Breast Augmentation with Implants

WHAT IS BREAST AUGMENTATION WITH IMPLANTS?

Breast augmentation is a surgical procedure designed to increase breast volume and reshape the figure. It serves both cosmetic and medical purposes: to correct a breast hypotrophy, handle a breast agenesis or Breast Reconstruction After Cancer. In any case, the goal remains the same: to achieve a harmonious, proportionate, and natural-looking bust. The procedure generally results in go up 1 to 3 cup sizes depending on the implant size chosen and the patient's anatomy.

WHEN SHOULD BREAST IMPLANTS BE PLACED?

The breast surgery Implant-based treatment is indicated in several distinct clinical situations.

L‘breast hypoplasia’ is the most common reason: breasts are perceived as too small relative to body size general. A marked asymmetry, a breast ptosis moderate, a loss of volume after pregnancy or breastfeeding, or even a malformation like tuberous breasts are also valid indications.

Finally, as part of a breast reconstruction After breast cancer, when the patient does not have sufficient fat reserves for a breast lipofilling in Paris, implant placement remains the gold standard.

CHOOSING BREAST IMPLANTS: TYPES, SHAPES, AND SIZES

ROUND OR ANATOMICAL IMPLANTS: WHICH ONE SHOULD YOU CHOOSE?

The choice of implant is a personal decision, guided by the desired outcome, the patient’s body type, and the quality of her breast tissue. There is no one-size-fits-all answer: the surgeon’s recommendation is based on the patient’s goals.

• The Round Implant It provides evenly distributed volume, with a more pronounced cleavage and a centered projection. It is suitable for patients who want a bold result, with a clearly visible bust.
• The Anatomical Implant, or «teardrop-shaped,» mimics the natural shape of the breast: more volume in the lower part, with a gentle transition toward the top. It is the preferred choice when the patient is looking for a subtle augmentation that looks virtually indistinguishable from a natural breast.

In both cases, the final decision will be made during the consultation, taking into account your anatomy, your goals, and Dr. Djian’s recommendations.

SILICONE GEL IMPLANTS: ARE THEY SAFE AND DO THEY FEEL NATURAL?

Today’s breast implants consist of a silicone shell filled with what is known as a cohesive gel—that is, a gel whose molecules are strongly bonded to one another. If the shell ruptures, the gel remains in place and does not migrate into the surrounding tissues, unlike older generations of implants. The implants used by Dr. Djian are CE-certified medical devices subject to strict regulations.

WHAT IMPLANT SIZE IS RIGHT FOR MY BODY TYPE?

The volume of the implant is measured in cubic centimeters (cc), not directly in cup size. The choice of the breast implant size is based on several criteria: the width of the thoracic base, the thickness of the existing breast tissue, the weight and the morphology General.

An implant that is too large for a narrow chest base can lead to an unnatural-looking result and long-term complications. During the consultation, Dr. Djian suggests trying on different sizes in a bra—a simple and very effective method to help the patient visualize the expected result before making any decisions.

SURGICAL TECHNIQUES: SCARS, INCISIONS, AND IMPLANT POSITION

WHERE ARE THE SCARS LOCATED AFTER BREAST IMPLANT SURGERY?

There are three possible approaches for inserting the implant.

• The inframammary fold approach involves an incision in the natural crease under the breast; the scar is inconspicuous because it is hidden by this natural crease.
• The areolar pathway The incision is made along the lower edge of the areola, at the junction between the pigmented skin and the normal skin; the scar blends into the texture of the areola.
• The axillary route, through the armpit, prevents any visible scarring on the breast but limits surgical access and is rarely used today. This technique is rarely used in France.

PLEASE NOTE
Dr. Djian prefers the inframammary incision because of its precision and the quality of healing it provides.

IMPLANT POSITION: IN FRONT OF OR BEHIND THE PECTORAL MUSCLE?

Patients often wonder: How will the breast implant, in front of or behind the muscle ? In fact, the implant can be positioned along three anatomical planes:

• In the prepectoral position (in front of the muscle), it is placed directly beneath the mammary gland. This technique is suitable for patients with sufficient breast tissue.
• In the retro-muscular position (behind the pectoralis major muscle), the implant is better concealed, which reduces the risk of it being felt and provides a more natural-looking result for slender body types.
• According to the dual-plane technique, the approach favored by Dr. Djian, which combines both methods: the upper part of the implant is placed under the muscle, and the lower part under the breast gland. This positioning provides both optimal muscular coverage at the top and a natural projection at the bottom.

