5 Factors To Consider Before Your Breast Augmentation Procedure

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Here Are 5 Factors To Consider Before Your Breast Augmentation Procedure

Breast Augmentation With Implants

A breast augmentation can be an excellent way to enhance curves or restore breast volume. This common cosmetic procedure creates dramatic changes and boosts confidence making it one of the most popular plastic surgery procedures in the United States. While it is a great option for many women, the decision to undergo breast augmentation should not be taken lightly. As with any surgical procedure, it is crucial to research highly qualified board-certified surgeons and to consider the following key factors.


One of the most important factors you will need to consider is the size of implant most suitable to you. While this certainly involves considering your desired look, it is also crucial to take body proportion into account which ensures that the results are natural and appropriate for your body. Breast implant volume is measured in ccs, ranging from 200cc to 800cc, however, because every woman has a unique physique, one volume will result in different outcomes for different body shapes.

Dr. Gartner will help you select the implant size that will matches your goals for the procedure, providing you with implant sizers to try on several implant sizes. It is also advisable to review the results of patients with similar pre-surgery breasts.

Choice Of Implant

After determining the best size for you, you will decide whether saline or silicone implants are right for you. Although both saline and silicone implants have an outer silicone gel, saline implants contain sterile saline, a salt-water solution which is non-toxic and are filled by the surgeon during the procedure, which enables the surgeon greater control in achieving your desired results. The incision required is slightly smaller as a result.

Cohesive silicone gel implants, on the other hand, are pre-filled with a silicone gel, designed to have the look and feel of natural breast tissue. Silicone implants cost approximately $1000 more than the saline alternative. Anatomical or, “shaped” implants are also made from a thicker cohesive gel and are intended to provide a more natural outcome, as they mimic the natural slope of the breast, however, these implants often feel firmer than the alternatives and require larger incisions. Dr. Gartner will talk with you about the pros and cons for each implant option.

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After selecting your implant, it is necessary to chose between a smooth or textured surface. Smooth implants are believed to last longer and have a lower rupture rate, but are more likely to be displaced, moving within the pocket. They will also be less likely to show rippling as the tissue doesn’t “grip” them. Textured implants, which have a thicker shell, often feel firmer and were designed to reduce the risk of capsular contracture after breast augmentation.

Incision Site

The next important determination is the type of surgical incision: transaxillary, inframammary, periareolar, or trans-umbilical. The most common incisions used are periareolar and inframammary because they provide the surgeon with optimal visibility and can be well-hidden. A periareolar incision is placed on the lower edge of the areola, which can blend in very well.

An inframammary incision is made in the crease under the breasts and is best for patients with visible breast folds, which will help to hide any resulting scarring. The transaxillary and trans-umbilical incisions are not as common and are only available for patients who chose saline implants.

A transaxillary incision in the armpit requires creating a pathway in order to place the implant. While this incision site is suitable for people who hope to avoid breast scarring, it can result in asymmetry of the implants. Similarly, a trans-umbilical incision requires making an incision in the naval area and creating a tunnel up towards the breast, endoscopically.


The final consideration when preparing for a breast augmentation procedure is the shape of your implants. Round breast implants, which are available in both smooth and textured surfaces, result in a perky shape which will have a somewhat natural-looking slope depending on the implant projection and existing breast tissue.

While many people believe they will appear unnatural, in reality, they are often preferable, as they do not result in malformation if the implant shifts within the pocket. Anatomical breast implants hold more volume in the bottom, mimicking the breast’s natural contour but if shifting occurs, an asymmetrical look can follow, which is an important consideration.

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Breast Augmentation With Implants

Additional Article About Breast Augmentation with Implants

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