The size of breast implants is determined by considering the patient's physical conditions (chest width, nipple-inframammary fold distance, skin thickness) and ensuring safety.

To prevent rippling side effects and create a breast shape that suits your body type,

Dr. Lee Jae-soo, director of Next Plastic Surgery, with over 22 years of experience in breast surgery, will tell you what factors to consider when deciding on implant size!

Three factors determining breast implant size

Horizontal width of the chest

The surgeon measures from the sternum to the anterior axillary line with a ruler.

It is safer to choose an implant that is about 0.5-1 cm smaller than the measured horizontal width.

If the implant is too large, it can irritate important sensory nerves emerging from beneath the ribs, leading to dullness of sensation.

Distance from nipple to inframammary fold

This is the standard for determining the vertical width of the breast.

If this distance is short and an excessively large implant is inserted, it can result in an unnatural shape with a 'ledge' at the bottom.

Rib exposure and skin thickness

It is important to check if your body type is thin with little breast tissue, causing the ribs to be very visible.

If there is not enough overlying tissue, the outer edge of the implant may become prominent.

Reasons for Rippling

Rippling, a side effect where the edges of the breast implant appear wrinkled after breast augmentation, can occur when breast tissue is too thin or when an excessively large implant is forced in.

Thinning of the skin: Initially after surgery, the skin tissue is taut, appearing firm and round. However, over time, the skin (dermis) gradually stretches and becomes more natural.

Side effects of choosing an excessive size: Just as dough thins when stretched, skin also thins when it stretches. If a person with an originally thin body type has an excessively large implant inserted, the skin stretches beyond its limit and becomes very thin.

Exposure of wrinkles: Consequently, the soft tissue covering the implant becomes too thin, causing the wrinkled contours and folds of the implant's edge to show through or be palpable on the skin's surface.

[Medical Tips and Precautions]

For successful breast augmentation, it is important to acknowledge your anatomical physical limitations rather than obsessing over a simple cup size.

It is crucial to have a detailed consultation with a specialist before surgery to adjust to the maximum size within a safe range that avoids nerve damage and rippling side effects.

* This article is intended to help Next Plastic Surgery patients understand medical information and complies with Article 56, Paragraph 1 of the Medical Service Act.

After breast augmentation procedures or surgery, individual conditions may vary in terms of swelling, recovery period, bleeding, etc., and caution against side effects is necessary.

Therefore, we recommend planning your surgery after careful consideration through sufficient consultation with a specialist.

When undergoing breast augmentation surgery with implants, while factors like the breast implant brand or CC volume size are certainly important,

how and where the implant is placed is crucial.

Dr. Jaesoo Lee, a board-certified plastic surgeon, shares the two core principles that must be followed to achieve satisfactory results in breast augmentation surgery!

📌 Principle 1: The thickest part of the implant should align with the nipple.

Key Point: Breast implants are typically thickest slightly below the middle. During surgery, the patient’s nipple should be positioned at the same height as the thickest part of the implant to achieve a natural shape.

When the implant is placed too high: Only the upper breast appears full, and the nipple looks saggy, pointing downwards.

When the implant is placed too low: The nipple appears to point upwards, the breast looks saggy, and the nipple might be exposed when wearing a bikini.

📌 Principle 2: The original breast tissue and the implant should overlap well.

Key Point: The implant should be positioned so that it seamlessly overlaps with your natural breast, as if they are one, preventing a visible ‘step’ or ‘ledge’ on the skin’s surface.

If the two tissues do not overlap properly and become separated, a ‘double bubble’ phenomenon can occur, where the original inframammary fold and the new fold created by the implant appear distinct.

⚠️ Reasons why it's difficult to adhere to both principles simultaneously (in cases of a short inframammary fold)

For body types where the distance from the nipple to the inframammary fold is short, these two principles often conflict.

If the implant is lowered to adhere to Principle 1, a double bubble may occur.

If the implant is raised to adhere to Principle 2, an upper pole fullness (top-heavy) phenomenon may occur.

💡 Solutions for body types with a short inframammary fold

Inframammary fold incision (most effective): Performing the surgery with an inframammary incision instead of an axillary incision can prevent double bubbling by more than 70-80%.