THE SURGICAL PROCESS: FROM THE CONSULTATION TO THE OPERATING ROOM

THE PREOPERATIVE CONSULTATION WITH DR. DJIAN IN PARIS

The initial consultation is a crucial step. Dr. Djian performs a full clinical examination, assesses the breast shape, breast tissue, and any sagging, and takes standardized photos. He discusses the patient’s expectations, presents the available surgical options, and explains the realistic results that can be expected.

The choice of implants, their volume, shape, surgical approach, and position are determined during this consultation.

In accordance with French regulations, a mandatory cooling-off period of at least 15 days must elapse between the issuance of the estimate and the date of the procedure; there are no exceptions to this rule.

Would you like to assess your situation?
Schedule an appointment with Dr. Djian in Paris's 16th arrondissement.

THE PROCEDURE: ANESTHESIA, DURATION, AND PROCEDURE IN THE OPERATING ROOM

Breast augmentation is performed under general anesthesia, in ambulatory or with an overnight hospital stay, depending on the case.

The procedure lasts, on average, 1 hour to 1 hour and 30 minutes. The surgeon makes the incision according to the approach agreed upon, creates the implant pocket, positions the implants, checks for symmetry, and then closes the tissue layers.

The patient returns to her room or goes home the same day after being monitored in the recovery room.

A prescription for pain medication and medical care is provided before the patient is discharged from the clinic.

POSTOPERATIVE CARE AND RECOVERY AFTER BREAST AUGMENTATION SURGERY

THE FIRST FEW DAYS: PAIN, BANDAGES, AND A SUPPORT BRA

In the first few days after the surgery, a a feeling of tension and heaviness in the chest is normal; the pain remains moderate and well controlled by pain medication prescribed.

A bandage protects the incisions during the first few days. After the’breast augmentation, compression bra, without reinforcement, is recommended for continuous use for 4 to 6 weeks : It helps keep the implants in place, promotes healing, and reduces swelling. Nipple sensitivity may change temporarily during the first few weeks before gradually returning to normal.

WEEK BY WEEK: RETURN TO SPORTS AND NORMAL LIFE

During the first two weeks, rest is recommended and arm movement should be limited; light daily activities can be resumed as early as the first week.

Between the 3rd and 6th weeks, non-physical work activities are generally possible. Light exercise (walking, stationary bike) can be resumed starting in the third week, but activities that strain the pectoral muscles (weight training, swimming, contact sports) are not recommended for at least 3 months.

Scar care (silicone-based cream, sunscreen) should be continued for 6 months to optimize the results.

It is recommended that you avoid sleeping on your side for about ten days.

For a detailed schedule, visit the page dedicated to the recovery after breast augmentation.

WHEN ARE THE RESULTS OF A BREAST AUGMENTATION PERMANENT?

The results are visible within the first few weeks, but the final breast size is not apparent until 3 to 6 months after the surgery. The implants gradually settle into their pockets, the swelling subsides, the skin becomes more supple, and the shape stabilizes.

The scar, which is initially pinkish, fades over 12 to 18 months until it becomes thin and barely noticeable. Before-and-after photos are taken during follow-up visits to document the progress and objectively assess the results.

Breast Augmentation with Implants Performed by Dr. Djian

Breast Augmentation with Implants (Breast Agenesis)

Breast Augmentation with Implants Performed by Dr. Djian

RISKS, COMPLICATIONS, AND SAFETY OF BREAST SURGERY

CAPSULAR CONTRACTURE: WHAT IS IT AND HOW CAN IT BE PREVENTED?

Any breast surgery involving implants can lead to the formation of a capsular shell. This is a natural reaction of the body: the body forms a fibrous sheath surrounding the implant (the capsule).

In some cases, this capsule shrinks and hardens; this is referred to as capsular contracture. According to Baker's classification, grades III and IV (hardened, painful, or deformed breast) require surgical treatment.

IMPLANT FAILURE: SIGNS, RISKS, AND TREATMENT

A rupture of a cohesive silicone gel breast implant is referred to as «silent»: the shell cracks, but the gel remains in place due to its cohesiveness. The patient often does not feel no symptoms. The diagnosis is made by a breast ultrasound or an MRI, recommended tests in the event of a change in the shape or tenderness of the breast.

In the event of a confirmed breach, the breast implant removal and the replacement with a new implant is the standard procedure. Modern implants are more durable than previous generations, but fracture is still possible, particularly after direct trauma.

