Breast Augmentation

Breast augmentation is a cosmetic surgical procedure designed to enhance the size, fullness, and shape of a woman’s breasts using implants or fat transfer.

About Breast Augmentation

Overview

Breast augmentation, a cosmetic surgical procedure, aims to enhance a woman’s breast aesthetic by increasing size, fullness, and shape. This procedure involves the use of saline or silicone breast implants, commonly known as gummy bear implants, which are inserted through minimal incisions and placed beneath the pectoralis muscle, known as submuscular breast augmentation.

Different types of implants are available: saline-filled implants, silicone gel-filled implants, structured saline implants, and form-stable implants.

  • Saline breast implants are filled with sterile salt water and provide a uniform shape, firmness, and feel. They are FDA-approved for women aged 18 and older. Structured saline implants have an inner structure for a more natural feel.
  • Silicone breast implants are filled with silicone gel, which feels more like natural breast tissue. They are FDA-approved for women aged 22 and older. Gummy bear implants are form-stable and maintain their shape even when the shell is broken.
  • Round breast implants give a fuller appearance, while smooth implants feel the softest and can move with the breast implant pocket.
  • Textured implants develop scar tissue to prevent movement inside the breast. It is important to consider your goals, expectations, and lifestyle when choosing the right implant type.

 

Augmentation Without Implants: Fat Transfer Breast Augmentation

While breast implants are the gold standard for improving breast shape and size, they are not the only way to increase breast volume. A small increase can be achieved without any implants, using your own fat.

Fat transfer breast augmentation is a surgical procedure that involves removing fat via liposuction from an area of the body such as the hips, flanks, stomach, or thighs and re-injecting that fat strategically into the breast to add volume. This technique can be customized to improve asymmetry, add cleavage, and/or increase volume up to about 1 cup size.

Advantages

Breast augmentation offers increased breast size, improved shape and symmetry, and can enhance a woman’s overall silhouette. It provides a customizable solution with various implant types and the option of fat transfer for those seeking a more natural approach.

Pros
  • Wide variety of implant options (saline, silicone, structured saline, form-stable).
  • Option for augmentation without implants using fat transfer.
  • Improved breast symmetry and contour.
  • Minimally invasive with strategically placed incisions to minimize scarring.
Cons
  • Potential for visible scarring, although typically minimal and strategically placed.
  • Requires general anesthesia and has associated surgical risks.
  • Possible need for future surgeries to replace or remove implants.
  • Post-surgery recovery time and activity restrictions.
  • Monitoring for implant ruptures, especially with silicone implants.
What to Expect

During breast augmentation, implants are inserted through minimal incisions and placed beneath the pectoralis muscle. Alternatively, fat transfer involves liposuction to remove fat from other areas of the body and re-injecting it into the breasts. The procedure typically takes about one to two hours and is performed under general anesthesia.

Before undergoing breast augmentation, many patients often ask about the appearance of their scars post-surgery. Skilled cosmetic surgeons strategically place incisions during breast augmentation to ensure that resulting scars are discreet and easily concealed.

The choice of incision technique depends on individual anatomy and desired outcomes. Patients can expect their surgeon to use one of several incision techniques when placing breast implants. Rest assured that experienced cosmetic surgeons prioritize minimizing scarring for optimal results.

  • Inframammary: This involves a short incision made in the crease underneath the breast, called the inframammary fold. This leaves a thin, 1 to 2-inch scar that is easily concealed within the crease. Advantages of this incision type include a wider access point, allowing a cosmetic surgeon to place larger silicone implants or gummy bear implants with precision.
  • Peri-areolar: The incision is made around the outer edge of the areola, so the resulting scar is located within this natural transition in pigmentation. Cosmetic surgeons will often use this incision type if they are also performing a mild to moderate breast lift at the same time.
  • Trans-axillary: This involves a small incision made within the armpit, through which your cosmetic surgeon will place the breast implant using a specialized camera and instruments to ensure optimal placement. This leaves a small scar within the armpit but achieves a breast augmentation with no scar on the breast itself.
  • Transumbilical: This technique involves an incision just above the belly button. Each breast implant is inserted through this incision and then brought up to the breast. Advantages of the transumbilical technique include a single scar with no scarring on the breast itself.


The Procedure

Breast augmentation is a common outpatient procedure that is usually done under general anesthesia. Patients can often walk around by themselves a few hours after surgery and may feel ready to leave the house within a day or two. It is important to follow the instructions of your cosmetic surgeon, which may include wearing a supportive bra for a period of time. The implants may initially appear high on the chest but will settle into place over several weeks.

Regular mammograms are safe with breast implants, and monitoring for ruptures is recommended for silicone implants. Pregnancy or weight changes may impact results over time, and wearing a supportive bra can help prevent unnecessary sagging as breast tissue changes with age.

Recovery

Patients can often walk around a few hours after surgery and may feel ready to leave the house within a day or two. It is important to follow the cosmetic surgeon’s instructions, which may include wearing a supportive bra. Initial swelling and high placement of implants will subside as they settle into place over several weeks.

Results

Breast augmentation results in enhanced breast size, improved shape, and symmetry. Implants will settle into a natural position over time, and fat transfer provides a subtle increase in volume. Results can be long-lasting, but factors such as pregnancy and weight changes can affect the outcome.

Safety Profile

Breast augmentation is a common outpatient procedure with a good safety profile when performed by an experienced cosmetic surgeon. Regular mammograms are safe with breast implants, and monitoring for ruptures is recommended for silicone implants. Wearing a supportive bra can help maintain results over time.

Cost

The cost of breast augmentation varies depending on the type of implant or fat transfer, the surgeon’s experience, and the geographic location. Breast augmentation can range in price from $6,000-$12,000.

Before / After Gallery

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