Reduce implant size: Opt for a slightly smaller implant rather than an excessively large one to prevent the implant from extending too far beyond the inframammary fold.

Choose a high-profile implant: Using a high-profile implant, which projects more forward, can reduce the likelihood of a double bubble even with a short inframammary fold, compared to flatter implants.

Subfascial dissection: This method involves placing the implant beneath the fascia, but it is only suitable for fuller body types, not slender ones.

📏 Relationship between implant volume (cc) and bra cup size

You can estimate the approximate change based on the volume of a standard paper cup.

Guideline: Roughly, each 140cc can be considered to increase the cup size by one.

Example: Even a very petite person with completely flat A-cup breasts can safely accommodate at least 250cc implants. In this case, they can expect an increase of nearly two cup sizes, resulting in a definite B-cup or larger.

Caution: An excessive desire for an unsafe size beyond the recommended range is the biggest cause of side effects (violating the principles). It is best to try on ‘sizers’ (dummy implants) available at the clinic under your clothes and discuss the safe maximum with your doctor.

This information is based on a video containing general medical facts and serves as guidance. For an accurate diagnosis tailored to individual body shape and chest conditions, direct consultation with a specialist is recommended.

* This article was written to help NEXT Plastic Surgery patients understand medical information and is in compliance with Article 56, Paragraph 1 of the Medical Service Act.

After breast augmentation procedures or surgery, individual conditions may vary in terms of swelling, recovery period, bleeding, etc., and caution against side effects is necessary. Therefore, we recommend careful decision-making and planning the surgery after thorough consultation with a specialist.

How you manage your breast augmentation during the immediate post-operative period and the first month can help prevent side effects and lead to satisfactory surgical results.

Shall we explore the 🚨key precautions after breast surgery🚨 with Next Plastic Surgery?

1. Breathing and Early Pain Management

Pain Acceptance: It is natural to experience pain on the day of surgery and the following day.

Continuous Deep Breathing: After general anesthesia, if the alveoli do not fully expand, phlegm can accumulate, leading to pneumonia (a cause of fever). It is essential to perform deep breathing exercises 2-3 times an hour for 3 days after surgery, inhaling deeply and exhaling slowly.

2. Arm Usage and Activity Restrictions (Observe for one month)

No Reaching Overhead: Do not raise your arms more than 100-110 degrees. This can stretch and tear blood vessels or cause bleeding.

No Lifting Heavy Objects: Excessive use of arm muscles greatly increases the risk of bleeding. Do not lift heavy items, such as a pack of bottled water (6 x 2L bottles), by yourself; seek assistance from others.

3. Implant Stabilization Management

Wearing the Upper Band: This must be worn for one month while lying down to prevent the implants from shifting upwards. It is not necessary to wear it when standing, and it should only apply slight pressure, enough to prevent movement when lying down.

Understanding Initial Position: Immediately after surgery, the implants may appear somewhat high and artificial. Rest assured that due to gravity, they will gradually settle downwards over time, achieving a natural shape after about 6 months.

4. Sleep and Body Changes 💤

Sleeping in the Correct Posture: For one month, you must sleep on your back and not turn onto your side. Pressure on one side can tear blood vessels. (Since you wear the upper band, there’s no need to sleep sitting up).

Abdominal Bloating (Swelling Migration): After surgery, accumulated fluid and swelling in the body may move towards the abdomen, causing a feeling of bloating and indigestion for more than ten days, but this is a normal part of the recovery process.

5. Medication and Prohibited Foods (Observe for one month) 💊

Essential Antibiotic Intake: Breast surgery has a relatively high chance of inflammation, so you must take your prescribed medication three times a day. It is recommended to take it after meals to reduce gastrointestinal discomfort.

Avoid Blood Circulation Supplements: Discontinue consumption of Omega-3, onion juice, red ginseng, and other supplements that promote blood circulation and could cause bleeding, for one month.

6. Lifestyle Restrictions

🚭 No Smoking (2 months): Smoking dramatically increases the risk of complications such as inflammation or capsular contracture (hardening of the breast), so absolute abstinence from smoking is required for at least two months.

