Breast Augmentation 2018-02-21T14:31:49-06:00


Breast Augmentation

It’s hard to believe the first breast augmentation was performed in 1962, and now it’s the most popular cosmetic surgery procedure in the United States, according to the American Society of Plastic Surgeons.

Why Do Women Get Breast Augmentation?

Do women get breast implant to attract the opposite sex? For some, this is true. But for most this is simply a procedure many women long based on their shape. Women report being more satisfied with their body, overall appearance, emotional state, and love lives after a breast augmentation procedure.

Research has shown that women tend to have higher self-esteem post surgery which results in increased sexual arousal and sexual satisfaction. This new or renewed sexual prowess has less to do with their bigger breasts and more to do with their newly found self-confidence.

However, most women do not get breast implants for sexual reasons. Body-image issues are the primary reason women seek breast implants. Maybe you feel insecure or self-conscience about your small breast size. You want to look better in your bikini tops, shirts, and dresses, and you feel larger breasts will help you look better in your clothing. Or maybe you want breast enhancement surgery to correct asymmetry in your breasts because one breast is larger than the other breast. This happens more often than you think. Whatever your reasons for seeking breast augmentation do it for you!

The Choice is Yours

There are many options available for the woman who decides that breast enlargement is right for her. The more you know about the procedure and options involved in this type of cosmetic surgery, the better equipped you will be to make the decision that is best for you.

  • Incision Locations
  • Silicone vs. Saline
  • Sub-Muscular vs. Sub-Glandular
  • Fat Transfer

Incision Locations

Surgeons take the extra care to be gentle with body’s tissue. Make as few incisions as possible to achieve a beautiful look.  Your surgeon should offers all options for breast enhancement including FDA approved silicone “cohesive gel” implants, saline implants, placement of the implants either above or under the muscle and all of the approaches of the breast implants from inframammary, trans axillary, periareolar or endoscopic techniques that leave virtually no “tell-tale” scars on or around the breast such as the “belly button approach.  No matter what you choose your surgeon and his or her, staff will help you make an informed choice regarding your breast enlargement procedure.

Silicone vs. Saline

Silicone “Cohesive Gel” Implants

Over 52% of the Implants placed are silicone. 

After a 14-year study, in late 2006 the Food and Drug Administration (FDA) declared silicone gel-filled breast implants to be safe and effective. Cosmetic and Plastic surgeons around the United States welcomed the news.  Now surgeons can offer their patients one more choice─ silicone or saline?  

Both patients and surgeons have experienced positive results with Silicone gel implants creating a softer more natural look for their patients.  Silicone gel implants are available from two manufacturers: Mentor and Allergan.  Implants now come in a variety of shapes, sizes, and profiles, giving you the choices you need to achieve the look you desire.

Cohesive it is, New it isn’t

The word “cohesive” is a new term being used today to describe the nature of the fill compared to the most liquid fill that may have been used in silicone implants in the early 1970’s. This is not new science; this is not new technology – cohesive is simply a word that’s being used today to describe the “sticking together” nature of the gel. Mentor’s silicone gel-filled breast implants are cohesive. The inside of Mentor’s gel implants is filled with our proprietary Memory Gel™. It is Mentor’s own cohesive gel formulation that makes sure the gel acts as a unit rather than a liquid – it holds together uniformly and retains the natural give that resembles actual breast tissue. It also helps prevent migration or running, of the gel in the event of a rupture. Mentor has been using this type of gel since 1985.

The Memory Gel implant is placed through an inframammary incision. Most practices have been using Mentor implants for over 25 years because of their reputation and their commitment to making the best quality breast implants out there. Quality is a necessity, not a luxury.

Saline Implants

Saline implants were first made available in the United States in the 1970’s. Saline implants gained FDA approval in 2000 and became the implant of choice when the silicone versions were restricted from use, until further study.

There are many reasons women still choose saline implants, from being able to have total control of how large to how small a woman wants her breast implants to be, to know that saline is very similar to her natural body fluids.  Saline implants are filled after the implants are placed in the body, so the incision site is very small. Your surgeon can tailor the size of each implant to correct asymmetry of a woman’s breast if needed. 

