which is surrounded by scar tissue, and usually when a silicone implant ruptures the silicone will stay in this pocket. In some cases you may experience some pain/swelling or changes in the feel of the breast, eg the ruptured breast may feel harder than the intact implant. Usually if there are no symptoms, people adopt a ‘lets see how it goes’ approach, but others may decided they want the ruptured implant removed and replaced straight away, but again… there is no real danger, unless the silicone manages to escape the pocket/capsule. But that’s another post.
So there you have it, what i think are the 7 main misconceptions/myths that i personally encounter on a regular basis, surrounding breast augmentation.
Please do remember i am not a medical professional, and i don’t claim to be, these are my personal views/opinions. A lot of what i know i have gained from extensive research on breast implants and breast augmentations, but you should always consult the advice of a medical professional over me.
Hopefully this post wasn’t too long and wordy, but i do think it’s important stuff that i’ve covered! Let me know if you have any questions or if there are any blog posts you would like to see, you can get me on my usual contacts:
firstname.lastname@example.org or @boobjobjourney on twitter.
Alternatively you can contact me via the ‘contact me’ form on my ‘contact me’ page!
As always, love you all and thanks for reading!