Breast Augmentation Surgery

At our practice many women request augmentation mammoplasty, or breast augmentation surgery, with saline or silicone breast implants to enhance their breast profile. Our expert physician performs breast augmentation surgery for patients who would like to:

  • Increase their breast cup size
  • Improve the appearance of sagging breasts that look flattened or deflated (often due to major weight loss or pregnancy/breast feeding)
  • Improve undesirable shape or contour of their breasts
  • Improve breast asymmetry

Silicone vs. Saline Implants

Breast AugmentationWe offer breast enhancement patients either saline and silicone breast implants. Breast implants vary by the type of material inside the implant, the type of shell, and the overall shape. Implants can be saline versus silicone filled, smooth versus textured shell, and round versus tear-drop shape. Here is a quick overview of the various implants:

  • Saline: Filled with sterile saltwater. The implants come unfilled, so they can be filled to whatever volume you want. These implants tend to feel firmer than silicone and can show more rippling in thin women.
  • Structured saline: Filled with sterile saltwater and containing an internal structure. These are designed to appear softer and with less rippling than the traditional saline implant.
  • Silicone: Filled with silicone gel. These implants have less tendency to show rippling and appear and feel more natural than saline. These implants come pre-filled, so the size needs to be determined before placing them.
  • Round: round shape to the implant. These tend to show more upper pole fullness than the tear-drop shape. Both saline and silicone implants can be round and is the most common shape used.
  • Anatomic: These are tear-drop shaped implants that give less upper pole fullness and a more natural breast shape. Tear-drop implants have a risk of rotating, and this can be a cause for revision surgery.
  • Textured: rough surface to the implant that promotes tissue in-growth and prevent rotation. All tear-drop shaped implants are textured to prevent rotation. Round implants can be either smooth or textured.
  • Smooth: smooth surface of the implant that allows rotation and movement of the implant. These are the most common shells used in the United States.

While cosmetic surgery in general is growing in popularity, breast augmentation continues to be the most popular surgical procedure, but no two breast augmentation procedures are exactly alike. This is because everyone's breast are different shapes and sizes.

Breast Augmentation vs. Breast Lift

It's important to have an open conversation with your doctor about what you're hoping to achieve from surgery. Depending on your needs, your doctor may recommend a different procedure altogether. For instance, women who have saggy or droopy breasts should understand the limitations of breast augmentation. Unlike a breast lift, which moves the location of the breast and nipple to a higher point on the chest, breast augmentation simply enlarges the breast in its current position. This may give the impression of a small lift, but it really will not lift your breasts. It is not uncommon for women to come for a breast augmentation consultation when they really need a breast lift. If is possible to combine a breast lift and a breast augmentation if you need your breast to be lifted but also want them to be larger.