When a Breast Augmentation Becomes a Bit More Complex

We are all unique. And every breast augmentation is unique. But there are some surgeries that are considered to be a little bit more... complicated.

complicated breast augmentations

Breast augmentations, for an experienced plastic surgeon, are not terribly challenging. However, there are still individual cases that are more complex.

Types of breast surgery

There are four main types of breast surgery:

  1. Make a breast larger... Augmentation (using implants)

  2. Make a breast smaller... Reduction

  3. Make a breast more perky... Lift (or Mastopexy)

  4. Make a breast where there wasn't one previously... Reconstruction

But listed below are some examples of what can make a seemly typical breast augmentation just a bit more complex.

Asymmetry and Breast Implants

Our bodies are not a mirror image... most women have one breast bigger than the other.

This isn't usually that obvious to us even though we see our bodies in front of the mirror every day! But, it is a good surgeon who can spot the nuances of your body, and know how to correct them.

Asymmetry and Breast Implants

For some women the difference in breast size and shape is more noticeable, and this is where a breast augmentation (and/or a breast lift) can be a big help.

Correcting asymmetry in breasts is quite challenging though. It is very common to use two different breast implant sizes to adjust for different sized breast. But, sometimes, one breast may need a lift while the other one does not... reshaping as well as resizing the breasts.

Correcting Breast Augmentation Complications

Things can go wrong after any surgery and there's a few different types of breast augmentation complication where your surgeon may need to step in.

Corrective breast surgeries can be complex. Immediately after surgery if you develop any excessive bleeding (hematoma) or fluid build-up (seroma) you may end up needing immediate surgery to fix the problems.

If your breast implants are in the wrong position (staying high up on your chest, shaped implants rotating, dropping below the crease [bottoming out]), too close together (symmastia) or you develop capsular contracture (too much scar tissue around the implant squeezing it out of shape) you will need some form of corrective surgery.

These kind of surgeries require a different approach depending on what's happened and what you want to do about the future look and feel of your breasts.

Breast lifts

It can come as a bit of a shock if your surgeon tells you you'd benefit from something in addition to breast implants.

Breast lIft and breast augmentation

If your surgeon tells you that your breasts have some drooping/sagging, breast implants alone may not restore fullness. You might need a breast lift to make your breasts perky again. Think of a lift as giving your breasts a shot of anti-gravity!

Breast Implants aren’t a Quick Fix

Hold on to the thought that no surgery is a quick fix. If you are serious about surgery as a step to alter your body be prepared that it may be a bit more involved than you first thought.

Breast augmentation isn't a magic wand to achieve the perky breasts of a Victoria's Secret model. It's about restoring (or repairing) your breasts to give you a better result... a realistic change.

It's vitally important that if you're heading for a more tailored, in-depth surgery that you choose your surgeon carefully to ensure that they are Board Certified and well experienced at more complex breast surgeries.


I’m not saying that every breast augmentation isn’t unique... it totally is... but there are definitely some breast augmentations that are more complex than others. After all, we are all unique :)

Thoughts from Dr. Jeremy Pyle

Some women are absolute experts of their breasts and know every subtle difference. Many just know they want something different.

If your surgeon tells you something you didn't expect to hear, make sure you listen to the reasons why he or she is explaining what's going on and what the plan is to address it. This is true both before and after surgery.