
Breast implant surgery, also known as breast augmentation, is a popular choice for making a woman’s breasts bigger and more shaped. But, not everyone can get this surgery. Some medical issues, lifestyle choices, and health problems can stop you from getting breast implants.
Experts say breast enlargement surgery is a big choice. It needs careful thought about the risks and problems that might happen. We’ll look at what keeps people from getting this surgery, using advice from trusted sources.
Key Takeaways
- Active cancer or severe connective tissue diseases can disqualify individuals from breast implant surgery.
- Certain medical conditions increase the risk of complications from surgery or implant placement.
- Unrealistic expectations or insufficient understanding of implant risks and complications can also be a disqualifying factor.
- Lifestyle factors and other health concerns can impact eligibility for breast implant surgery.
- It’s essential to consult with a qualified healthcare professional to determine suitability for the procedure.
The Breast Augmentation Procedure: What to Expect

For many women, getting breast augmentation is a big step towards their dream body. This surgery makes the breasts bigger or more shaped using implants or fat. It’s key to know what happens during the breast augmentation process.
The Popularity of Breast Implant Surgery in the United States
In the U.S., breast implant surgery is getting more popular. The American Society of Plastic Surgeons says more women are choosing this surgery every year. This shows more people are okay with it.
Types of Breast Implants Available
There are mainly two kinds of breast implants: silicone and saline. Silicone implants have a gel that feels like real breast tissue. Saline implants are filled with saltwater. Your choice depends on what you like, your body, and your doctor’s advice.
|
Implant Type |
Description |
Characteristics |
|---|---|---|
|
Silicone |
Filled with cohesive gel |
Feels more natural, less likely to ripple |
|
Saline |
Filled with sterile saltwater |
Can be adjusted during surgery, less expensive |
The FDA says breast implants are Class III devices. This means you should think carefully and talk to a doctor before getting surgery. Knowing about the different implants helps you make a good choice.
“The decision to undergo breast augmentation should be made after thorough consultation with a qualified healthcare professional, considering all the risks and benefits associated with the procedure.”
Medical Conditions That Prevent Breast Augmentation

Some health issues can make breast implant surgery risky or not suitable. It’s important to know about these conditions to see if you can get breast augmentation.
Active Infections and Their Impact
Active infections are a big no-no for breast augmentation surgery. An infection can cause problems during and after surgery. This could lead to serious health issues. Doctors usually want patients to be infection-free before they can have breast implant surgery.
Untreated Cancer Diagnoses
Having untreated cancer can stop you from getting breast augmentation. You need to finish cancer treatments and get the okay from your oncologist before you can have surgery.
Autoimmune Disorders
Autoimmune disorders can also affect your ability to get breast implants. Conditions like lupus, rheumatoid arthritis, and scleroderma can make surgery and recovery harder.
Lupus
Lupus is a chronic autoimmune disease that can affect many parts of the body. People with lupus might have flare-ups that could make recovery after surgery tough.
Rheumatoid Arthritis
Rheumatoid arthritis mainly affects the joints. It might not directly affect the breasts, but it can impact your overall health and how well you do in surgery.
Scleroderma
Scleroderma is a condition where collagen builds up, making skin and possibly other organs hard. It can make it hard for the skin to heal after surgery.
|
Condition |
Impact on Breast Augmentation |
|---|---|
|
Active Infections |
Increases risk of surgical complications |
|
Untreated Cancer |
Requires clearance from oncologist before surgery |
|
Autoimmune Disorders |
Can complicate surgery and recovery |
Immune System and Blood Disorders
Your immune system and blood disorders play a big role in whether you can get breast implants. People with weak immune systems or blood issues might face more risks during and after surgery.
Compromised Immune Systems
Having a weak immune system makes it hard for your body to heal after surgery. Autoimmune diseases or immunodeficiency disorders can lead to infections and implant rejection.
Bleeding and Clotting Disorders
Bleeding or clotting problems can affect your healing after surgery. These issues might cause too much bleeding or blood clots, making recovery harder.
Chronic Diseases Affecting Healing
Chronic diseases like diabetes or vascular conditions can slow down healing and raise the risk of complications. It’s key to control these conditions before getting breast implants.
