Whether to get breast implants is a deeply personal decision, and there’s no universal right answer—it depends on your goals. When I tell people that I’m a plastic surgeon who specializes in breast augmentation in the Columbus area, I hear a lot of different opinions about this operation. Some of the feedback I hear is positive, some neutral, and some negative.
So, If you’re wondering, “Should I get breast implants?” I wanted to cover some of the most common reasons my patients choose breast augmentation, and what that decision looks like for each of them.
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Can Breast Implants Restore Volume After Pregnancy or Weight Loss?
“I just want what I used to have.”
Yes, breast implants can restore the fullness lost after pregnancy or significant weight loss, though the right approach depends on how much excess skin is involved. A small amount of extra skin may only need an augmentation to restore volume; more significant skin laxity usually requires a breast lift combined with an implant.
It’s true you can’t go back to exactly how you looked before—but most patients get remarkably close, and often to a result they’re just as happy with. This is also a common source of breast asymmetry, since pregnancy and weight changes rarely affect both sides evenly; correcting it may mean different procedures or implant sizes on each side. Whatever the specific situation, it’s ultimately the patient’s decision to move forward and feel like herself again.
These patient’s state they want to go back to the way they were prior to having their children or prior to a weight loss, but you really can never go back. So for these patients, we do our best to make the situation as good as possible. For many, all these life changes have left the patient with lopsided, asymmetrical breasts, too. And this can be a real problem—in and out of clothing! In this special case, getting the breasts to be matched more closely can require different operations on each side, including different-sized implants. But whatever the situation, the patient makes the personal decision to move forward to feel better!
Are Breast Implants a Good Option If You’ve Always Been Small-Chested?
“I never had any!”
Yes, many of my patients have always been very small-breasted—some a double AA and even smaller. Our inside joke is that this is a real emergency! But seriously, I see many patients who do not have any breast tissue at all, and all they want is to just have some fullness. They are not looking to be like their friends who are D cup or DD cup, but they just want a B cup! These patients are so grateful and so happy in the end because they feel better. They tell me they feel “prettier, sexier, and happier”… and that is great for them and rewarding for me.
Is Breast Augmentation A Good Option for Transgender Patients?
“I am a trans patient.”
Absolutely! A newer category of patients that I see now are MTF transgender patients who are looking to reflect the person they are on the inside. These patients are going through enormous transitions in their lives, and this one aspect can make a huge difference. Often, the MTF trans patients will have some breast development with hormonal adjustment, but won’t be at their ultimate goal. For these patients, the operation is life-changing.
There are nuances to this operation related to the MTF trans patient’s baseline chest wall anatomy, which makes choosing a plastic surgeon with an expertise in breast augmentation crucial. Fortunately, there are many types of implants to choose from to get the best fit.
When Should You Consider Breast Implant Revision Surgery?
“I got implants years ago.”
Finally, there are the revision patients who have had implants in the past and now are looking to change them due to the time that has passed or other issues. If they have gained weight, maybe they want their implants to be smaller. The opposite can be true also. And many of these patients have the older saline implants which are heavier and have ripples. If a patient has the older textured implants, they may desire to have them changed to smooth implants with a capsulectomy. I talk more about breast augmentation revision surgery in this earlier blog post.
Breast Wishes!
Whatever the reason or scenario that describes you, this operation is personalized and adapted to be the ideal procedure for you. It is amazing how different we all are, so in the end, it will be your unique result. If you want to see the kind of results you might expect, take a look at my patients’ before-and-after breat augmentation photos.
And again, no one else can make this decision for you or know what you are thinking. If you’re considering breast augmentation in the Columbus, Ohio, area and want to learn more, I invite you to come see us at Aesthetica. You can reach us by requesting a consultation online or by calling us at (614) 569-2649. My team of assistants—the A-team—has worked with me for over 15 years and is highly experienced. We will guide you through every stage of the process.
Breast Wishes!
This blog post was originally published in October 2019 and updated in July 2026.
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