No, it is neither necessary nor preferred with respect to encapsulation rates to have drains for a primary BA. It is, however, usual to have drains – usually for only 24 hours – when secondary or revision surgery has been performed.

As it is a surgical procedure, there is the potential for unwanted consequences such as bleeding and infection, which are rare. Your surgeon should discuss these in detail with you before surgery.

Women with sagging breasts, which is called “ptosis”, can also receive breast implants. Depending on how much the breast sags, an additional surgery may also be necessary. For breasts with nipples that droop below the lower crease of the breast, a breast lift surgery, or mastoplexy, is often required as well. This surgery will also add scars all the way around the nipple-areola unlike most breast augmentation surgeries. Without this additional surgery to remove excess skin, placement of the implant may not adequately correct the sagging.

How each individual scars depends on many factors including genetics. Look at any other scars you have, either from surgery or trauma, to give yourself an idea. The most common site nowadays is in the crease beneath the breast (the infra-mammary fold), but some prefer the armpit. The only thing we know helps to speed scar maturation is massage.

Today’s implants are 5th generation and are the result of nearly 50 years’ continual development. Scientific studies indicate that they are much more durable than their predecessors, but no exact figures are available. We have stopped recommending replacement every 10 years.

It is very important to understand that each patient will react differently and a teenager with small breasts will be very different to a mature mother who has had several children and breastfed them. They often appear too high and too round in the first few weeks, but settle over 3-6 months as the tissues adjust to the new weight and volume.