To date, many countries including the US require patients to be at least 18 years old before they can undergo breast implant surgery.  But take note that this age requirement generally applies if you will have the procedure solely for cosmetic purpose—e.g., you want to increase your bust size.

By contrast, age requirement is not important if you will have the procedure as a way to treat developmental abnormalities.

You have to remember that patients between 18 and 21 can only have saline implants which are filled with a sterile saltwater solution.  But when you reach the age of 22, you would be allowed to use silicone implants during your breast augmentation surgery.

The main reason why silicone implants require a higher age limit is because of the risk of rupture.  To prevent serious complications, you will be required to undergo MRI screening at least every two years.  By contrast, you will not need this if your implants are filled with saline, which in case of a leak, can be safely absorbed by your body, though your breasts will immediately appear somewhat “flat.”

While 18 years old can already have breast augmentation, many plastic surgeons believe that a woman should wait until she has reached her twenties because there is a likelihood that her breasts will further enlarge.

Imagine that if your breasts become larger after having plastic surgery, you may end up with a bust size bigger than what you really want.  While you can always have revisions to downsize your implants or even remove them without replacement, this means additional expenses and possibly more scarring.

If you decide to have breast augmentation in your teenage years, you will likely need revisions sooner than later.  Take note that breast implants are not designed to last a lifetime and are subjected to the natural wear and tear.

According to a data collected by the American Society of Plastic Surgeons, 65 percent of breast implant surgeries were performed on patients aged between 20 and 38, a clear indication that most women waited until their body has fully matured before they had the procedure.

On average, respondents claimed that breast enhancement surgery have increased their sex life satisfaction by 34 percent, while 61 percent said they had sex more frequently after the procedure.

By contrast, only 7 percent of the respondents said they had fewer sexual encounters after their breast augmentation or breast lift surgery.

On a scale of one to ten, one being the lowest satisfaction rate, patients experienced more than a two-point increase in their overall sex life satisfaction following their breast enhancement surgery.

Before the procedure, the average sex life satisfaction score was 6.07 and then jumped to 8.13 after the surgery.

While about 70 percent of respondents said that their overall sex life has improved, 28 percent said that breast surgery did not change anything.

Currently, the average cost of breast augmentation and breast lift in the US is $6,000 and $10,000, respectively.  But despite the procedures’ relatively high price, a number of patients seeking them has increased over the past couple of years.

In the US alone, about 296,000 patients had breast implant surgery in 2010.  Meanwhile, it has been estimated that 5 to 10 million people worldwide have augmentation surgery for cosmetic reasons, although a significant number of them also had the procedure to reconstruct their breasts after mastectomy or to transition from male to female gender.

On the other hand, approximately 90,000 breast lift surgeries were performed in the US in 2010 alone.

Dr. Tarick Smaili, one of the leading Los Angeles plastic surgeons, said he is expecting breast enhancements, particularly augmentation surgery, to further increase their popularity in the coming years.

“I think that the changing perception with cosmetic plastic surgery is the main reason why breast enhancements are enjoying their popularity.  Considered to be a taboo in the previous years, people are now more open to the idea that we have the freedom and the right tool to modify and improve our physical appearance,” Smaili said.

However, the cosmetic surgeon warned that not all people who want to have some “physical improvements” are good candidates for cosmetic surgeries.

“Of course there are many things to consider.  Does she have realistic goals and expectations?  Is she physically and psychologically healthy?  These are just some of the factors plastic surgeons would have to consider before taking any surgical step, particularly if it involves elective and cosmetic procedures,” Smaili added.

The celebrity mom, who was featured in MTV’s reality show 16 and Pregnant, tweeted: “Thank you USWeekyly for including me on 2011 BEST: Plastic surgeries.”

After giving birth, Abraham underwent breast augmentation surgery to increase her bust size from cup size A to C.  Despite criticism for having the procedure at a relatively young age, she said that she is happy with her decision.

Los Angeles leading plastic surgeon Dr. Tarick Smaili, who did not treat Abraham, said that she is a good example of natural-looking breasts after plastic surgery.

“The good thing about her breast implant size is that it complements her body and perfectly fits her small frame.  She did not go overboard as some celebrities have done in the past by using large implants that often result to the heavy top look,” Smaili said.

During the 1990s, the cosmetic surgeon said the trend in breast augmentation was the “bigger the better,” despite the unnatural look it gave to some patients, particularly those with small frame.

