Breast Augmentation


Women who seek breast augmentation are unhappy with the appearance of their breasts or the way clothes fit because their breasts are too small in proportion to the rest of their body or they have lost their shape and tone thanks to age, genetics or childbirth. Breast augmentation remains the most requested cosmetic surgical procedure among women in the United States.

Breast augmentation can include implants, reconstruction, lift and/or fat grafting. Implants come in a variety of materials (silicone, saline or a combination of both), shapes (round and teardrop) and sizes (B through DD).

Breast Implants

Silicone gel implants are the oldest type of breast implant, which were banned in the 1990s when women claimed they caused health complications. Since then, the FDA has reduced the ban after studies refuted the claims and manufacturers improved their products. Saline implants have been the most popular type of breast implant since they were introduced in 2000. Saline implants are made with a silicone outer shell and filled with a sterile saline, which, if ruptured, does not harm the body.

Breast Implant Incisions

Incisions for breast implants fall into four categories: inframammary, pariareolar, tranaxillary and TUBA.

Inframammary incisions are placed in the crease under the breast. They are less visible and allow the implants to be placed under the muscles and glands, which benefit women who want to breastfeed.

Periareolar incisions are made around the edge of the nipple. Scarring is disguised by the nipple. This method can be used in conjunction with a breast lift, and the nipple can be repositioned. A common side effect of periareolar incisions in breast augmentation surgery is a loss of sensation that might not return fully. Women who have had periareolar incisions might also find breastfeeding difficult.

Transaxillary incisions are made in the armpit, which is ideal if breast scarring is a concern.

TUBA incisions-or transumbilical-are made through the navel. This is a less common technique and might be used on a woman who is having multiple procedures, including abdominoplasty or a mommy makeover.

The type of incision that a cosmetic surgeon will recommend depends on the type of implant used, the childbearing status of the woman, whether other procedures will be performed in the same setting, the patient's concern about scarring and the size of the implant.

This site facilitates the search for the right surgeon near you, with the main information about the procedure and the doctors.