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What is Breast Augmentation?

Breast augmentation involves placing an implant either under the breast tissue itself, or under the pectoralis muscle and breast. It can create better symmetry between your breasts, and balance the rest of your figure. Selection of the placement of the implant is a process you’ll discuss with board-certified plastic surgeon Kristen Yee, MD, as she may recommend a particular location depending on your body type.

Choosing Breast Implants

Currently there are saline-filled implants in a silicone shell, and several different types of silicone gel-filled implants. They differ in the cohesiveness of the silicone (firmness) and whether the shell is round or anatomic (teardrop-shaped). Dr. Yee will discuss the different feel of the implants, the effect on your breast contour, and the different consequences and risk of rupture with each type of implant. You will also select sizes together, appropriate to your chest wall and breast contour, for the best results.

Breast Augmentation Procedure

Dr. Yee only uses incisions around the nipple (peri-areolar) or under the breast (inframammary) because these give her greater control over implant location; not everyone is a candidate for the peri-areolar incision.

Typically breast augmentation is performed under general anesthesia, and is an outpatient procedure.

Breast Augmentation Recovery

Dr. Yee recommends you have someone stay with you the night after surgery, as the anesthetic wears off; you might be drowsy and need help getting up. You may return to work in 3-5 days with some limitations on physical activity. You should not do any lifting over 10 pounds for 3 weeks, or any high impact aerobic workouts or increasing your heart rate above 100 beats per minute for 3 weeks. Walking is fine.

Frequently Asked Questions:

Can you breastfeed after breast augmentation?

If the inframammary incision is used, it should have no effect on the ability to breastfeed; sometimes women who have had the periareolar incision have difficulty lactating. The presence of silicone is generally considered safe for the baby.

Is sensation to the nipple and areola affected after breast augmentation?

Yes, it can be diminished or lost. In most situations, after 3-6 months, some sensation can return but it is difficult to predict, and sensation may be different on each side. The inframammary incision has the lowest risk of affecting nipple sensation.

How can I get the cup size I want?

Generally plastic surgeons don’t promise a cup size, because cup sizes vary between bra manufacturers, and also depend on the chest wall circumference. It’s helpful to try on shaped bras prior to your consultation so you have an idea of what volume you would like, and then based on trying on implants in the office, and your own measurements, together with Dr. Yee you can choose a good size for your desired look.

Is breast augmentation covered by insurance?

Having implants placed to increase the size of your breasts, or to make them more even, is not covered by insurance.

For personalized recommendations, please schedule a consultation with Dr. Yee.