Breast Augmentation Surgery – Is It Right For You?

Breast Augmentation

Breast Augmentation Surgery – Is It Right For You?

For many women, the appearance of their bust is not only a physical issue, but an emotional issue as well. If a woman feels her bust is too small, it can impact how she feels about herself in many different ways, primarily effecting her self-confidence. Breast augmentation or improving the size of her bust can help improve her self-image and provide a boost to a woman’s self-confidence.

Breast augmentation is surgery to insert breast implants into the breast mounds adding volume and enhanced shapeliness to the breasts. Women opt for breast surgery for many reasons including increasing the size of naturally small breasts, correcting disproportionate breasts or repairing breasts following mastectomy surgery or trauma to the chest.

Who Is a Candidate?

A woman should consult with a surgeon to see if they are a candidate for breast augmentation surgery. The surgeon will do an examination and will ask the woman what her goals are for the surgery. It is important for the woman to talk with the surgeon about what it is exactly that she hopes to achieve with the surgery.

The surgeon will discuss the different types of breast implants and the risks associated with each. The woman needs to consider these risks and weigh them against the benefits of the surgery. Breast implants come in two types, silicone and saline. Both types have a rubbery silicone shell filled with either a saltwater solution or a silicone gel. The saltwater solution is a saline implant and the silicone gel is a silicone implant.

Silicone implants feel more natural than saline implants and saline implants are slightly less expensive than silicone implants. Both types of implants are approved by the FDA.

Implant Sizes and Shapes

The surgeon will discuss the various sizes and shapes of the implants and will make recommendations about which sizes and shapes will work for the patient. He or she may ask the patient to try on different sizes and test them out using special bras and devices. A patient should take her time and really pay attention to how the implants feel in order to make the right decision. One of the primary reasons for revision breast augmentation surgery is to get larger breast implants because the first implants were too small.

Implants also come in various shapes. Some are rounded to provide a fuller appearance at the top of the breasts, while others are teardrop shaped which gives a more natural appearance. The surgeon will offer advice and recommendations.

Placing the Breast Implants

During the breast augmentation surgery, the surgeon will create a pocket within the breast to place the implant. There are three typical placement choices:

Completely behind the muscles or completely submuscular – the implants are placed fully beneath both the breast tissues and the chest muscles

Partially behind the muscles or partial submuscular – the implants are placed behind the breast tissue and partly beneath the chest muscles

Above the pectoral muscles – the implants are placed behind the breast tissues and in front of the chest muscles

The surgeon and the patient will make the decision as to where to place the implants and it will be based upon the patient’s body type, treatment goals, and expectations from the surgery.


The surgeon will make incisions to place the implants. These incisions are typically small and very carefully placed which makes them virtually undetectable. Breast implant incisions are typically done in one of four places:

Transaxillary incision or in the arm pit – the surgeon inserts the implants through an incision in the arm pit and places them in the breasts

Periareolar incision or around the nipple – the surgeon makes an incision very carefully around the edges of the areolas, inserts the implants and places them under the breast tissue. These incisions are virtually unnoticeable after they are healed.

Inframammary incision or under the breast – the surgeon makes an incision along the natural skin folds of the breast where the bottom of the breast meets the chest and inserts the implants under the breast tissue or chest muscles. These incisions are fine lines when healed but are not very noticeable because of the placement.

Transumbilical or TUBA incision or in the navel – this incision is reserved for saline implants which must be inflated after insertion. The surgeon makes an incision through the naval and this method allows for virtually no visible scarring.

The best incision location for an individual will be dependent upon several factors including the type of implants chosen.


Following breast augmentation surgery, a patient is placed in surgical dressing that may include a support bra or garment. The surgeon will provide instructions on post-surgical care including any drains if the patient has any. The patient should be walking by themselves and should be up and moving on their own within a few minutes of the surgery.

For the first two to five days, the patient may be stiff and sore in the breast area. Dressings will be removed within the first several days and the patient may be required to wear a support bra. The breasts may be sensitive to the touch. There may be difficulty raising the arms, but all of these symptoms should subside within a week or so.

The surgeon will typically prescribe massage and exercises and are done to keep the breast pocket open. They help to keep the breast soft and natural looking. It is very important to follow the surgeon’s instructions.

Cost of Breast Augmentation Surgery

There are different options for breast implant and augmentation surgery and the costs can vary a great deal depending upon the expertise of the surgeon, the location or geographic region where the surgery is performed, if the surgery is done in an outpatient center or a hospital, and what type of anesthesia is used. Even the type of implants used impacts the cost.

Total costs typically range from $5,000 to $15,000. The costs of the implants fall between $1,000 to $1,500; anesthesia fees between $600 and $800; and the facility fee from $800 to $1,200. The remaining costs will be the surgeon’s fees which can vary a great deal.

When considering breast augmentation surgery, a woman should research the various types of implants and surgeons who perform the surgery in her local area. She should investigate their education, training and certification and the number of breast augmentation surgeries they have done. This will provide her with information to meet with a surgeon and discuss the surgery. Then she can decide if breast augmentation surgery is right for her.

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