But nowadays, Smaili said that he is seeing more patients asking for revisions to “downsize their breast implant and achieve a more natural look.”

“I think the trend today is the natural bust size.  Just enough volume especially in the upper poles of the breasts to create more cleavage.  People should know that not all patients who ask for breast augmentation solely want to enlarge their breasts; in fact, a significant number of my patients just want to regain the lost volume caused by pregnancy,” Smaili said.

The cosmetic surgeon added that 300 to 350 cubic centimeter (cc) of breast implant size is often enough to create the natural look, although he warned that factors such as waistline, chest width, natural fat and tissue, and overall body frame should also be considered when deciding for the “right” implant size.

Citing Abraham’s breast augmentation, Smaili lauded her decision to stick “to a realistic size considering her small frame and thin arms.”

“Patients like her are easy to work with.  They know their body and consider its limitation.  While we always remind our patients that going for extremely large implants have many disadvantages, there are some who are still persistent about this.  But any self-respecting and ethical surgeons would have to turn these women down because we should not push the body’s limit—that’s my rule,” Smaili said.

Heather Martin said the botched plastic surgery resulted to painful infection, forcing her to extend her time off work.  To date, the victim has not yet filed a medical malpractice suit against her doctor as her lawyer is still determining the exact “damages.”

Martin said the $5,000 worth breast augmentation was conducted by Dr. Robert Rhodes in December 2011.

Several weeks after the surgery, Martin said she received an anonymous letter saying that one of her breast implants had been mistakenly implanted to another female patient; after the doctor realized his mistake, the device was removed and sterilized in an autoclave before it was placed in her chest.

The letter also stated that Martin has to get “testimony of the people in the operating room” or talk to “state licensing agency to get the full truth.”

Martin’s mother, Tammy Bailey, was alarmed after her daughter told her about the anonymous letter and immediately called the surgeon who then allegedly admitted his mistake.

The complainant said Rhodes had admitted that he had reused a breast implant that was mistakenly implanted to another patient because doing so was “cost-effective.”

Because of the incident, Martin said she developed chronic infection in the incision of her left breast.  However, she admitted that she was not sure if the affected area was the one that received the used implant.

The patient said she underwent breast augmentation to be “happier,” but with the botched surgery, the procedure made her “upset.”

Meanwhile, Martin has yet to file a case against her doctor as Richard Harris, her attorney, is still investigating the situation and estimating the “damages” caused by the alleged botched plastic surgery.

Harris cited several studies showing that reusing implants and even certain medical devices may cause dangers to patients that it is not a standard procedure for plastic surgeons.  He mentioned a case in Las Vegas in which more than a hundred patients contracted hepatitis C at a local endoscopy clinic.

Currently, Martin is consulting with another plastic surgeon to replace her breast implants with a new pair.  In addition, the victim was subjected to a wide range of examinations that would determine if she contracted blood-borne pathogens like hepatitis and HIV; these tests will continue for the next several months.

Classic rock radio station WLUP “The Loop” held a contest requiring listeners to submit written reasons why they want to undergo breast augmentation surgery, and a photograph of their natural breasts.

One of the winners, Carrie, has shared her stories of why she desires to undergo the cosmetic plastic surgery.  Three years ago, the bank teller gave her husband her kidney, and as a way to thank her wife, the husband said he wants to “give her breast augmentation in return.”

The second winner, Alishia, is a cancer survivor who at a young age received radiation therapy to save her life; however, the treatment inhibited her to have normal breast development.

According to the radio station’s website, Alishia became a nurse as her way to heal others who are dealing with the same medical issues she had experienced during her struggle with cancer.

This is not the first time a radio station offers breast surgery vouchers to listeners.  Just recently, Calgary station Amp Radio also raffled off breast augmentation which was won by a transgender woman.

Also, a casino in Atlantic city offered jackpots in the form of cosmetic procedures including liposuction, cheek implants, and Botox injection.  The contest dubbed as the “Tuck and Lift Sweepstakes” raffled off $25,000 worth of plastic surgery and non-invasive procedures.

Meanwhile, some board-certified plastic surgeons are not happy with the growing trend of using cosmetic surgery vouchers as a prize for contest as it may mislead people to believe the procedure does not involve serious ramifications.

Dr. Tarick Smaili, one of the leading Los Angeles plastic surgeons, said that plastic surgery is a “serious decision to make and involves lengthy consultation between a doctor and his patient.”

