Breast augmentation or breast enlargement is one of the most frequently performed cosmetic plastic surgery procedures. It offers women the possibility of enlarging as well as improving the appearance of the breasts. Today patients are faced with different choices of implants as well as different routes for placement. The decision making process is one that should be done in consultation with a board certified plastic surgeon who has ample experience in the placement of these devices.

Breast implants come filled with silicone gel or deflated so that they may be filled with saline once they are placed in the pocket.  Silicone gel implants are filled with a cohesive gel that retains its form. They tend to be softer to the touch and have a longer life than saline implants. Saline implants can be inserted through a smaller wound because they are deflated when placed. They also allow some adjustability in volume that is particularly helpful when there is mild asymmetry of the breasts. Both types of implants come in a range of different sizes and profiles that allow optimal selection for each patient.

Patients also have other choices to make when the implants are being placed. The implants can be placed underneath the pectoral muscle or simply below the breast tissue. Placement beneath the muscle provides another layer of tissue to cover the implants in those patients that have smaller breasts. Patients with larger breast can sometimes be better candidates for positioning of the implants beneath the gland because there is enough tissue to cover the implant well.

There is also a choice in where the wounds are placed. Implants may be inserted through the breast crease, as well as through the lower aspect of the areola, or the axilla. The choice will be determined by previous scars, size of the areola, implant type and patient preference.

The choices available to patients when undergoing breast augmentation make it very important to seek consultation with a plastic surgeon. The patient must be guided during the decision making process so that they have realistic expectations and they understand the nature and limitations of the procedure. The anatomy as well as the quality of the skin and tissue of each patient will ultimately determine the best size, shape and placement of the implant.

Patient safety is a primary concern at PPSD.  Each office has two certified operating rooms, and maintains the highest standards of care.  The procedures performed at PPSD are done by Board Certified Plastic Surgeons who have been well trained to do what they do.  The patient needs to be aware of the fact that many non-plastic surgeons, who have little to no training, are doing cosmetic procedures. You need to go to a qualified physician who has the proper training and expertise.  Additionally, you should be sure that your physician has hospital privileges and the experience to handle any complications, should they arise.

If you are considering a plastic surgical procedure, the surgeons at PPSD can guide you and determine which procedure is best suited to meet your goals.