❌ No Alcohol (1 month): Alcohol also lowers immunity, increasing the risk of inflammation, so abstain from alcohol for one month.

7. Clothing and Showering Methods

👚 Wear Loose Underwear: Tight underwear can cause pain and compress the breasts, leading to bleeding, so wear loose-fitting garments.

🛁 Careful Showering: The breast area can be gently washed with regular soap. The inframammary incision site is covered with waterproof tape, so it's fine for water to touch it, but care must be taken to prevent water from entering the armpit incision site.

Detailed guidelines may vary depending on each patient's surgical method (incision site, implant type, etc.). If you experience any unusual symptoms or have questions,

please consult directly with the specialist who performed your surgery.

* This article is intended to help Next Plastic Surgery patients understand

medical information and is written in compliance with

Article 56, Paragraph 1 of the Medical Service Act.

After breast augmentation procedures or surgery, individual conditions may vary in terms of

swelling, recovery period, bleeding, etc.,

and precautions against side effects are necessary.

Therefore, we recommend planning your surgery after thorough consultation with a specialist

and making a careful decision.

Breast augmentation implants, even with the same volume (cc), are categorized into high-profile and low-profile, each with distinct advantages and disadvantages depending on your body type.

We'll help you understand the criteria for choosing implants for both thin and fuller body types during breast augmentation surgery!

1. Characteristics of High-Profile vs. Low-Profile Implants

Comparison based on the same 360cc volume

High-Profile Implants

Appearance: When standing, the breasts appear rounded and project forward without collapsing.

When lying down: The breasts do not spread naturally and may look like bowls placed on the chest, making it more obvious that surgery has been performed.

Feel: Since the same amount of gel is concentrated in a smaller area, they tend to feel relatively firm.

Surgical Safety: The narrower base of the implant requires less dissection, resulting in less nerve damage and a lower chance of rippling (wrinkling of the implant), making them safer.

Low-Profile Implants

Appearance: They spread out wider, creating a natural and gentle contour.

When lying down: They spread naturally like real breasts, making it difficult to tell if surgery has been performed.

Feel: The gel is spread out over a wider area, making them much softer and more natural to the touch.

Surgical Burden: Due to the wider base, more tissue needs to be dissected and inserted into the body during surgery, which relatively increases the risk of nerve damage or rippling.

2. Recommended Implants by Body Type

Thin Body Type with Thin Skin

Caution: For thin individuals with little breast tissue or subcutaneous fat, inserting a low-profile implant can cause the thin skin to sharply crease at the implant's edge, creating a noticeable boundary as if a balloon were inserted.

Selection Tip: A thin body type should choose high-profile implants to safely achieve a larger size. However, they may be more noticeable when lying down and feel less natural. Therefore, a careful compromise and decision must be made between ‘naturalness (low-profile)’ and ‘volume and safety (high-profile)’.

Fuller Body Type with Subcutaneous Fat

Caution: For individuals with more flesh, inserting a low-profile implant might result in a too-flat and overly spread-out appearance, failing to create sufficient volume.

Selection Tip: For fuller body types, the natural fat layer provides ample coverage for the implant. Therefore, even with high-profile implants, there's no noticeable boundary or artificial look; instead, the shape is beautifully defined. This allows for a much wider range of implant choices compared to thinner individuals.

This information describes the general characteristics of breast augmentation implants according to body type. The most suitable implant may vary depending on an individual's chest size, skin elasticity, and amount of breast tissue. Therefore, it is essential to have a thorough consultation with a specialist before making a decision.

* This article was written to help Next Plastic Surgery patients understand medical information and complies with Article 56, Paragraph 1 of the Medical Act.

After breast augmentation procedures or surgeries, individual conditions may vary in terms of swelling, recovery period, and bleeding. Side effects may also occur, so it is recommended to plan your surgery carefully after a thorough consultation with a specialist.

Hello!

Beautiful and natural breasts. Beyond your expectations!

This is NEXT Plastic Surgery.

In this post,

we will explore the incision site checkpoints for implant breast augmentation surgery performed at NEXT Plastic Surgery,

and the individual rankings of the incision sites used!

