Breast augmentation is performed to enhance the appearance, size, and contour of a woman's breasts.
Women consider breast augmentation for many different reasons. Some women feel their breasts are too
small. Some desire augmentation after their breasts change after pregnancy. Others desire to correct an
asymmetry in breast size.
Breast augmentation is performed with implants (see below) that can be placed under a chest muscle or
over a chest muscle. The incision can be placed in the axilla (armpit), areola (the area surrounding the
nipple), or lower breast fold. In general, all breast augmentations are minimally invasive procedures. For
augmentations in which the incision is made in the armpit, an endoscope (thin tube with a small camera
and light) may be used during the procedure.
Breast implants are made up of a silicone shell filled with either saline (a salt water solution) or silicone
gel. A woman determines her desired size by fitting trial implants. Currently, saline filled implants are used
on an unrestricted basis. Silicone gel filled implants are available only to women participating in approved
Breast augmentation is a relatively straightforward procedure. As with any surgery, some uncertainty and
risk are expected. Know your concerns and expectations. Review the benefits, risks, and alternatives.
Seek consultation with a board certified plastic surgeon.