“I always require lengthy consultation and physical examination before I proceed with a certain procedure to determine a patient’s qualification not just in terms of physical health but also emotional and psychological health.  Of course, I also consider my patient’s expectations and goals—whether these are achievable or not,” Smaili said.

When Cronin attended a plastic surgery meeting, one of his colleagues told him about a new company which had a new product that can be made into solid and liquid form, with a variety of viscosity.  Another great thing about the device was the extreme compatibility with the human tissue.

The medical-grade silicone can be turned into a solid form which will serve as the shell, while the cohesive silicone gel will act as the filling.  This material then paved way for the invention of silicone-filled breast implant, one of the most commonly used devices in cosmetic plastic surgery to date.

After creating the first prototype of silicone breast implant, the device was implanted into a dog.  The trial worked okay and so Cronin and his colleagues started to look for a woman who would be interested to have the first breast augmentation surgery through the new device.

The plastic surgeons found a willing test subject: Timmy Lindsey.  Now she is 80 years old and working in a care home in Texas.

At the time, no one would have ever imagined that breast augmentation surgery would become one of the most popular cosmetic surgeries worldwide.  In fact, a 2010 survey conducted by the American Society of Plastic Surgeons showed that 296,000 procedures were performed in the US.

It has been estimated that 5 to 10 million women worldwide had breast augmentation surgery for cosmetic reasons, although a significant number also had it to reconstruct their breasts after mastectomy (or cancer surgery), and for transsexual people to transition from male to female.

While breast augmentation is popular in the US and UK, this is not the case in some countries which have their own standard of beauty.  For example, the procedure is not as popular in Brazil because most people there prefer large buttocks rather than big breasts.

Today, most women who seek for cosmetic breast augmentation are categorized into two groups: those with small breasts who want to increase their bust size, and those mothers who have deflated-looking bosoms which are caused by childbirth.

In the US and most European countries, breast augmentation for cosmetic reasons can only be conducted for patients aged 18 years and older.

Meanwhile, doctors believe that the victim’s breast implant really saved her life.  The woman, who did not want to be named, said she was stabbed by her ex-fiance’s new girlfriend several times using a pocket knife.

The suspect, Amy Winter, stabbed the 41-year-old victim several times in her left chest.  (See the suspect’s picture below.)

Because the breast implant absorbed the deadly blow, it prevented the pocket knife from piercing the victim’s vital organs.  In fact, doctors said that without the synthetic device, she could have sustained fatal injuries such as collapsed lungs and heart failure.

The incident happened outside the victim’s apartment in Melbourne.  According to police report, Winter scratched her car and stabbed her repeatedly during confrontation.

The victim said the attack happened so fast that she found herself covered with blood—and also saline (or simply saltwater solution) from the ruptured breast implants, which she got three months ago.  For this reason, she said that her breast augmentation, which cost $6,000, is probably the best investment she ever made.

Meanwhile, the breast implant manufacturer said it will provide warranty because the patient is a victim of a crime.

Dr. Tarick Smaili, a breast augmentation doctor who did not treat the victim, said that he heard a few cases of breast implants “inordinately saving a woman’s life.”

“A few years ago, I read a news about a woman in Los Angeles who was shot in the chest but the bullet fragments, as shown by the CT scan, were prevented by the implants from reaching the heart and other vital organs,” Smaili said.

“So this news about a woman with breast implants who survived after being stabbed in the chest no longer sounds incredulous or impossible to me.  I hear such stories from time to time so this one no longer surprises me,” the Los Angeles plastic surgeon said.

If this story sounds weird, hold yourself from more bizarre news involving breast implants.

1.  Snake dies after biting a woman’s chest.

In 2011, a model from Israel was attempting a stupid act live on air: kiss a snake.  Unfortunately, the boa constrictor died after it bit her surgically-enhanced breast; reports showed the cause of death was silicone poisoning.

Surprisingly, the model did not suffer from any serious problem although she was rushed to the hospital right after the incident and was given an anti-tetanus shot.

2.  Politician raffles breast implants to raise funds for campaign.

In Venezuela, a politician raised money for his campaign by raffling off breast implants.  Gustavo Rojas defended his action and said that while people raffle televisions and other appliances, he decided to offer cosmetic surgery which he said was far more interesting.

“It is an interesting prize…I’m not showing disrespect to anyone,” Rojas said.

