Breast Augmentation

There are several reasons women seek out breast augmentation surgery, some of which include:

  • Increasing breast size in order to make the body more proportionate
  • Re-inflating lost volume due to recent weight loss or pregnancy
  • Having a better balance in volume if one breast is larger than the other

The decision to proceed with this procedure is a personal one. It is vital to discuss your cosmetic goals and expectations with your surgeon in order to get results you desire. Remember that implants increase the volume of your natural breasts. What you see in the mirror prior to surgery is the same as what you will see after surgery, only larger.

There are several options when undergoing breast augmentation surgery such as placement of the implant inside the body, incision sites, and types of implants to consider.

A breast implant can be placed above the muscle or below the muscle. There are pros and cons to either placement. Talk with your surgeon to discuss which option is best for you.

In general we prefer to place implants below the muscle.  Over time, the muscle thins out and becomes part of the breast. This is the ideal placement for less visibility of the implant, less palpability of the implant, and the overall longevity of youthfulness. It is more painful initially, but worth it in results. The other option is to place the implant above the muscle. When an implant is placed above the muscle it simply re-inflates lost volume.  However, the risk of future sagging is greater, the implant is more palpable, and there is a higher risk of visual rippling (being able to see the wrinkling of the implant).  It is not quite as painful as having implants placed below the muscle.  For simplistic viewing please refer to the diagrams below:

Types of implants:

There are two types of implants used today: Saline implants and Silicone implants. Saline implants consist of a salt water solution, similar to IV fluid. Silicone implants consist of a cohesive, or memory gel. Both implants are made of a silicone shell, and both implants are FDA approved.

Implants come in different shapes or profiles and different surfaces. The most commonly used is a smooth, round saline or silicone implant.

The decision of choosing the type of implant is an important one and should be a well-educated choice. You may refer to the websites in our helpful links area below.

Incision Site:

The incision site is another decision to make prior to surgery. There are three locations:

  • the armpit (axillary)
  • the bottom crease of the breast (inframammary)
  • and the nipple (periareolar).

Each incision is about 3-4cm in length and will leave a scar. Nationwide, the most popular choice is the bottom crease of the breast. This is the most direct route into the breast, and consecutive surgeries are usually done through this incision. It is also the least exposed in the least amount of clothing. Again, discuss the locations with your surgeon to determine what is best for you.

Frequently Asked Questions:

How much is the procedure?
The total cost* is determined at a consultation and based on surgical details and type of implant.  Silicone implants come in different cohesiveness (gummy) options which vary in price. 

Breast Augmentation starts at $5200 for Silicone implants. *Cash discount starts at $4800

Where can I find a post-operative bra?
You can search online at various stores. We include the first post-operative bra.  If you have questions on what type to purchase, please let us know and we can help.

What is the life expectancy of implants?
Saline implants life expectancy is on average about 10-15 years
Silicone implants life expectancy is on average about 30+ years.

What type of anesthesia is used?
General anesthesia is administered by a board certified anesthesiologist via an IV.

How long does the procedure last?
Surgery time is less than one hour. You will arrive 30 minutes prior to surgery, and you will be in the recovery room after the surgery. Expect to be here for approximately 2 hours total.

What will it feel like when I wake up?
Most patients complain of tightness in the chest. This is normal. You will be given some pain medications during and after the surgery to keep you comfortable.

When can I eat after surgery?
You will need to eat/drink something prior to taking your oral medications. As soon as you are ready to do so, you may.

In what position should I sleep?
We recommend sleeping on a few pillows with your head propped up. You may not be comfortable on your side or back for several weeks/days after surgery.

When can I tan?
Tanning is not permitted for two weeks after surgery. After two weeks you may tan, but it is recommended to cover the scars for one full year from any exposure. Early exposure can cause the scars to become a dark color forever.

When can I exercise?
No physical exertion is permitted for two weeks after surgery. Once you begin an exercise regimen, you must listen to your body. If it hurts or causes swelling, don’t do it.

When can I wear an underwire bra?
This varies with each patient. The general rule is once the breasts have healed, rounded out at the bottom, are soft, and you are done massaging (if instructed to do so); you may wear any bra desired including an underwire. For most patients, it’s best to wait at least three months before buying any expensive bras.

When can I drive?
Driving is permitted as long as you are not under the influence of medications.

I feel burning and pressure, is this normal?
Yes, this is very common. Until everything heals it will continue to occur. This could be several weeks.

I can hear a sloshing sound, is this normal?
Yes, this is very common. This is not the implant you hear, it is fluid that develops right after surgery. It will go away over time.

Will I have to massage?
Each patient is different, and so we treat patients individually.  Please do not massage unless instructed to do so by us.

I have different sensations in my nipples, is this normal?
Yes, it is very common to experience different nipple sensations the first several weeks after surgery. This will normalize over time.

I have numbness by my scar, is this normal?
This is common. The scar itself may never have feeling, but the areas around it will normalize over time.