Skip to main content

Breast augmentation with breast implants can help women who would like to add volume and enhance the contours of their breasts. Whether you are dissatisfied with the size of your breasts or have experienced a loss of breast volume after pregnancy or weight loss, breast augmentation can help you reach your goals. As one of the most common plastic surgery procedures performed each year, breast augmentation has helped numerous women regain confidence in their appearance.

In your surgical consultation, Dr. Scott Miller will listen to your aesthetic goals and address any questions or concerns you may have about breast augmentation. His goal is to help you understand the pros and cons of the procedure, as well as how breast surgery will affect your body. Dr. Miller will explain your options regarding how the surgery is performed, which includes incision location, breast implant types, and implant location. Depending on your specific needs and goals, other procedures, such as a breast lift, can often be performed in tandem with your breast augmentation for an even greater enhancement to the breasts. Breast augmentation procedures are fully customized to your individual needs to help you achieve the most natural-looking results.

Candidates for Breast Augmentation

Although the main purpose of breast augmentation is to increase breast volume and size, there are a number of additional concerns that can be addressed with the procedure, including:

In addition to exhibiting one or more of these concerns, the best candidates are typically those who are in generally good health without significant medical issues.

Breast Augmentation Procedure

A breast augmentation typically takes about one to two hours. The surgery begins with an incision made in one of the following areas:

  1. In the fold on the lower part of each breast, just above where it touches the chest
  2. Around the areolas (the darkened skin surrounding the nipple)
  3. In the armpits

The approach used depends on your unique needs and goals and will be discussed during the consultation process. Once the incision has been made in the planned area, a pocket is then created either directly under the tissue or underneath the muscle. The implant is then placed inside the pocket and the incisions are closed.

Throughout the entire procedure, our experienced plastic surgeon pays close attention to aesthetic details, including symmetry and shape, to achieve the most natural appearance.

Breast Implant Types

Dr. Miller provides both saline and silicone breast implants in a variety of shapes and sizes. Each implant type carries its own distinct advantages, and during your consultation, our board-certified plastic surgeon will help you understand which one may be the best option for your needs. Dr. Miller will answer all of your questions regarding the procedure and show you some of the implants that are available. You and Dr. Miller will work together to select the most appropriate options for your breast enhancement so that the results can look beautiful and natural.

Saline Breast Implants

Saline implants are composed of a silicone shell filled with a saline (salt-water) solution. They are the most popular type of implant in use, and they are approved by the U.S. Food and Drug Administration for patients who are 18 years of age and over. Since they are filled after being inserted into the breast, saline breast implants require a smaller incision for placement. These types of implants have been used for decades and provide beautiful results.

Silicone Gel Breast Implants

Silicone gel breast implants are composed of a cohesive silicone solution encased in a silicone shell. The implants are known for their natural feel. Silicone breast implants are approved by the FDA for use in breast augmentation patients over the age of 22, and breast reconstruction patients of any age. Advances in silicone breast implants over the last several years have led to implants that are more “form-stable” and able to hold their shape for results that can provide an excellent new contour.

The implant option that is best for your goals will vary depending on your body type and your unique needs. During your consultation, Dr. Miller will give you a detailed overview of the procedure and listen to all of your concerns so that you can make the best possible decision.

Implant Placement: Above Vs. Under the Muscle

Your breast implants can be placed either over the chest muscle (subglandular) or under the muscle (submuscular), depending on your anatomy and personal preference. Saline and silicone implants can both offer beautifully natural-looking results in either location for the right candidates.

For most patients, when implants are placed under the muscle, they provide a more natural appearance since more tissue is concealing the implant. Placing the implant beneath the muscle also allows for better mammography readings due to the improved ability to move the implant for a clearer view of the breast tissue. The submuscular method provides the added benefit of having a reduced risk of developing capsular contracture.

For those who have sufficient breast tissue to cover the implant of choice, a subglandular, or over-the-muscle, approach is acceptable but does not offer the benefits of submuscular placement.

After you have expressed your aesthetic goals with Dr. Miller and he has had the chance to conduct a physical examination, he will provide a recommendation for which implant location is best for you.

Recovery from Breast Augmentation

Following your breast augmentation surgery, medication is given to minimize pain and discomfort. You will experience the most soreness for the first two to three days, but this should subside to a moderate level for the remainder of the first week as it begins to fade. Minimal bruising and swelling are normal, but they should disappear gradually over time. A day or two post-surgery, patients are typically up and around but should avoid heavy lifting and strenuous activity. Sutures are removed within a week and scars typically fade gradually, often to the point of barely being noticeable. There may be some degree of firmness and loss in nipple sensitivity immediately after the operation, but the breasts usually soften and sensitivity returns.

Most women are able to return to work after four to five days, depending on their jobs. For the first four to six weeks following your surgery, there will be some exercise and lifting restrictions.


Schedule a Consultation with Dr. Miller

For more information about breast augmentation, or to schedule a consultation with Dr. Miller, please contact our office today.