When an implant is placed in the body, a thin layer of scar tissue naturally forms around it, it is called a capsule. All patients who receive implants develop this capsule. Capsular contracture refers to a condition where this capsule becomes abnormally thick and tightens around the implant.

A severe form, known as spherical (grade IV) capsular contracture, occurs when the breast becomes hard and round in shape, making it look unnatural.

It can develop if excess bleeding or infection occurs at the surgical site, or if the patient’s body reacts strongly to the implant due to individual sensitivity.

To prevent this, thorough hemostasis and sterilization must be performed during surgery, and the pocket for the implant must be dissected accurately. Postoperative anti-contracture medication may also be prescribed.

If a classic smooth implant is used, post-surgery massage may be required; however, implants with a textured or treated surface have built-in resistance to capsular contracture, massage is not necessary.

There is no fixed lifespan for implants, so regular replacement is not necessary. Unless a rupture or other major issue occurs, the implants can last a lifetime. In the past, older implants often ruptured after around 10 years, but modern implants have a far longer lifespan, and the rupture rate is very low.

To determine the right implant, the patient first tries on external sizers inside a bra to estimate the preferred size. Then, the width of the patient’s chest is measured to determine the appropriate implant diameter.

Among implants with that diameter, several size options close to the patient’s preference are selected.

During surgery, a temporary implant (sizer) is placed first, and the patient’s body is positioned upright on the operating table to simulate the result.

Based on appearance and balance, the final implant size that best fits the patient’s body and preference is chosen and inserted.

There are various implant brands such as Motiva, Sebbin, and Mentor.
Each has its own advantages and characteristics,so the most suitable one is selected after an in-depth consultation with the patient.

There are several incision types for breast augmentation:
axillary (armpit), areolar (around the nipple), inframammary (under the breast fold), and trans umbilical (through the navel).

Areolar and navel incisions are less commonly used today due to certain drawbacks, while axillary and inframammary incisions are the most widely performed methods.

The axillary incision is mainly used for younger or unmarried women with small breasts and shallow folds.

The scar can be hidden in the armpit crease, leaving it barely visible.
The inframammary incision allows faster recovery and is advantageous for correcting sagging or constricted breasts.

When performed on patients with a deep breast fold or post-pregnancy changes, scarring is minimal.

In the inframammary incision method, since the incision is close to the breast, the internal area can be seen directly with lighting alone, so surgery can be performed accurately without an endoscope.

However, in the traditional axillary incision method, the incision is farther from the breast, making it difficult to see inside. Surgeons must use a long metal dissector to create the implant pocket, which can lead to less precise dissection, more bleeding, and greater pain.

As opposed to the 4K UHD endoscopic axillary method, a high-resolution endoscope provides a clear internal view of the breast.

Dissection is performed precisely using radiofrequency equipment, resulting in minimal bleeding, reduced pain, and faster recovery.