Breast Augmentation

What is Breast Augmentation?

Breast enlargement surgery remains the number one cosmetic surgery procedure in the United States. It’s the perfect surgery to change the size and shape of the breasts. Patients who elect breast enlargement typically are unsatisfied with the shape, size, or position of their natural breasts. Breast size is increased by placing prosthetics such as silicone gel implants or saline implants, or in some cases, fat transfer to breast. With the sound advice of breast enhancement surgeons, patients are able to determine if this procedure is right for them.

Candidates for Breast Augmentation

A candidate for breast implants is in a good state of physical and mental health, has weighed the pros and cons of getting a boob job, and has decided to undergo breast enlargement surgery for the right reasons, such as:

  • Being dissatisfied with your breasts you are well past the age of development and feel your breasts are too small, or would like to improve the projection and overall volume of your breasts.
  • You’re unhappy with the natural shape of your breasts increased fullness and projection, and different options in implant shapes can change the natural shape of your breast and result in a look you desire.
  • To enhance your cleavage breast implants add volume to the breast, resulting in a fuller cleavage.
  • To correct asymmetry typically caused by hormonal changes or changes brought about during puberty, asymmetry of the breasts can be corrected with breast implants or fat transfer to breast.

Pros and Cons of Breast Augmentation

Choosing to undergo elective cosmetic surgery is not a decision to be made lightly. Do your homework; ask the right questions, before committing to breast implant surgery.


  • Improved appearance Breast Implants, aside from adding volume to your natural breast, can correct any physical flaws such as asymmetry, placement, and shape.
  • Self Esteem being dissatisfied with your physical appearance can have a negative impact on your self-image. Electing breast enhancement surgery can give be a big self confidence booster!
  • Safer than ever before thanks to advancements in the field of plastic surgery, today’s breast enlargement is considered out-patient, with most patient’s sleeping in their own beds after their surgery.


  • Breast Implants don’t last a lifetime.
  • Complications such as capsular contracture, rupture, scarring, pain, wrinkling and infection at the incision site are still very real risks.
  • You will have to monitor your breasts for the rest of your life and see a doctor if you notice any abnormal change.

Breast Augmentation Surgery Options

There are different styles of breast enhancements designed to meet or exceed your breast implant objectives. Make sure to shop around before undergoing breast enlargement surgery.

Breast Enlargement with Implants

Made to mimic human fat, today’s implants take on your body temperature, feel, and look like natural breasts.

When researching for breast enlargement surgery, it is essential to choose the correct implants and look at all the breast enlargement options. Breast implants can be shaped with different contours and made of various materials.

patient undergoing a breast enlargement procedure

Breast implant material options

The composition of your breast implants is largely based on your goals and body type. Your options are saline, silicone, or silicone gel. Though all three offer beautiful results, silicone breast implants are by far the most popular, largely due to closely resembling human fat in movement and tactile feeling. Saline implants offer minimal scarring, and can be filled precisely to be tailored to the patient.

The Shape of Your Breast Implant

The overall appearance of your breast implant is not only determined by sheer volume. Choosing the right shape to compliment your breasts natural shape can help achieve the look you desire without necessarily going bigger. Round implants offer enhanced cleavage, and add volume to the upper pole of the chest. Anatomical, or teardrop shaped implants have more volume on the bottom and gradually diminishes towards the top of the breast.

Breast Enlargement with Fat Transfer

As the name implies, this technique transfers the patient’s own fat to the breast. This is a great option for patients who wish to increase the overall volume of their breasts, correct asymmetry, or subtly enhance cleavage. The biggest draw is that this simple procedure does not require prosthetics, general anesthesia, or long-term recovery, makes this procedure increasingly popular.

What are the advantages of breast enlargement using fat transfer?

Choosing this method can provide many benefits, which may include:

  • This is a relatively safer option than surgery using breast implants.
  • There is no need for breast implants.
  • General anesthesia is not required.
  • Larger and fuller breasts using your own body fat.
  • Non need for long incision scarring.
  • Recover sooner, less discomfort, and downtime.
  • Improve shape and breast volume by 1-2 cup sizes.
  • Results look very natural since you are using your own body fat.
  • Results are seen in days or weeks.

fat grafting breast enhancement

Breast Augmentation Procedure

Typically lasting no more than two hours, the procedure can begin once anesthesia takes effect. Depending on your selection, a periareolar, inframammary, Transaxillary, or Transumbilical incision is made. The implant is then inserted into the submuscular or subglandular pocket, a decision you made with your surgeon according to the placement, size, and composition of your selected breast implant. Finally, the incisions are closed, your surgical team cleans you up, and off to it’s off to recovery.

Choosing a Good Breast Augmentation Surgeon

Doing research before choosing a good cosmetic surgeon is the best way to guarantee a successful breast enlargement. Most respected plastic surgeons have online portfolios brimming with before and after pictures showcasing their work. Plastic surgeons are artists; choose one whose results are in line with what you envision for yourself. Then, ask a TON of questions. Consultations present an opportunity to interview doctors who may potentially perform your breast implant surgery.

  • Have you performed this procedure before?
  • How many times?
  • What is your training in this procedure?
  • How long have you been a surgeon and how long have you performed this procedure?

