1. It is not covered by insurance and is undergone by a population who tend to be low income and require it for any medical procedure

  2. Surgeons are supposed to completely remove any mammary tissue and glands (leaving less than a typical males who would still grow boobs under circumstances) so taking estrogen (and assorted) hormones after the procedure will not signal any estrogenic tissue to mature and you will remain flat chested or growth will be non-uniform in the future

  3. You could need tissue expanders bc they sew the skin pretty tight normally, the nipples are at more of a risk of falling off after being re-grafted on once before. Which is a relatively advanced surgical skill.

  4. Getting implants for cosmetic reasons is bad, they need to be replaced every 10-20 years which means if your patient gets a mastectomy at 12 years old and wants to maintain prosthetics for her life (ideally like 60 years) she will have to go under general anaesthetic five to ten times, maybe they will have to have her chest operated on a few more times than that because of complications etc. This is dangerous and again outrageously resource expensive for ppl that are low income.

If you get a mastectomy for cancer or for aesthetic reasons I'd advise you just to leave it. It doesn't look bad or anything or make you less of a woman. Also related that breast cancer surgeons are now more likely to do a flat mastectomy than automatically leaving the breast skin empty for future implants as it's less stressful for the patient

I’m surprised this isn’t talked about more. As a flat chested woman I considered implants in my youth, but learning about the revisions every 10 years, the sheer cost of that, and what Lumos said about possible auto immune complications, it just wasn’t worth it. That’s not even touching on general surgery complications and that sometimes the implants burst!

ETA I researched it in the late 90s/early 00s. The crazy thing is this information was nowhere. I had to look for it. The attitude at the time was “just get boobs! One easy surgery at 19 or so! They’re fabulous and you’ll be all set!” Learning about the revision surgery every ten years was a real eye opener.

If only body parts were as trivial and interchangeable as these people pretend.

I would trade my big breasts with a flat chested woman in a heartbeat.

Very good points. I’d like to add breast implant illness, an autoimmune-ish illness many women get after implants. They haven’t studied how common it is, but the link mentions a facebook group with 100,000 members.


Probably stems from having foreign bodies inside you long term. Bodies generally react very poorly to anything foreign, whether it’s implants or donor tissue.

[–] Moonpriestess 12 points Edited

Don't forget that they're shoving bags of foreign matter under the skin, so there's always the chance that the tissue around the implant will scar and become hard.

The implant can rupture, or even worse, have a leak. If it's silicone, good luck. If it's saline, it can get mold and bacteria growth from fluids getting into it. In both cases you can get sick or die.

You are absolutely right that implants are a huge risk for women, and they're nothing to be blasé about.