Procedures

What is the best method for breast augmentation?

San Francisco - East Bay

Breast augmentation is a surgical procedure designed to enhance breast size and shape using implants or fat transfer. This procedure can address various concerns including asymmetry, volume loss after pregnancy or weight changes, or congenital differences in breast development. Our practice focuses on achieving natural-looking results that complement your individual anatomy and lifestyle goals.

Implants for breast augmentation surgery

The use of implants is still widely regarded to be the superior method for breast augmentation procedures, both in terms of proven safety and the results of the surgery. There are primarily two types of implants available - silicone and saline. Both are considered extremely safe and successful methods for breast augmentation surgery.

Silicone Implants

Breast augmentation is a surgical procedure designed to enhance breast size and shape using implants or fat transfer. This procedure can address various concerns including asymmetry, volume loss after pregnancy or weight changes, or congenital differences in breast development. Our practice focuses on achieving natural-looking results that complement your individual anatomy and lifestyle goals.

Saline Implants

Saline implants are filled with sterile saltwater solution after they have been positioned within the breast pocket. These implants are FDA-approved for women 18 and older and offer unique advantages during surgery. Since they can be adjusted during the procedure, saline implants allow for fine-tuning to achieve optimal symmetry between both breasts. The empty insertion technique requires only a smaller incision, which can result in less noticeable scarring. Additionally, in the unlikely event of a rupture, the sterile saline solution is safely absorbed by the body without causing harm.

The importance of gradual enlargements for bigger transformations

It is important to note that while augmentation does mean enlargement, it may not be possible for you to increase your bust size dramatically during your first surgery. This is because there is only a certain degree that your skin can stretch and trying to place implants that are too large can cause problems such as sagging because the implants are too heavy, and overstretched skin. If you wish to go larger, your surgeon will speak to you about gradually building up the size of your chest over multiple procedures.

Surgical Technique and Placement

Your surgeon will recommend the best approach based on your anatomy and goals:

  • Incision options: Inframammary (breast crease), periareolar (around nipple), or transaxillary (armpit)

  • Implant placement: Above or below the chest muscle, depending on tissue coverage and desired outcome
  • Size selection: Based on your chest measurements, lifestyle, and aesthetic preferences

Recovery and Results

Most patients can return to light activities within a few days and resume normal activities within 2-4 weeks. Full healing typically occurs over 3-6 months. We provide detailed post-operative instructions and follow-up care to ensure optimal healing and results.

Combination Procedures

Breast augmentation can be combined with other procedures when appropriate:

  • Breast lift (mastopexy): Addresses sagging while adding volume
  • Fat grafting: Uses your own fat for subtle enhancement
  • Revision surgery: Addresses concerns from previous procedures

Safety and Considerations

As with any surgical procedure, breast augmentation carries potential risks including:

  • Infection

  • Changes in nipple or breast sensation

  • Implant rupture or leakage

  • Capsular contracture (scar tissue formation)

  • Need for future revision surgery

We thoroughly discuss all risks and benefits during your consultation and provide comprehensive pre- and post-operative care.


​​​​​​​Request an Appointment