Please refer to the information below for breast surgery incision sites! 📊

While there may be differences depending on each patient's individual condition,

summarizing the characteristics and proportions of each incision site reveals that

the inframammary fold incision accounts for over 60% of all surgeries,

making it a widely performed method.

It is suitable for patients with sagging breasts or a short nipple-to-inframammary fold distance,

and can reduce the likelihood of asymmetry or double folds.

If we were to look for a disadvantage,

a scar might be directly visible under the breast after surgery.

During breast augmentation surgery,

the axillary (armpit) incision is performed in less than 40% of cases.

It has the advantage that the scar is almost invisible when it overlaps with the armpit crease,

but it can be a burden for those in professions that require frequent exposure of the armpits.

Areolar and umbilical incisions are rarely performed now compared to the past.

The areola may have a relatively higher incidence of capsular contracture and inflammation due to bacteria, and in the case of umbilical incisions, there is a critical disadvantage that the latest cohesive gel implants cannot be used.

⏱️ Recovery period and pain for breast augmentation surgery with implants

(Based on returning to work)

For the axillary incision method,

the pain level after surgery is relatively high, and while there may be individual differences,

approximately 7 days (one week) of rest is required.

Inframammary fold / Areola: Pain is very slightly less than or

similar to the armpit, and it is generally possible to return to work after about 5 days of rest.

However, ‘recovery’ here refers to being able to work while managing the pain, not complete healing!

🏆 Dr. Jaesu Lee, the representative director of NEXT Plastic Surgery, ranked the axillary incision method as the final first place ( * in terms of the incision scar being hidden by the armpit creases ). Second place: inframammary fold incision. Third place: areolar incision. Fourth place: umbilical incision. These were the ranking results!

* Please note that the incision site or surgical method may vary depending on the patient's current breast condition, the hospital where the surgery is performed, and the surgeon!

* This article was written to help NEXT Plastic Surgery patients understand medical information and complies with Article 56, Paragraph 1 of the Medical Service Act.

After breast augmentation procedures or surgery, there may be differences in swelling, recovery period, bleeding, etc., depending on the individual's condition,

and precautions against side effects are necessary.

Therefore, we recommend planning the surgery after careful consideration through sufficient consultation with a specialist.

Implant Breast Augmentation

For those who say, ‘If I get surgery, I want it to be as big as possible’

#BreastSurgery

Why can't we just make it arbitrarily big?

Dr. Lee Jae-soo, Chief Director of NEXT Plastic Surgery, will explain!

When inserting breast implants, after an incision of about 3.5cm,

a larger implant pocket needs to be created so that the implant can spread out comfortably.

At this point, the larger the implant size, the more extensive the incision will need to be.

During the first breast augmentation,

if an excessively large breast implant is used for surgery

compared to one's physical condition,

the risk of complications can increase, so it is not recommended.

The larger the breast implant size, the higher the risk and probability of complications associated with the implant's size. Therefore, choosing a balanced size that suits you is important!

What are the main reasons why breast implants should not be excessively large?

- When an excessively large implant is inserted compared to the rib cage size, a larger incision is made,

which can put strain on the skin or tissues, increasing the risk of nerve damage.

- If an oversized implant is placed in a small pocket, implant folding or creasing may be palpable, and the risk of implant rupture can increase.

In addition, there can be an unnatural shape and movement, often described as ‘inverted bowls’.

If the skin is thin, a rippling phenomenon where the implant is visible may occur, and if the breasts become excessively heavy, pain or stiffness (musculoskeletal pain) may occur in the neck, shoulders, back, and waist.

If you are planning breast surgery for the first time,

it is important to choose an appropriate implant size that provides stability and a natural look

through accurate measurements by specialist medical staff and sufficient consultation,

considering your rib cage, size, skin elasticity, etc.

* This article was written to help patients of NEXT Plastic Surgery understand medical information

and complies with Article 56, Paragraph 1 of the Medical Service Act.

After breast augmentation procedures or surgery, individual conditions may vary in terms of

swelling, recovery period, bleeding, etc.,

and caution is needed regarding side effects.

Therefore, we recommend planning surgery after careful consideration

through sufficient consultation with a specialist.

