Types of Breast Augmentation
The most suitable approach depends on your anatomy, desired volume, and goals. Dr Lee Hanjing will assess which option is appropriate at your consultation.
1. Breast Implants
Breast implant surgery is performed under general anaesthesia in a day surgery setting and typically takes under two hours. A short incision is placed in the inframammary fold, the natural crease beneath the breast, where it heals in a well-concealed position.
Implants are placed either subglandular (beneath the breast tissue), subpectoral (beneath the pectoral muscle), or in a dual-plane configuration combining both. Placement is determined by your breast tissue, chest wall anatomy, and implant selected, and is discussed at consultation.
At Argent Plastic Surgery, two implant ranges are available: Motiva® and Mentor®. Implants vary in shape, surface texture, and fill, and each type carries a different profile of benefits and considerations. The table below outlines the key differences to help frame the conversation at consultation.
| Smooth Round (Mentor®) | Textured Anatomical (Teardrop) | Nanotextured Ergonomix (Motiva®) | |
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Of the three options, Motiva Ergonomix implants are the most recent generation. They feature a nanosurface texture that allows them to adapt to body movement, sitting upright to a natural slope and lying down to a fuller upper pole.
One safety consideration relevant to implant selection is BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma), a rare lymphoma associated primarily with textured implants. It is not a breast cancer, and the absolute risk is very low, but it is a recognised safety signal that is worth understanding. Smooth and nanosurface implants carry a substantially lower reported association. Dr Lee Hanjing discusses implant safety, including BIA-ALCL, at every implant consultation.
Note: Breast implants do not correct severe breast ptosis (sagging). Where significant drooping is present, a breast lift (mastopexy) may be required alongside augmentation. In Singapore, patients under 21 require parental consent for breast augmentation.
2. Breast Fat Grafting
Breast fat grafting, also known as fat transfer breast augmentation, uses your own fat rather than an implant to increase breast volume. Fat is harvested via liposuction, processed, and injected into the breast.
- Downtime & Timeline: Performed under sedation or general anaesthesia as day surgery. It takes approximately two hours. Incisions for both harvest and grafting are under 1cm and placed in well-concealed creases.
- Volume Limits: Each session can increase breast volume by approximately half to one cup size. The procedure can be repeated from three months after the first session if more volume is desired.
- Retention Rate: Approximately 60–70% of transferred fat integrates permanently, while the remainder is gradually resorbed by the body. The integrated volume is typically established and evaluated at the three-month mark.
- Donor Sites: The abdomen and inner thighs are the preferred donor sites, offering a combination of volume and fat quality optimal graft survival.
3. Hybrid Breast Augmentation
Hybrid breast augmentation combines implants with fat grafting to achieve an outcome that neither approach produces as effectively on its own. Hybrid breast augmentation combines implants with fat grafting, typically 60–80ml, to soften implant edges, improve medial cleavage, and create a more natural appearance. Fat is typically harvested from the inner thigh during the same procedure.
The fat component addresses the transition zone between the implant and the surrounding tissue, which is particularly relevant for patients with limited existing breast tissue where an implant edge might otherwise be visible or palpable. Whether hybrid augmentation is appropriate depends on your anatomy and implant selection, and is assessed at consultation.
Your Consultation and 3D Simulation
At the initial consultation, Dr Lee Hanjing will take a full medical history and conduct a thorough clinical examination to understand your goals, assess your anatomy, and determine the most appropriate approach. A 3D simulation using Quantificare imaging is performed at consultation to help visualise implant size and placement before surgery. For patients considering fat grafting, potential donor areas for fat harvest will also be identified at this stage.
It would be helpful to bring any previous mammogram or ultrasound reports to your consultation. A pre-operative baseline mammogram or breast ultrasound may also be required before surgery to provide reference images for future screening comparisons.
Risks and Complications
The following are the recognised risks associated with breast augmentation, and are discussed in full at consultation.
Risks associated with breast implants:
- Capsular Contracture: Hardening of the scar tissue around the implant, which can distort its shape and cause discomfort.
- Implant Rupture or Silicone Gel Leak: Implants are not lifetime devices. A rupture may be silent or symptomatic and is typically identified on imaging.
- Malposition: The implant may shift from its intended position over time, which may require revision.
- Palpability and Rippling: The implant edge may be felt or visible through the skin, particularly in patients with limited existing breast tissue.
- Breast Tissue Thinning: The overlying breast tissue may thin over time with the implant in place.
- Sensory Changes: Altered or reduced sensation in the breast or nipple, which is usually temporary but may be prolonged in some cases.
- Infection and Seroma: As with any surgical procedure, there is a risk of infection or fluid collection around the implant.
- BIA-ALCL: Breast Implant-Associated Anaplastic Large Cell Lymphoma is a rare lymphoma associated primarily with textured implants. The absolute risk is very low. Any new or persistent swelling around an implant should be assessed promptly.
Risks specific to fat grafting:
- Fat Necrosis and Lumpiness: Fat that does not survive the grafting process may feel lumpy during resorption, which generally resolves over three to six months.
- Asymmetry: Variability in fat survival between sides can result in a degree of asymmetry in the final outcome.
- Infection: There is a small risk of infection at the graft site, as with any surgical procedure.
Recovery After Breast Augmentation
Recovery timelines vary between implant surgery and fat grafting, and between individuals. The following is a general guide.
After implant surgery, you will be placed in a supportive bra immediately following the procedure, which should be worn for four to six weeks to support the implants as they settle and to reduce swelling. Most patients return to desk-based work within three days. Swelling and bruising are expected and will settle over the following two weeks, with full recovery taking approximately six weeks. Sporting activities and lifting of heavy objects should be avoided for at least six weeks. Implants generally take three to four months to settle into their final position.
After breast fat grafting, a compression garment is worn over the donor areas following surgery. The breast area should not be subjected to pressure during early recovery. Soreness and bruising at the donor sites are expected, with swelling settling over two to three weeks. Most patients return to desk-based work within three to five days. Sporting activities should be avoided for four weeks. The integrated volume is typically established and evaluated at around three months once swelling has fully resolved.