OTHER COMMON SIDE EFFECTS: INFECTION, PAIN, SENSITIVITY

Like any surgical procedure, implant placement can lead to minor complications : infection (treated with antibiotics), hematoma postoperative, temporary change in the nipple sensitivity or slight asymmetry results.

These side effects are generally temporary and resolve with appropriate medical follow-up. A postoperative follow-up appointment is routinely scheduled on day 8, at 1 month, and then at 3 months to ensure proper scar healing and implant positioning.

IMPLANT LIFESPAN, MEDICAL FOLLOW-UP, AND REPLACEMENT

HOW LONG DO BREAST IMPLANTS LAST?

Next-generation implants do not have a fixed lifespan. They are replaced only in the event of complications (rupture, capsular contracture, infection) or a desire to change the size. Some patients keep their implants for several decades without any problems. For more information, visit the page dedicated to lifespan of breast implants. However, regular monitoring is strongly recommended in order to detect any abnormalities early on and take action if necessary.

BREASTFEEDING AND PREGNANCY AFTER BREAST AUGMENTATION: IS IT POSSIBLE?

Pregnancy after breast augmentation is entirely possible. Breastfeeding is also possible in most cases, although the outcome varies depending on the surgical technique and each patient’s body type.

However, hormonal changes and weight gain associated with pregnancy can lead to breast ptosis after childbirth. A revision procedure by breast lift in Paris  This can then be considered once the family planning process is complete and weight has stabilized.

LONG-TERM MEDICAL FOLLOW-UP: MAMMOGRAM AND ANNUAL CHECKUP

Female patients with breast implants benefit from a radiological follow-up, as recommended by the French National Authority for Health. Mammograms can still be performed on patients with implants, provided the radiologist is informed of their presence. Additional views (using the Eklund technique) allow the implant to be excluded from the imaging field.

Breast Ultrasound is often the preferred first-line treatment for envelope integrity check. This regular follow-up does not slow down breast cancer screening and should be continued according to the usual preventive care schedule.

PRICES, COVERAGE, AND CONSULTATIONS IN PARIS

HOW MUCH DOES A BREAST AUGMENTATION WITH IMPLANTS COST?

The cost of breast augmentation Implant procedures at Dr. Djian's office begin Starting at €6,000 for cosmetic surgery.

As part of a corrective surgery (breast reconstruction, congenital malformation, severe asymmetry), the price starts at starting at 4,000 €.

This amount includes the surgeon's fees, the clinic fees, the anaesthetist's fees, the cost of implants and postoperative follow-up visits. A personalized and detailed estimate is provided during the preoperative consultation, in accordance with current regulations.

HEALTH INSURANCE COVERAGE: IN WHAT CASES?

Breast augmentation performed for reasons purely aesthetic is not covered by health insurance. A breast augmentation management However, it remains possible when the procedure is performed for a medical indication recognized by Social Security. The situations that may be accepted (though not automatically) are as follows:

• breast reconstruction after breast cancer (total or partial removal),
• agenesis or severe breast hypoplasia (undeveloped breasts or smaller than an A cup),
• tuberous breasts (tubular appearance and enlarged areoles),
• Poland syndrome,
• significant breast asymmetry,
• congenital malformation severe.

In these cases, a request for prior agreement The plastic surgeon submits the request to the Health Insurance Fund. If it is approved, the Health Insurance Fund covers the hospitalization costs. Dr. Djian will complete this application directly during your consultation, based on the diagnosed malformation, and will inform you of your eligibility.

Your health insurance plan may provide additional coverage. In cases of a confirmed breast malformation, use the code QEMA004 the Social Security Administration to inquire with your health insurance provider about the supplemental reimbursements covered under your policy.

MAKE AN APPOINTMENT WITH DR. DJIAN IN PARIS

Choosing a surgeon for breast augmentation is, above all, a matter of trust. Beyond technical skills, the rapport between the patient and her surgeon is crucial: it determines the quality of communication, the surgeon’s understanding of the patient’s goals, and the patient’s peace of mind throughout the entire treatment process.

Dr. Jérémy Djian pays particular attention to every detail, from listening to the patient’s wishes to the careful selection of implants, as well as the precision of his surgical techniques and postoperative care. This commitment to detail is at the heart of his practice.

During your first appointment at the Office on the 16thᵉ district of Paris, you’ll receive a personalized assessment, comprehensive medical information, and a transparent estimate—with no obligation. Contact Dr. Djian's office To schedule your appointment, or book directly online via Doctolib. Our team will get back to you as soon as possible.