If you are unhappy with the size and/or shape of your breasts you are not alone. As one of the most popular procedures performed at McCormack Plastic Surgery, we can offer you many options when it comes to breast enhancement surgery. Through the placement of saline or silicone implants, breast augmentation can enhance the shape and increase the size of your breasts, as well as correct asymmetry. Board-certified plastic surgeon Tiffany McCormack, MD believes in providing a natural result that will help you feel more confident with your body without appearing too “fake”. There are many reasons women undergo breast augmentation including reshaping breasts that have lost their size and shape due to breast feeding or weight loss, making breasts larger to become more proportional in overall body shape or balancing breasts that are different sizes. That being said, your reasons are personal and unique. Your decision to undergo breast augmentation should be based on your own needs and expectations.

Types of Breast Implants

Breast implants come in many styles and sizes. Choosing the size that is right for you is based on specific measurements, as well as the look that you are hoping to achieve. Dr. McCormack will spend time discussing your desired breast augmentation outcome and measuring you to help choose an implant that fits your body type while giving you the individual appearance you want to obtain. In addition to size and shape, breast implants are available in different profiles each of which offer a different projection. Breast implants come in a low profile, moderate profile or high profile. High profile implants provide the greatest forward projection and tend to be designed for a narrower chest. Dr. McCormack will show you the differences between implants and guide you toward the best option for your body type.

Breast Augmentation Incisions

Depending on your body type and the size of the breast augmentation desired, breast implants can be placed through an incision made around the areola, underneath the arms or in the lower fold of the breasts. Dr. McCormack will discuss the pros and cons for the incision site specifically recommended for you. The incision for a silicone gel breast augmentation will be slightly larger than for a saline breast augmentation. Breast implants can be placed either under the pectoralis muscle or on top of the muscle. Dr. McCormack will discuss the advantages and disadvantages of implant placement either way.

Breast Augmentation Procedure

To begin the breast augmentation procedure, Dr. McCormack will carefully make incisions in the location that was agreed upon during the consultation. The chosen breast implants are then gently inserted through these incisions and placed either underneath or on top of the pectoralis muscle, depending on what was previously determined. When each implant is situated properly and an ideal breast shape is attained, Dr. McCormack will use tiny surgical sutures to meticulously close the incisions.

The total treatment time is usually about one to two hours, though this may vary based on whether the breast augmentation is combined with a breast lift and/or other procedures as part of a Mommy Makeover. Performed on an outpatient basis, patients are typically able to return home the same day with the assistance of a close friend, spouse, or relative.

Breast Augmentation Recovery

Breast augmentation surgery is commonly performed as an outpatient procedure, and most patients are able to return to work in one to two weeks. It is normal to feel somewhat tired and sore for several days following breast augmentation. You may also feel tightness in the chest area for some time. To minimize your risk for complications such as hematoma (bleeding around the implant) we recommend that you limit your activity for the first two weeks. Strenuous activity should be avoided for 6-8 weeks following breast augmentation. You will be given antibiotics to minimize your infection risk, and we will instruct you to use specific breast massage techniques following your surgery to help keep your breasts mobile, soft and natural looking, and to help prevent capsular contracture (excess scarring around the implant from the inside). It is normal for your breasts to appear high and swollen for several weeks following your surgery until they “drop” into a normal position. One breast may drop before the other and this is not a cause for concern. You may experience numbness in the nipple/areola that is often due to swelling and usually resolves. In a small number of patients the numbness will remain permanent.

Breast Augmentation with Lift

Implants are used to make the breast larger. It is important to understand that implants alone may not adequately lift the breast, or correct the effects of pregnancy, weight loss, or skin stretching. Dr. McCormack may suggest additional procedures at the time of breast augmentation, such as a breast lift (mastopexy), to optimize your results. Referred to as a breast lift with implants or breast augmentation with a lift, this combination procedure can increase the size of the breasts while also raising them to a more youthful location on the chest wall. To learn all about this treatment option, please visit our page dedicated to breast lift with implants.

