Quick reference
How do I know if I'm a good candidate for breast augmentation?
Good candidates are women in good general health, of legal age (18+), with realistic expectations and stable weight. Specific medical contraindications include uncontrolled diabetes, active infections, advanced heart or lung disease, autoimmune disorders affecting wound healing, current pregnancy or breastfeeding (must wait 6 months after stopping), and active smoking that cannot be paused for 4 weeks pre/post-op. Body anatomy factors evaluated in consultation: chest wall width, existing breast tissue, skin elasticity, nipple position, and asymmetry.
Should I choose smooth or textured implants?
Modern practice favors smooth round implants with a SmoothSilk or BioCell-textured surface. Macro-textured (BioCell) implants were associated with rare cases of BIA-ALCL (Breast Implant Associated Anaplastic Large Cell Lymphoma) and have been recalled in many countries. Most experienced surgeons today prefer smooth or nano-textured implants (Motiva SmoothSilk, Mentor MemoryGel). The choice depends on your anatomy and surgeon's recommendation.
Above the muscle (subglandular) or below (submuscular)?
Most patients benefit from dual-plane placement, where the upper portion of the implant sits behind the pectoralis major muscle and the lower portion behind the breast tissue. This combines coverage (less rippling, lower capsular contracture rate) with natural lower-pole shape. Pure subglandular is reserved for patients with adequate breast tissue and athletic concerns. Subfascial placement is sometimes used as a middle option.
What is BIA-ALCL and should I be worried?
Breast Implant Associated Anaplastic Large Cell Lymphoma is a rare type of T-cell lymphoma associated with macro-textured breast implants (Allergan BIOCELL, in particular). Estimated incidence ranges from 1 in 2,000 to 1 in 30,000 depending on the implant type. Smooth and most micro/nano-textured implants have not been definitively linked. Symptoms typically appear 7–10 years post-op as sudden swelling. Annual check-ups can detect it early. We use only modern, low-risk implant options.
How do I choose implant size?
Implant size is best determined in consultation, considering chest measurements, breast tissue, body proportions, and your goals. We use sizers, computer simulation, and 3D imaging during consultation. Bra cup size is not a reliable measurement (cup sizing varies by manufacturer). We discuss volume in cubic centimeters (cc) — most patients choose between 250cc and 400cc. Going too large for your frame increases capsular contracture and skin stretch risk.
Will I be able to breastfeed after augmentation?
Most patients can breastfeed successfully after augmentation, especially when inframammary or infra-areolar incision is used. The periareolar incision carries slightly higher risk of milk duct disruption. Submuscular implant placement does not affect milk supply because milk glands remain intact. If breastfeeding is a priority, discuss this with your surgeon to optimize technique selection.
Can I have a mammogram with implants?
Yes. Mammograms are safe and effective with implants but require Eklund displacement views — a specialized technique where the breast tissue is gently pushed forward and the implant pushed back, allowing the mammogram to image the breast tissue without interference from the implant. Tell your radiology technician you have implants when scheduling. We recommend annual breast ultrasound and mammography from age 40 (or earlier per local guidelines).
How long do breast implants last?
Modern silicone implants do not have a fixed expiration date. Many last 15–25 years without complications. Manufacturer warranties typically cover 10 years for rupture and lifetime for implant failure. Reasons for revision include capsular contracture, rupture, malposition, asymmetry, size change desire, or aging-related ptosis. Most patients keep implants without issue for decades.
Do I need to replace implants every 10 years?
No, this is a myth. If your implants are intact, asymptomatic, and you're happy with appearance and feel, there's no medical reason to replace them. The 10-year warranty period is a manufacturer guarantee, not an expiration. Replacement is needed only if there's rupture, capsular contracture, dissatisfaction, or other complication.
What is capsular contracture?
Your body forms a thin protective capsule of scar tissue around any foreign object, including breast implants. In most cases this capsule remains soft and unnoticeable. In 5–10% of patients, the capsule thickens and contracts, causing the implant to feel firm or look distorted. Baker classification grades it I (soft) to IV (hard, painful, distorted). Treatment for grades III–IV is surgical capsulectomy with implant exchange.
Will my breasts feel natural?
Modern cohesive silicone gel implants closely mimic the feel of natural breast tissue, especially in submuscular placement. Saline implants feel slightly firmer. Patients with adequate native breast tissue have the most natural feel. Patients with thin tissue may feel implant edges or rippling. The Motiva Ergonomix line is specifically designed for natural-feeling, position-adapting behavior.
How much does breast augmentation cost in Istanbul?
Pricing varies based on implant brand, technique, hospital, and additional procedures (lift, fat transfer). Turkish Ministry of Health regulations prohibit publishing prices on websites. We provide written quotations after a free consultation (in-person or video). For comparison: Istanbul prices are typically 40–60% lower than the UK, Germany, or Netherlands for equivalent quality.
Is breast augmentation in Turkey safe?
Yes, when you choose a properly licensed surgeon in an accredited hospital. We hold the T.C. Ministry of Health International Health Tourism Authorization Certificate (No: 2026034015610080000444996), Dr. Erdal is FACS and FEBOPRAS certified, and operations are performed in accredited private hospitals (JCI-equivalent standards). Always verify a surgeon's USHAŞ authorization before booking.
How long do I need to stay in Istanbul?
We recommend a 7-day stay: arrival day 1, consultation and pre-op tests day 2, surgery day 3, hospital overnight day 3–4, hotel rest day 4–6, follow-up day 7, fly home day 7. Patients with combined procedures (lift + augmentation) may stay 8–10 days. We coordinate with local hotels in Nişantaşı and Şişli for convenience to the clinic.
What if there are complications after I return home?
We provide direct WhatsApp access for ongoing post-operative questions, photo reviews, and concerns. For minor issues (scar care, swelling questions), we can manage remotely. For complications requiring local care, we coordinate with international plastic surgeons through the IPRAS network. Major complications are rare (<2%) but we do not abandon patients after surgery.
Are pregnancy and breastfeeding safe with implants?
Yes. Pregnancy and breastfeeding are safe and not contraindicated. The breast may temporarily enlarge during pregnancy, then return to its post-op size after weaning. Some patients experience post-pregnancy breast changes (more sagging, volume loss) that may benefit from revision later. We recommend completing your family before augmentation if possible, but it's not mandatory.
Can I exercise normally with implants?
Yes — except for the first 6 weeks. After full recovery, you can do all forms of exercise: cardio, weightlifting, yoga, swimming, contact sports. Some athletes prefer subglandular placement to avoid muscle distortion ('animation deformity') with chest contraction. We discuss this in consultation if you're a competitive athlete.
How do I avoid having an over-done, fake look?
Choose a moderate volume (most patients are happiest at 250–350cc), submuscular or dual-plane placement, smooth round implants, and a surgeon focused on natural proportions over dramatic results. Beware of 'IG-famous' surgeons who specialize in extreme volumes — these results often look bad after 5 years as skin stretches and tissue thins.
What's the youngest age for breast augmentation?
FDA-approved age for silicone augmentation is 22+ (saline 18+). In Turkey, the legal minimum is 18 with developmental maturity. We do not operate on patients younger than 22 except for reconstructive cases (Poland syndrome, post-mastectomy, severe asymmetry). Breast development is usually complete by age 18, but we prefer waiting until 21–22 for purely cosmetic cases.
Is there an upper age limit?
No fixed age limit, but candidacy depends on overall health rather than chronological age. We have safely operated on healthy women into their 60s. Cardiology and pulmonary clearance is mandatory for patients over 50. We do not operate on patients with significant cardiovascular disease, regardless of age.