Breast Augmentation

Procedure Overview

Breast Augmentation increases the size of the breast. It is helpful for women who naturally have relatively small breasts or those that have lost volume from childbirth/breast feeding or weight loss.

Breast Augmentation can also be useful to improve symmetry. Currently, I use saline and silicone gel implants and the recently approved form – stable ‘Gummy Bear’ Silicone implant. When possible, I generally prefer placing saline implants partially under the pectoral muscle, as there are several advantages to this. Silicone implants can be placed partially submuscular, subfascial or subglandular depending on ones tissue characteristics. Several possible incisions are available.


Currently, I prefer an incision in the natural crease below the breast (inframammary incision). However, the incision can also be placed in the areola (the pigmented skin around the nipple), or in the armpit (Axillary incision). The belly button incision has never been FDA approved and is a choice I do not offer.

Fat Transfer
If you desire breast enlargement, but prefer to avoid synthetic implants, fat transfer is another option.

At the Center for Plastic Surgery we have performed fat transfer to various areas of the face and body since 1997. As technology has greatly improved over the last decade, we have recently introduced fat transfer for breast enhancement. Fat is harvested from unwanted areas such as the abdomen, hips, and thighs using technology similar to liposuction, purified, and subsequently via small needle holes transferred into the breast. Advantages include a faster recovery and absence of a synthetic implant. Disadvantages include limitations in volume gained (usually 1/2 to 1 1/2 cup) and the possible need for more than one procedure to achieve the desired final breast size.

Operative Time

Generally one and a half to two and a half hours


Local with IV sedation


Although rare, infection, bleeding and asymmetry can occur. Hardening of the breast, visible implants, and malpositioning has also been reported.


Generally 2 weeks to resume aerobic type activities

Breast Augmentation Before and After Photos