To understand how these conditions affect your eligibility for breast implants, consider these factors:
|
Condition |
Impact on Breast Implant Surgery |
Precautions |
|---|---|---|
|
Compromised Immune System |
Increased risk of infection and implant rejection |
Immunosuppressive therapy management |
|
Bleeding Disorders |
Excessive bleeding during and after surgery |
Clotting factor replacement therapy |
|
Chronic Diseases (e.g., Diabetes) |
Impaired healing and increased risk of complications |
Disease management through medication and lifestyle changes |
It’s important to understand how your immune system, blood disorders, and chronic diseases affect your eligibility for breast implants. Your healthcare provider will look at these factors to give you personalized advice.
FDA Classification and Regulation of Breast Implants
It’s important to know about the FDA’s rules for breast implants if you’re thinking about getting them. The FDA makes sure medical devices, like breast implants, are safe and work well.
Class III Devices: Understanding the Highest Risk Category
The FDA calls breast implants Class III devices, which means they’re at the highest risk. They need a lot of testing to prove they’re safe and effective. Because they’re Class III, they have strict rules to follow.
FDA Contraindications for Breast Implants
The FDA lists certain contraindications for breast implants. These are health issues that might make surgery riskier. It’s key to know these before you decide to get implants.
Required Patient Decision Checklist
The FDA also has a patient decision checklist. It helps make sure people know the risks and benefits of breast implants. This checklist helps with making an informed choice.
|
FDA Requirements |
Description |
|---|---|
|
Class III Devices |
Highest risk category requiring rigorous testing |
|
Contraindications |
Specific medical conditions that increase risk |
|
Patient Decision Checklist |
Ensures informed decision-making about breast implants |
Breast-Related Conditions That May Disqualify Candidates
When thinking about getting breast implants, some breast conditions can be a problem. These issues might raise risks or problems that could affect the surgery’s success or the patient’s health.
Unexplained Breast Masses and Abnormalities
Unusual breast masses or changes can be a big worry for getting implants. Medical experts say people with these issues might face more risks during or after surgery. It’s important to check and figure out any odd breast changes before getting implants.
Previous Breast Surgeries and Complications
Having had breast surgeries or complications can also affect getting implants. We look at how complex the previous surgery was and any problems it caused. This helps us decide if someone is right for breast augmentation.
Severe Breast Ptosis (Sagging)
Severe breast sagging can also be a problem for getting implants. Sometimes, a breast lift is needed before implants can be considered. We check how bad the sagging is and talk about the best treatment options with our patients.
Knowing about these breast conditions helps us figure out if someone can get breast implants. This way, we can make sure they get the best results.
The Consultation Process for Breast Augmentation
A detailed consultation is key to check if you’re a good fit for breast implants. This step includes several important parts. They help us figure out if breast augmentation is right for you.
Medical History Evaluation
We start by looking at your medical history. We check for any health issues that might affect your surgery. This includes your past health records, any previous surgeries, and your overall health.
Physical Examination
Next, we do a physical check-up. This helps us see how your breasts and body are doing. It also lets us spot any problems that could change the surgery’s results.
Imaging and Testing Requirements
Depending on your case, we might need imaging tests like mammograms or ultrasounds. These tests help us understand your breast health better. They give us the info we need to decide if breast implants are a good choice for you.
By carefully looking at your medical history, doing a physical check-up, and using imaging and testing when needed, we make sure you’re ready for breast augmentation surgery. You’ll be well-informed and prepared.
Psychological Factors in Breast Implant Eligibility
When it comes to breast implant eligibility, a patient’s mental state is just as important as their physical health. We look at these factors to make sure patients are ready for the surgery and its effects.
Unrealistic Expectations
People with unrealistic expectations about breast augmentation might face mental health issues. We check if patients understand what breast implants can really do.
Body Dysmorphic Disorder
Body Dysmorphic Disorder (BDD) makes people obsessed with a flaw in their looks. We screen for BDD signs, as it can affect surgery eligibility.
|
Psychological Factor |
Impact on Eligibility |
|---|---|
|
Unrealistic Expectations |
May be disqualified if expectations are not aligned with surgical outcomes |
|
Body Dysmorphic Disorder |
May be disqualified if BDD is diagnosed |
|
Mental Health Concerns |
Eligibility determined on a case-by-case basis |
We do detailed mental health evaluations before surgery. This ensures patients are mentally ready for breast implant surgery. Our thorough approach helps us give the best care to our patients.
