Breast Augmentation for D.C. Patient

Procedure Details

32 year old 3 months after having a breast augmentation using 360 cc saline filled breast implants implants through areola incisions after having 2 children. Silicone implants were not available in 2006. You can see that the implants filled the upper pole of the breasts and gave her a small lift.

Breast Augmentation

My approach and philosophy on breast augmentation depends on the patients age, the patient’s wishes, and the patient’s anatomy.  I have a different conversation if the patient is young and has not previously had children. Young patients need to be more conservative in their choice of size as having babies later will distort their breasts more than the usual.  


Silicone is available for patients over 21 years old.  If the patients choose a silicone implant, I can make my incisions close to half the size of most plastic surgeons as I regularly use a keller funnel to place the implant.  This also decreases the risk of infection, damage to the implant, and capsular contracture.


Saline breast implants were the only implants available up to around 2006. If a patient chooses a saline implant, I allow them to choose where they want their incisions including the underarm, under the breast ( most common ) or beneath the areola. The incision is very small compared to a typical silicone incision. Once the incision is made, the procedure is roughtly the same as that for silicone. The implant is then put in a submuscular position and filled to the desired volume.


All implants are placed using a dual plane technique under the pectoralis muscle ( submuscular plane ).  This allows a more natural contour, decreases the ability to see and feel the implant, as well as decreases the risk of certain complications like capsular contracture.  



A breast lift might be needed for older women or women who have had children.  


Aesthetica Cosmetic Surgery

*All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.