Four Key Decisions to Make Before Breast Augmentation
Breast augmentation is a straightforward concept—implants are placed to enhance breast size—but several important decisions must be made before surgery to ensure the best possible outcome.
Incision Placement
There are two common incision options for breast augmentation:
- Periareolar Incision (Around the Nipple) – A small incision is made around the edge of the areola.
- Inframammary Incision (Under the Breast Crease) – The incision is hidden in the natural fold beneath the breast.
The right choice depends on factors such as patient preference, surgeon recommendation,
implant size, and individual anatomy.
Implant Placement: Above or Below the Muscle?
Implants can be positioned in two ways:
- Subglandular (Above the Muscle) – The implant is placed over the chest muscle and beneath the breast tissue, which may allow for a faster recovery.
- Submuscular (Under the Muscle) – The implant is positioned beneath the pectoral muscle, often resulting in a more natural appearance and less risk of visible rippling
Silicone vs. Saline Implants
Patients must decide between:
- Silicone Implants – These offer a more natural feel and are popular for their realistic texture.
- Saline Implants – Filled with sterile salt water, these implants allow for size adjustments and require a smaller incision.
Choosing the Right Size
Breast implant size is a personal decision based on aesthetic goals, body proportions, and lifestyle.
During your consultation, your surgeon will guide you through the sizing process to ensure your desired outcome aligns with your body’s natural shape.
Your Personalized Consultation
At the Plastic Surgery Institute of Washington, we take the time to help each patient make informed decisions. Many patients return for a second pre-operative appointment to confirm their choices before surgery. To explore your options and determine the best approach for you, schedule a consultation today.