Lifestyle Factors That Delay Breast Implant Surgery
Some lifestyle choices can make you wait or even stop you from getting breast implants. It’s key to know these factors to see if surgery is right for you.
Smoking and Nicotine Use
Smoking and nicotine can hurt your chances for breast implants. They can slow healing, raise the risk of problems, and cause capsular contracture. We tell patients to quit smoking and avoid nicotine before and after surgery to lower risks.
Pregnancy and Breastfeeding
Pregnancy and breastfeeding are big factors that can make you wait for implants. We suggest waiting until you’ve finished having kids and breastfeeding. Hormonal changes during these times can change breast tissue, affecting surgery results.
Significant Weight Fluctuations
Big changes in weight can also affect implant surgery success. Weight changes can alter breast shape and size, causing problems or needing more surgeries.
Recent Weight Loss
Recent big weight loss can make breasts sag, needing a lift with or instead of implants. We look at each case to find the best solution.
Planning Future Weight Changes
If you’re thinking about big weight changes, it’s wise to wait on implants until your weight is steady. This helps get the best results and avoids complications.
|
Lifestyle Factor |
Impact on Breast Implant Surgery |
|---|---|
|
Smoking/Nicotine Use |
Impaired healing, increased risk of complications |
|
Pregnancy/Breastfeeding |
Delays surgery until completed childbearing and breastfeeding |
|
Significant Weight Fluctuations |
Affects breast shape and size, potentially leading to complications |
Age-Related Considerations for Breast Implants
When thinking about getting breast implants, age is a big deal. The choice to get implants depends on many things, including how old you are.
Minimum Age Requirements
In the United States, there are rules about how old you must be for implants. You need to be 18 for saline implants and 22 for silicone gel implants. These rules help make sure you’re ready for the surgery.
Considerations for Older Patients
Even though there’s no age limit for implants, older people might face more risks. This is because they might not be as healthy. Doctors look at how healthy you are before deciding if you can have surgery.
Developmental Concerns in Young Patients
For younger people, it’s important to check if their breasts are fully grown. Doctors make sure your breasts are done developing before they do the surgery.
|
Age Group |
Considerations |
|---|---|
|
18-22 years |
Saline implants approved; breast development assessed |
|
22+ years |
Silicone gel implants approved; overall health evaluated |
A professional says, “Choosing the right patients for breast implants is key. We look at age and other things too.”
“Age is just one of the many factors we consider when evaluating candidates for breast implant surgery. It’s important to look at each patient’s health and if they’re right for the surgery.”
FDA Warnings and Serious Breast Implant Risks
The FDA has issued significant warnings about breast implants. These warnings highlight the need to understand the risks before surgery. It’s important to know the possible complications that can happen.
Understanding Black Box Warnings
A black box warning is the FDA’s strongest warning for drugs and devices. For breast implants, these warnings are very serious. They point to rare but dangerous health risks.
Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL)
BIA-ALCL is a rare lymphoma linked to breast implants. The FDA has found cases in patients with both types of implants. Symptoms include swelling, pain, or uneven breasts. Early treatment is key.
Breast Implant-Associated Squamous Cell Carcinoma (BIA-SCC)
BIA-SCC is a rare cancer linked to breast implants. The FDA has seen cases where patients with implants got SCC. Symptoms include chronic pain or swelling in the breast. It’s important to watch for these signs.
Systemic Symptoms (Breast Implant Illness)
Some patients with implants report systemic symptoms called Breast Implant Illness (BII). Symptoms include fatigue, joint pain, and brain fog. The FDA has noted these symptoms, but more research is needed.
|
Risk |
Description |
Symptoms |
|---|---|---|
|
BIA-ALCL |
Rare non-Hodgkin lymphoma associated with breast implants |
Swelling, pain, or asymmetry of the breast |
|
BIA-SCC |
Rare squamous cell carcinoma linked to breast implants |
Chronic breast pain or swelling |
|
Systemic Symptoms (BII) |
Various symptoms reported by patients with breast implants |
Fatigue, joint pain, cognitive difficulties |
It’s vital to understand these risks before getting breast implants. Talk to a healthcare provider about these risks. They can help you decide what’s best for you.
