Breast augmentation with implants can be used alone or in combination with a breast uplift (mastopexy). Most patients are concerned mainly with improving size but also we have to look at the patients breast shape, chest and breast dimensions, skin quality, nipple position, level of the underwire fold and the amount of padding that is present to cover an implant. Many of these variables will be reviewed in this document.

Augmentation mammaplasty is a surgical operation performed to enlarge the breasts for a number of reasons:

  • To enhance the body contour of a woman, who for personal reasons feels that her breast size is too small.
  • To correct a loss in breast volume after pregnancy.
  • To balance breast size, when there exists a significant difference between the size of the breasts.
  • As a reconstructive technique for various conditions

The shape and size of the breasts prior to surgery will influence both the recommended treatment and the final results. If the breasts are not the same size or shape before surgery, it is unlikely that they will be completely symmetrical afterward. Breast enlargement is accomplished by inserting a breast implant either behind the breast tissue or under the chest muscles. Incisions are made to keep scars as inconspicuous as possible, usually under the breast, around the lower part of the areola

There are more choices in implants now and the implants are better made with a more reliable envelope and better filler materials. Silicone gel implants are now allowed back on the market after a very frustrating period in the 1990’s where we were restricted to saline filled implants.


There is usually very little pain with the surgery. When the implant is placed under the muscle it can be a bit more uncomfortable. Most patients describe the discomfort as being similar to the pressure that results when the milk comes in after delivery.

There are very few restrictions after surgery. It is important to avoid excessive exercise for a few weeks such as swimming or weight lifting. Jogging may be uncomfortable without a very supportive sportsbra. Most patients can go back to work within a few days to a couple of weeks.

Breast Augmentation Surgery