Through breast augmentation surgery either with our without a lift, you can achieve a shapelier, more feminine figure. View our breast augmentation before and after photos to view results of patients who have received treatment at our practice. If you would like more information about the breast enhancement procedures we offer, please contact McCormack Plastic Surgery today.

3D Computer Imaging Prior to Breast Augmentation

With VECTRA® 3D Imaging, Dr. McCormack will be able to accurately answer the number one patient question, “What will I look like after surgery?” Using the revolutionary VECTRA® computer imaging system, she can accurately give you an idea how your breasts may look after surgery. View the “new you” from any angle and easily compare the pre-op and post-op for better understanding.

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Breast Augmentation FAQs

What are the benefits of breast augmentation?

Breast augmentation offers a number of benefits to women desiring to enhance the appearance of their breasts. Depending on your specific needs and goals, implants can help:

  • Increase breast size and fullness
  • Restore lost volume caused by pregnancy, weight fluctuations, or simply aging
  • Enhance the curvature, contour, and symmetry of the breasts
  • Make the breasts more proportionate to your frame
  • Improve the look and fit of certain tops, swimsuits, and bras
  • Boost your self-confidence in social and intimate settings

Is breastfeeding still possible after breast augmentation?

If you are able to breastfeed prior to breast augmentation, you should be capable of doing so after treatment (assuming the procedure is performed safely and correctly by a board-certified plastic surgeon). Unfortunately, some women are unable to produce enough milk for breastfeeding in the first place, so if they have not attempted to breastfeed before breast augmentation and find they cannot do so afterwards, they may wrongly attribute this inability to the presence of implants.

Which implant placement provides the best results?

During breast augmentation, implants can be placed either above the pectoral muscle (subglandular) or below the pectoral muscle (submuscular/subpectoral). Generally speaking, subglandular placement can provide excellent results for individuals who have an ample amount of skin and breast tissue to cover the implant, as insufficient skin and tissue coverage may cause the implant itself to be noticeable and/or lead to visible rippling. For patients who do not have enough skin and tissue coverage, submuscular placement will often provide a better outcome. In addition to improved soft tissue coverage, this location provides good support for the weight of the implants and has proved to help decrease the chance of noticeable rippling.

Ultimately, there are advantages and disadvantages to both subglandular and subpectoral implant placement, all of which can be thoroughly reviewed during your consultation with Dr. McCormack to determine the most appropriate technique for you.

Am I too old for breast augmentation?

There is not a definitive upper age restriction for breast augmentation. In fact, Dr. McCormack has treated patients who were in their 50s, 60s, and older. More important than age is one’s overall health and understanding of what can and cannot realistically be achieved with implants. Though every case is different, many patients who are seeking breast augmentation later in life will also require a breast lift to attain their desired results. This is particularly true for those who have had children and/or have undergone a significant weight reduction at some point in time.

Is breast augmentation or breast lift better for me?

Breast augmentation is designed to increase the volume and/or improve the contour of the breasts; it will not significantly elevate sagging tissues or address loose, excess skin. As a result, if you are happy with the position of your breasts and are solely interested in enhancing size and shape, breast augmentation will likely be the most appropriate option for you.

In contrast, breast lift surgery is performed to eliminate extra skin and raise drooping breasts to a more youthful position on the chest—it will not add volume. With this in mind, mastopexy may be the best option for you if you are happy with the current size of your breasts but wish to correct excess skin and tissue sagging.

Fortunately, if you desire to address tissue drooping while also enlarging your breasts, a combination of breast augmentation and breast lift surgery can usually be performed to achieve your goals. All of these details can be discussed more thoroughly at the time of your consultation.

3D Procedure Animations

Explore procedures using our 3D Animation Gallery

Explore procedures using our 3D Animation Gallery