Even with the same breast implant,

the results of breast surgery can vary depending on the patient's condition, such as chest size, skin elasticity, and degree of breast ptosis, as well as their preferred cleavage, breast line, and volume.

The outcome also depends on the skill and experience of the medical team performing the surgery.

Especially after breast augmentation with implants,

to reduce the risk of capsular contracture,

Next Plastic Surgery conducts thorough pre-operative examinations,

installs CCTV in the operating room,

and has an on-site anesthesiologist,

providing reassuring care from pre-surgery to post-surgery monitoring.

For those with complexes such as small breasts, large breasts, sagging breasts, or asymmetrical breasts, the surgical method, incision site, preferred implant, breast line, and size differ for each patient, depending on whether it's a first surgery or revision surgery. Therefore, sufficient consultation with a specialist medical team with rich clinical experience in various types of breast surgeries is recommended.

When planning and considering breast surgery, we often see people researching hospital websites, breast augmentation-related YouTube channels, plastic surgery cafes, apps, and communities, and then visiting hospitals for direct consultations.

Q. Is it possible to get breast augmentation with an unconditionally large implant size?

Since each patient's chest size, body type, muscles, skin thickness, and elasticity differ, large-sized breast implant surgery is not recommended for everyone.

Dr. Jae-soo Lee, the head director of Next Plastic Surgery,

a board-certified plastic surgeon with over 22 years of extensive clinical experience and high proficiency,

provides detailed information on breast augmentation – a comparison of Mentor, Motiva, and Sebin breast implants.

It would be helpful to refer to this video!

* This article is written to provide medical information to help Next Plastic Surgery patients understand their options and complies with Article 56, Paragraph 1 of the Medical Service Act.

After breast augmentation procedures or surgery, individual conditions may vary,

leading to differences in swelling, recovery time, and bleeding,

and precautions against side effects are necessary.

Therefore, we recommend planning your surgery after careful consideration through sufficient consultation with a specialist.

Hello! This is Next Plastic Surgery in Gangnam, Sinnonhyeon Station.

With various diet and obesity auxiliary treatments emerging, in addition to exercises like running and fitness,

rapid weight loss and the change to a lighter, slimmer physique can be enjoyable,

but over time, due to diminished breast volume and sagging in the breast area,

even relatively young individuals may experience stress from saggy breast shapes.

The same can be said for those who have experienced childbirth and breastfeeding.

As breast sagging is not a phenomenon exclusive to middle-aged and older individuals,

for those in their 20s and 30s with saggy breasts, there seems to be increasing interest in breast lines, including breast exercises, massage beauty care for breast elasticity, and anti-sagging shapewear.

When you gain weight, your breasts also get larger and the skin stretches. When you suddenly lose weight, breast size also drastically reduces, causing them to sag downwards.

If sagging has occurred due to various reasons,

simply inserting implants to improve it through breast augmentation surgery

would inevitably cause them to sag further due to the implants...

What is the cause of saggy breasts?

If you need improvement for an aged and unsatisfactory breast shape,

you might consider breast lift surgery.

The already stretched skin is excised and sutured using a surgical method tailored to the individual's condition,

and depending on the situation, breast implant insertion can be performed simultaneously.

Through such mastopexy, it is possible to achieve a beautiful and balanced breast shape.

Since each patient's condition is different, and even if breast lifting or breast lift surgery is needed, the appropriate surgical method or extent of improvement may vary, if you are considering breast augmentation surgery, we recommend taking ample time to thoroughly consult with a specialist medical team and plan your surgery safely.

If you're concerned about saggy breast surgery... please refer to the video!

* This article is for the purpose of providing medical information to help Next Plastic Surgery patients understand,

and was written in compliance with Article 56, Paragraph 1 of the Medical Service Act.

Recovery periods after breast augmentation procedures or surgeries may vary depending on individual conditions,

and caution against side effects is necessary, so we recommend planning surgery only after thorough consultation with a specialist and making a careful decision.

Cohesive Gel

Round

A round shape provides a noticeable volume effect from the upper to the lower part of the breast.

Round + Teardrop

Breasts spread naturally when lying down and have a natural teardrop shape when standing.