3.  Woman survives gun attack because of her breast implants.

A Los Angeles woman was shot in the chest but survived when her breast implant stopped the bullet from reaching her heart.

When Lydia Carranza was brought to the hospital and underwent a CT scan, doctors were amazed to realize that the bullet fragments were millimeters away from reaching her heart and other vital organs.

Carranza was at her office when a co-worker’s husband fired at her and his wife.  The wife died during the shooting incident.

4.  Woman survives a car crash thanks to her breast implants.

A 24-year-old Bulgarian woman survived a head-on collision when her 40DD breast implants absorbed most of the impact, preventing fatal injuries on her ribcage, lungs, heart, and other vital organs.

While she survived the accident, her silicone breast implants did not.  A police officer said the devices worked like airbags—they absorbed the impact and protected the victim’s ribcage.

5.  Woman accused of faking breast cancer to get implants.

Trista Joy Lathern from Texas lied about having breast cancer to raise $10,000 which has been used to pay her breast augmentation surgery.  She even shaved her head to look like she was terminally ill.

When authorities found out her scam, she was charged with theft by deception.

One of the most common concerns of patients considering breast augmentation is stretch mark, which happens when the skin tissue is stretched to its limit, resulting to purplish, reddish, or whitish stripes.  This often occurs after a significant weight gain/lose and pregnancy.

In some cases, breast implants can cause stretch marks although a patient’s predisposition to have them depends on many factors including the implant size.  The rule of thumb is that the larger the device is, the higher the risk of developing the whitish or purplish stripes on the skin.

One effective way to lower the chance of having stretch marks after breast augmentation surgery is to use smaller implants.  Most plastic surgeons will likely agree that a 300 to 350 cubic centimeter (cc) range is a reasonable size.

By contrast, breast implants that come in 500cc size and above are often considered relatively large especially if these are going to be used on petite patients.

Aside from large breast implants, the age also seems to affect the likelihood of developing stretch marks.  According to some surveys, the problem is more common on younger women (those who are in their 20s and younger) than adult patients.

Plastic surgeons have also noticed that placing the implants on top of the muscle (subglandular technique) can increase the risk of stretch marks than positioning the devices below the muscle (submuscular technique).

Perhaps the reason why the subglandular implant placement increases the risk of stretch marks is that only the skin and tissue provide support to the weight of the device.  On the other hand, the submuscular technique offers more coverage and support to the implant, preventing the skin from stretching too much.

Also, most patients who developed stretch marks after breast augmentation have previously experienced the problem, although choosing a reasonable implant size and using the proper implant placement can reduce their risk.

By contrast, it is very unlikely for patients who have not experienced stretch marks to have the problem after breast augmentation surgery.

Fortunately, most patients who have developed stretch marks after breast augmentation reported that the purplish stripes turned white and became barely noticeable within three to four months.

The main reason why silicone breast implants require a higher age limit is that they pose risk in the event of rupture or leak.  For this reason, you have to undergo regular MRI screening to detect any “silent leak.”

By contrast, the examination is not necessary if you will choose the saline implants because in the event of implant failure, your breasts will deflate within hours after the rupture, thus allowing you to seek revisions right away.

Generally speaking, female patients under the age of 18 cannot have breast augmentation surgery unless there is an issue of breast deformity.  The problem with younger people is that their body is still maturing and they may not yet fully understand the ramifications of cosmetic plastic surgery.

It is important to note that even if you are flat-chested at the age of 15, there is still a chance that your breasts will enlarge as years pass by.  And with large implants and ongoing breast development, you may end up having oversized busts that look unnatural and asymmetric to the rest of your body.

Another concern is that patients below the age of 18 are not emotionally mature.  In fact, a study has suggested that teenagers see cosmetic surgery as a way to fit into their crowd.  By contrast, adults seek the procedure to stand out from the rest.

As mentioned earlier, your plastic surgeon may allow you to have breast augmentation at a younger age if you are suffering from certain types of deformity including tuberous breasts in which they appear too pointy because of the unusual structure of their base.

Breast augmentation performed at a younger age may also be necessary if you develop a very large breast on one side while the other is too small or even “absent.”  In general, age is not an issue in reconstructive plastic surgery.

While the US is quite strict when it comes to cosmetic breast augmentation, certain countries allow the procedure on patients as young as 16.  This lower age limit is not acceptable to many American surgeons who believe that the body should be allowed to mature first before any aesthetic or elective surgery is conducted.