Temporary vs. Permanent Contraindications
When thinking about getting breast implants, it’s key to know the difference between temporary and permanent contraindications. Some health issues might get better over time, changing if you can get implants.
Conditions That May Improve Over Time
Some health problems that seem like they’re always a no-go might get better. For example, infections can be treated with antibiotics. Some autoimmune diseases can be managed with meds, making you a candidate for implants later on.
Absolute Contraindications
But, some conditions are a big no-no. These include untreated cancer, severe immune issues, and chronic diseases that make healing hard. People with these issues are usually told not to get implants because of the risks.
When to Seek a Second Opinion
If you’re told you can’t get implants because of health reasons, getting a second opinion is smart. Another doctor might see things differently or find new ways to help you qualify for surgery.
|
Condition Type |
Description |
Potential for Surgery |
|---|---|---|
|
Temporary Contraindications |
Conditions that may improve with treatment or over time |
Yes, after condition improves |
|
Absolute Contraindications |
Severe or chronic conditions that pose significant risks |
No, generally not recommended |
Alternative Options When You’re Not Eligible for Implants
If you can’t get breast implants, don’t worry. There are other ways to enhance your breasts. Not everyone can get implants due to health or personal reasons.
Non-Surgical Breast Enhancement Methods
There are non-surgical ways to boost your breasts. Hormonal treatments, creams, and devices can help. These options are less risky than surgery.
Fat Transfer Breast Augmentation
Fat transfer is another choice. It moves fat from one body area to your breasts. It’s seen as more natural. But, it might need more than one session and has risks.
When to Reconsider Surgery After Disqualification
If you can’t get implants now, things might change later. You can try again after fixing the reasons you were disqualified. Talk to a doctor to see if you can get implants in the future.
Conclusion: Making Informed Decisions About Breast Implants
People thinking about getting breast implants need to make choices that fit their own needs. It’s important to think about if they’re eligible and the possible risks and benefits. This careful consideration is key.
There are many things that can affect if someone can get breast implants. These include health issues, lifestyle, and mental health. Knowing these can help make better choices about implants.
Looking at the risks and benefits helps people decide what’s best for them. We suggest talking to a doctor who knows about implants. This way, they can figure out the best choice for their situation. It leads to making smart decisions about breast implants.
FAQ
What disqualifies someone from getting breast implants?
Some medical conditions and lifestyle choices can stop you from getting breast implants. These include active infections, untreated cancer, and autoimmune disorders. Also, a weak immune system, bleeding disorders, and chronic diseases that slow healing are not good for surgery.
Can I get breast implants if I have a history of cancer?
Having untreated cancer might stop you from getting breast implants. But, it depends on the cancer type, treatment, and your health. Your doctor will decide based on these factors.
How do autoimmune disorders affect breast implant eligibility?
Autoimmune diseases like lupus and rheumatoid arthritis can make surgery riskier. People with these conditions might not get implants or need extra care.
Can lifestyle factors like smoking or pregnancy affect breast implant eligibility?
Yes, smoking and nicotine use can raise surgery risks. Pregnancy and breastfeeding can also change your breasts. These factors might make you not eligible for implants.
What are the age-related considerations for breast implants?
Age is important when thinking about breast implants. Women under 18 usually can’t get them. Older patients and young ones have special considerations.
Are there alternative options available if I’m not eligible for breast implants?
Yes, there are other ways to enhance your breasts. Non-surgical methods and fat transfer can be options if implants aren’t possible.
What are the FDA’s guidelines for breast implant surgery?
The FDA sees breast implants as high-risk. They require a checklist before surgery. This checklist talks about possible risks and complications.
Can I reconsider surgery after being disqualified?
Yes, some conditions might get better over time. You might be able to get implants later. Always talk to a doctor about your options.
What are the serious risks associated with breast implants?
The FDA warns about BIA-ALCL and BIA-SCC risks. There’s also concern about breast implant illness. Knowing these risks is key before surgery.
References
National Center for Biotechnology Information. Evidence-Based Medical Insight. Retrieved from https://pubmed.ncbi.nlm.nih.gov/19403485/