Breast Augmentation

Breast enlargement, known as augmentation mammoplasty, can enhance your breasts if you are unhappy with your breast size. This procedure may also be used to improve the loss of breast volume following pregnancy and nursing. Additionally, the operation may help balance breast asymmetries. Saline filled or the FDA approved silicone gel implants may be surgically implanted by three standard routes with placement either above or below the chest muscle. The standard routes are periareolar (around the areola), inframammary (lower breast folds) and transaxillary (arm pits). Also, saline implants may be placed transumbically (via the navel). We prefer the axillary route.

The implant is composed of an outer flexible, silicone shell and filled with either saline water or silicone gel. The outer surface may be smooth or textured. Implants also have various sizes, profiles and shapes to meet your individual needs.

The surgery is usually performed under IV sedation or general anesthesia, on an out patient basis. It generally takes a Cosmetic Surgeon between one and two hours to complete your breast augmentation.

While breast augmentation will enlarge your breasts, the surgery will not alter underlying basic defects in breast shape and form. Major asymmetries may be improved but will not be completely corrected with breast enlargement alone. A noticeable difference in the size, shape or orientation of your two breasts is considered normal and is actually the rule. If your breast size and/or nipple position asymmetries are severe, additional procedures to further improve symmetry may be necessary. Remember – “your breasts are sisters and not twins”.

Long term experience with breast enhancement surgery has demonstrated that this operation has a high patient satisfaction rate. The great majority of our patients feel appreciative of their results and they would definitely undergo this procedure if given the choice.

Who is a Candidate

  • Women who want larger breasts.
  • Women who want to improve their breast shape.
  • Women who want better cleavage.
  • Women with realistic expectations.

Intended Results

  • Larger and shapelier breasts.
  • Less asymmetry and size difference.
  • A larger breast profile.

Procedure Description

  • Breast augmentation is usually performed in an accredited outpatient surgical facility under general anesthesia or conscious sedation with local anesthesia.
  • Surgical scars are usually hidden as much as possible in skin folds.
  • Saline or silicone implants may be placed either above or below the chest muscle.
  • Breast augmentation usually takes about 60 to 90 minutes to perform.

Recuperation and Healing

  • Discomfort is controlled with oral medications and long-acting local anesthesia.
  • A soft bra or compression garment is usually worn for several weeks postoperatively.
  • Patients are usually discharged to the care of a responsible adult and recover at home.
  • You are usually seen the next day for follow-up at the office.
  • All sutures are usually removed in 1-2 weeks.
  • Light activity may be resumed in 7 days. Sports activities may be resumed in 3-6 weeks (depending on your surgeon).

Other Options

  • Breast lift – if sagging is an issue.
  • Areolar (the dark area around your nipple) reduction.


The specific risks and suitability of this procedure for a given individual can be determined only at the time of consultation with your Cosmetic surgeon. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.