Breast Implants



Breast Implants


FDA Approved


FDA Approved

Filled with Mentor’s proprietary silicone gel that holds together uniformly while retaining the natural give that resembles breast tissue.


Filled with a saltwater solution similar to the fluid that makes up most of the human body; slightly firmer feel.

Set fill volume.


Flexible fill volume, allowing the surgeon to adjust the volume during the procedure.

Three projection options: Moderate, Moderate Plus, High Profile.


Three projection options: Moderate, Moderate Plus, High Profile.

Two shell surfaces available: smooth and textured.


Two shell surfaces available: smooth and textured.

Slightly larger incision size with various options for incision placement.


Smaller incision size with various options for incision placement.

Covered by Mentor’s standard or Enhanced Advantage Limited Warranty and lifetime replacement policy.


Covered by Mentor’s standard or Enhanced Advantage Limited Warranty and lifetime replacement policy.

Sub–Muscular vs. Sub–Glandular

A common question our breast augmentation patients ask is should I go under the muscle or above the muscle? It is best for patients to come in for their free consultation to determine which procedure is best for them. There are both pros and cons for each procedure.

Sub-glandular breast implant placement: the implants are placed directly on top of the pectoral muscle and just behind the breast tissue.  Some women prefer this placement because they are easier to place by the surgeon, support larger implants, require less recovery time and post-op discomfort and can create more cleavage. On the other hand, some women prefer not to get sub-glandular breast implants because they tend to have a more augmented look, are more susceptible to rippling (if using a saline implant), and can sometimes complicate mammogram readings. Usually, it comes down to the woman’s preference of look and feels for this type of placement.

Sub-muscular breast implant placement: the implants are placed beneath the pectoral muscle, and sometimes only partially beneath the pectoral muscle using specific incisions and placement on the surgeon’s part. This type of placement is ideal for those who want to avoid the risks of having the implants ripple as well as have more successful mammogram readings.  On the other hand, sub-muscular implants are a more technical procedure, requiring a longer healing time, more post-op discomfort, as well as the risk of distorting when the muscle is flexed, and less easily creating cleavage, especially if the implants are placed farther apart.

Fat Transfer – From your thighs to your breast!

Most plastic surgeons have performed liposuction for years and fat transfer to the face and body for over ten years, the progression of transplanting a patient’s own fat cells to the breast is a fairly new technique, but no different than what surgeons have performed for years.  The key to a good result with this procedure is the surgeon’s experience and technique. Surgeons must handle the cells with the utmost of care for the transplant to take.  

Fat transplant consists of harvesting fat from one part of your body utilizing a small syringe. Then, carefully re-injecting these harvested cells into your breasts. There are many advantages of utilizing your own fat cells versus implants. 

  • Minimal incisions mean minimal scarring
  • Fat is real to your body,  where implants are not
  • The breast can be sculpted and shaped
  • Fat grafting to the breasts can help disguise breast implants

Fat transplant to the breasts can take from four to six hours. The fragile fat cells must be harvested slowly and gently. The fat is then placed into the breast not only so that it will create as aesthetic, natural appearance, but also so that the newly transplanted fat has a chance to survive.

As with any breast procedure, calcifications and lumps can occur.  Patients will need to continue their breast exams and annual mammograms.  No evidence has been found that shows that fat grafting to the breast is less safe than any other breast augmentation procedure.  Studies have begun over the last few years to study fat transplant to the breast.

Surgeons with extensive experience in grafting large volumes of fat to the body are most likely to obtain the best results.


It’s important that you trust your Plastic Surgeon. There are hundreds of Plastic Surgeons to choose from; however, not all doctors are created equal. That’s why we’ve selected your city’s best Plastic Surgeons – to make the decision process easier for you and your family.
For your peace of mind, Top10MD Plastic Surgeons’ credentials are validated yearly to verify medical licenses have no serious patient care sanctions, current Board Certifications in their given medical specialty, current DEA & DPS licenses, and malpractice insurance. A Top10MD has at least 5+ years experience or has performed 300+ procedures in their given specialty and a current Patient Satisfaction Score of 8.5 or higher.

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