Breast Augmentation Singapore

Breast Augmentation in Singapore

Breast augmentation, sometimes referred to as a boob job or breast enlargement, is one of the most commonly performed cosmetic surgery procedures in Singapore. It increases breast volume using implants, fat grafting, or a combination of both techniques, known as hybrid breast augmentation. At Argent Plastic Surgery, breast augmentation in Singapore is performed by Dr Lee Hanjing, a fellowship-trained plastic surgeon.

Breast Augmentation Singapore

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®)
Benefits
  • No association with BIA-ALCL
  • Feels softer and more natural
  • Greater upper pole fullness
  • Smaller incision in the inframammary fold
  • Less risk of malposition
  • More natural slope of the upper pole
  • Lower risk of capsular contracture
  • Less risk of gel leak due to the cohesive nature of the silicone gel
  • Radiofrequency identification device that stores the implant information
  • Implant adjusts to your body movement, more natural slope when standing and fuller upper pole when lying down
  • Feels softer and more natural
Limitations
  • Higher risk of capsular contracture
  • Implants can rotate or flip
  • Increase risk of malposition / lower pole stretching out ‘bottoming out’ especially with larger implants
  • Very low risk of association with BIA-ALCL
  • May require a slightly longer inframammary incision
  • May feel slightly firmer due to more highly cohesive gel fill
  • Shorter period in the market with
  • Approved for use in Singapore (HSA) & other countries since 2016 but not currently commercialised in the USA. 
  • Slightly more costly than the other available implants
Consider if
  • You want pronounced upper pole volume or wish to avoid any BIA-ALCL association.
  • You want a predictable, stable, and natural shape, or have a history of recurrent capsular contracture. 
  • You want an implant that mimics the natural movement and softness of real breast tissue

 

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.

Who Is Suitable for Breast Augmentation?

Breast augmentation may be an appropriate consideration for individuals seeking volume refinement, structural balance, or symmetry improvement across a range of life stages:

  • Volume After Pregnancy or BreastfeedingFor women who have experienced a reduction in breast volume or a deflated shape following pregnancy or breastfeeding.  
  • Asymmetry CorrectionTo address a noticeable size or shape discrepancy between the two breasts. 
  • Body ProportionFor individuals who feel their natural breast size is disproportionate relative to their overall frame and desire a more balanced contour.
  • Cleavage DefinitionTo improve limited natural projection or create a softer, more defined cleavage line
  • Gender-Affirming Goals: Are in the process of transitioning to females and for whom breast augmentation forms part of their broader care.
  • Post-Reconstructive VolumeFor patients who have previously undergone breast reconstruction and are seeking final volume refinement or matching symmetry. 
  • General Candidacy Requirements: Candidates should be in good general health, at a stable weight, and not currently pregnant or breastfeeding. Understanding what is surgically possible relative to your personal goals is an important part of the assessment process. In Singapore, the procedure is considered once physical maturity is reached, and patients under 21 require parental consent.

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.

Frequently Asked Questions About Breast Augmentation