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Whether because of genetically petite breasts, underdeveloped breasts, or diminished breast volume following pregnancy, many patients desire a fuller breast size. Breast augmentation, or “augmentation mammaplasty,” is a procedure that enhances breast fullness, firmness, and size with implants. This procedure can resolve the self-consciousness that many people feel due to having inadequate breasts and can help patients gain the self-confidence they desire.

Ideal Candidates

Ideal candidates for breast augmentation may identify with the following:

  • Genetically small breasts
  • Underdeveloped breasts
  • Deflated breasts after pregnancy/nursing
  • A desire for larger breasts
  • A desire for fuller, rounder breasts
  • Good overall health
  • At least 18 years old (or at least 22 years old for silicone implants)

Preparing for Your Breast Augmentation Surgery

At your breast augmentation consultation, you and your surgeon will discuss your goals, medical history, body shape, and other factors that will influence your breast augmentation surgery. Some of the decisions that you will make before your surgery are about the type of implants, the incision technique used, implant placement options, and the type of anesthesia administered. There are pros and cons about each decision, which your surgeon will discuss with you in person. These decisions should be made together as they all work collectively in determining the final results. Your surgeon can evaluate your anatomy and goals to determine which techniques and choices may be best for you.

You will be advised to quit smoking and stop taking any anti-inflammatory drugs, medications with aspirin, and herbal supplements for at least two weeks before the operation. Lab testing or a medical evaluation should be performed to ensure that you are healthy enough to undergo surgery. A mammogram will also be required both before and after your surgery to identify any changes or irregularities in your breast tissue. You will need to plan to take some time off work and have someone assist you with transportation to and from the surgery center on the day of your breast augmentation. You will be given additional specific instructions on how best to prepare for your procedure.

The Procedure

The procedure will begin with the administration of anesthesia. After it has taken effect, the pre-selected incision will be made, and the implants will be inserted into each breast. The incisions will then be closed.

  • Anesthesia: General anesthesia or intravenous sedation.
    • General anesthesia: The patient is not conscious during the procedure.
    • Intravenous sedation: The patient is more conscious of her surroundings during the procedure but will have minimal recollection and no pain.
  • Incision Techniques: Inframammary, periareolar, transaxillary, or transumbilical.
    • Inframammary: The incision runs along the fold under the breast.
    • Periareolar: The incision is made around the edge of the areola.
    • Transaxillary: The incision is placed in the underarm.
    • Transumbilical: The incision is made in the navel.
  • Placement Options: Subglandular, submuscular, dual plane, or subfascial.
    • Subglandular (Submammary): The implants are placed behind the breast tissue but over the pectoral muscles.
    • Submuscular: The implants are placed entirely under the pectoral muscles.
    • Dual Plane: The implants are placed partially subglandular and partially submuscular.
    • Subfascial: The implants are placed underneath the fascia, which is a layer of fibrous tissue that the surgeon must separate from the underlying muscles.
  • Implant Types: Silicone or saline.
    • Saline: The implant is an elastic silicone shell filled with a sterile salt water solution.
    • Silicone: The implant is an elastic silicone shell filled with silicone.

After Surgery

After breast augmentation surgery, you will return home. Your surgeon will give you specific instructions on how to care for your breasts during recovery. Medication will be prescribed to control any pain and prevent infection. Your activities should be limited for a few days, and soreness and swelling will likely last for a few weeks. Over time, you will be able to resume normal activity and exercise. The incision lines will continue to fade over the following months and years. Your results will be immediately noticeable and will improve as your swelling subsides, and the implants settle. Having implants will significantly change your figure and how you perceive yourself.

Breast augmentation is one of the most requested plastic surgery procedures. It can help balance the proportions of your body, improve your self-confidence, and even lead to a happier social life. To learn more about breast augmentation surgery, schedule your personal consultation with either Dr. Nalin Master or Dr. Rebecca Crane, our plastic surgeons at Cosmetic Surgeons of Naples. Call (239) 263-6766 or complete our online contact form to schedule your consultation today.


Frequently Asked Questions

Am I the right candidate for breast augmentation?

You may refer to the candidacy guidelines above, but the best way to know that you are the right candidate for breast augmentation is to schedule a consultation and get the approval from your surgeon. Candidates for breast augmentation should not smoke and have realistic expectations of their results.

Which breast implant is right for me?

Implants come in a wide selection of materials, shapes, sizes, and textures. Each patient is encouraged to make these personal decisions carefully. There are advantages and disadvantages to each type of implant; however, your surgeon will be able to advise you on what types may be able to help you achieve your goals.

The right implant for you will be primarily determined by what your objective and goals are for your final results. Silicone implants tend to provide a more natural look and feel than saline implants; however, saline implants may be more appropriate for women looking for more noticeable cleavage. You will be able to learn more about your implant selection during your consultation.

What are the risks associated with breast augmentation?

Your surgeon will discuss the risks of breast augmentation in detail with you before your procedure. There may be additional risks depending on your individual needs, concerns, and health conditions. Risks can include:

  • Negative interactions with the anesthesia
  • Bleeding/hematoma
  • Infection
  • Changes in sensation, which may be temporary or permanent
  • Asymmetry
  • Unfavorable scarring
  • Skin wrinkling over the implant
  • Implant complications
    • Capsular contracture
    • Implant rupture
    • Implant displacement
      • Double bubble deformity
      • Bottoming out
      • Lateral displacement
      • Symmastia

What is the cost of breast augmentation?

The total cost of your breast augmentation will vary depending on your individual needs and your choice of implants as some implants are significantly more expensive than others. The price is also influenced by your surgeon’s fees, anesthesia fees, facility fees, pre-surgical tests, and post-surgical dressings. The total cost of your procedure will also be influenced if you choose to combine your breast augmentation with breast lift surgery.

What if I am not happy with my breast augmentation?

Many women remain very happy with their breast augmentation results. However, if you run into any complications, or realize that breast implants do not fit your desired image or lifestyle, breast implant removal can safely remove the implants and restore the breasts to their natural form. Additional implants can be placed if desired.

Breast Augmentation Photo Gallery