Choosing the Placement of your Implants

Your surgeon will determine the best placement for your breast implants. Breast implants can be placed over or under the pectoral muscle. Over the muscle, or subglandular placement, where implants are positioned above the pectoral muscle can have a distinctive unnatural-looking profile. Beneath the muscle, or submuscular placement prevents the breast from changing shapes with chest muscles contraction. Mammographic imaging is more easily accomplished more with this positioning.

The location of the incision offers patients a variety of options. There may be times when the surgeon chooses one over the other based on the patient’s needs and anatomy. Depending on the kind of implant, patients can choose from four incision sites:

  • Inframammary: Through the lower crease of the breast
  • Transaxillary: A fancy way to say through your armpit
  • Periareolar: Through the outer perimeter of the nipple
  • Transumbilical: Through the navel

Inframammary and periareolar incisions offer the surgeon the most control over this surgical procedure. Some surgeons may prefer the inframammary incision because it’s concealed. Although the periareolar incision is also a discreet technique as the resulting scar will blend in beautifully with the darker skin. These incisions are ideal for silicone and gel implants because the incisions need to be a little longer.

Transumbilical and transaxillary incisions are only available for sailing implants. They offer the advantage of minimal scar visibility. Many patients opt for these incision sites as they reduce the risk of loss of nipple sensation, which is a common concern for many women undergoing breast enhancement. They are difficult surgeries performed only by skillful surgeons. For example, insertion though the belly button, also called TUBA, can be less precise because the surgeon dissects the pocket blindly. Nevertheless, this procedure is highly effective when performed by a skilled surgeon.

Having various breast enlargement methods available should not be a concern for the patient. When you are in the hands of a good surgeon and cosmetic center such as Eres Plastic Surgery, things will eventually work out, and your surgery will be a success.

Preparing for Breast Surgery

During your first consultation your doctor will perform an evaluation of your health, and go over the surgical techniques available. They will determine what’s the best shape, size, and technique for you based on your skin tone, and condition of your breasts. If the skin is sagging, the surgeon may recommend a breast lift. Discuss your cosmetic goals openly with your surgeon. Most doctors are honest with patients regarding the pros and cons of involved with surgery, alternatives, and limitations this procedure may involve. Be honest and tell your doctor if you smoke, take any prescribed medications, vitamins, or other types of drugs. The surgeon will also examine the type of anesthesia to be used, facility where the surgery will be performed, and all the costs that may be involved. Make sure to arrange for someone to drive you home after surgery, and help around the house during the first week of recovery.

Preparing for surgery

Post-op and recovery after breast implants

The recovery process starts immediately after surgery. Take care of yourself throughout the recovery process to ensure your body has time to heal and ultimately look its best.

  • During the first few days you will feel tired and sore. Rest is crucial during this time.
  • Experiencing a feeling of tightness in the breast area is normal, as the skin is adjusting to the new shape of your breasts.
  • Breast massage and exercise can help speed up recovery and ease discomfort.
  • You may be asked by your surgeon to wear a post-op bra or compression garments for added support.
  • Many patients can go back to work within days after the procedure unless your particular job requires heavy lifting, which is limited following breast enlargement procedures.
  • Avoid strenuous activities that require using your arms or chest.
  • Breasts can remain swollen and sensitive to physical contact for upwards of thirty days.
  • If you experience swelling and redness in the newly implanted breasts followed by fever, contact your surgeon immediately.

Risks and complications after breast surgery

Breast implant surgery can carry uncertainty and risk:

  • When there is excessive bleeding following the operation, it will cause swelling and pain. If it continues, another operation may be required to control the bleeding.
  • A small percentage of patients develop an infection around the implant about a week after surgery.
  • Some patients have reported their nipples becoming oversensitive. This tends to disappear over time.
  • A rupture may occur due to an injury or movement and compression of the implants, which can cause the breast implant shell to leak. Saline implants will deflate in a few hours and the body will absorb the saline liquid. Rupture in silicone and silicone gel implants are difficult to detect. Silicone gel can move into surrounding tissue and cause a new scar to form or migrate to another part of the body. Reoperation is required to replace ruptured implants.

Breast implant revision

Revision surgery may be inevitable. Old implants, generally ten years old or greater require replacement in the event of damage or rupture. Women who previously underwent augmentation mammoplasty are good candidates for revision surgery, as long as they are healthy enough to endure the procedure.

Reoperation may be necessary if:

  • Rupture or deflation of the implants.
  • Stretching of the skin and changes in breast size caused by pregnancy or extra weight.
  • Though uncommon, bleeding or infection during the initial post-op period.
  • Laxity of the skin caused by the natural aging process.

Augmentation mammoplasty

How much does a breast augmentation cost?

During your consultation with the plastic surgery center, you should talk to a financial consultant in order to analyze each itemized item that the cost may include. The cost may include the initial consultation, operating center fees, anesthesia, implants, post-operative care, and other miscellaneous fees. You should also consider the cost of the medical tests, surgical garments, prescription meds, etc. Surgeon’s fees will vary. Make sure you choose a board certified surgeon. Doctors without the proper training, although cheaper, should not be used. Costs range from $2,500 to $6,400.

Breast Augmentation FAQ

How big should I go?
How long breast implants last?
What’s the age requirement for breast implants?
What are high-profile implants?
How will I feel about my new look?
Updated on: October 21st, 2016