Breast augmentation under local anesthesia is increasingly being advertised as a quick and safe beauty procedure. However, plastic surgeon Igor Kozulin warns that the minimally invasive Mia Femtech method is not suitable for everyone and carries serious risks, reports infohub.kz.
"Breast augmentation in 20 minutes without general anesthesia—heard of it? This is about the Mia Femtech method in plastic surgery. In short, it's a minimally invasive breast augmentation where a small implant is placed through an incision in the armpit. It sounds appealing: quick, no scars, local anesthesia, short recovery, and a natural small volume," the surgeon wrote on social media.
He stressed that this method should be approached with great caution, noting that the main advantage of Mia is minimal tissue trauma. "For patients who want a very subtle enhancement, without a pronounced 'done' look, this may sound attractive. But it's important to understand that this is not a cosmetic procedure—it's still surgery with implant placement," the doctor reminded.
In the surgeon's opinion, local anesthesia is not always an advantage. He noted that it might sound more reassuring to the patient, but from a surgeon's perspective, there are safety concerns. "If bleeding occurs during the procedure, the doctor must have full conditions to quickly and reliably help the patient. In a classic operating room with full anesthesia, control over the situation is higher," Kozulin explained.
The doctor also noted that the results of the new method are limited, as Mia is not suitable for everyone. Typically, it provides an increase of about half a cup size to one cup size. "If a patient wants more significant volume, has asymmetry, ptosis, stretched skin after pregnancy, or tissue deficiency, this method may simply not solve her problem," he explained.
Furthermore, the doctor emphasized that complications are still possible. After this method, there can be asymmetry, implant displacement, bleeding, dissatisfaction with shape, and the need for revision surgery.
"I am not against new technologies. I am against presenting surgical intervention as 'quick, easy, and risk-free.' Breast augmentation should be chosen not based on a trendy method, but on the patient's anatomy, her goals, and the safety of the outcome," he explained.
The surgeon notes that before deciding on breast augmentation, one should consult with a plastic surgeon, who will advise on the most appropriate and safe approach. Earlier, Kozulin named operations he would never perform on his loved ones.