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Posted November 28, 2018 in Breast Augmentation

Being unhappy with the size or shape of your breasts can lead to feelings of dissatisfaction and embarrassment. Natural breasts can begin to appear deflated and flat, which is undesirable for many women. Patients who undergo breast augmentation can achieve a new, sexy appearance for their breasts. With various size, shape, and material options, it can be overwhelming to select which option is best for your body. Fortunately, your surgery will be tailored to your procedure goals and preferences. Researching implant types and scheduling a consultation with Dr. Baker can make the decision process much less daunting.

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Your goals for breast size are carefully discussed during your consultation to ensure that a natural, attractive, and proportionate breast shape is achieved. The implant size selected is typically one, but not more than two, bra cup sizes larger than your natural breast. The actual implant size is best determined at the time of surgery through a process of ‘intraoperative sizing’ to find the size that best enhances the patient’s appearance based on her goals and anatomic realities.

Smooth vs. Textured

Implants can either be smooth or textured depending on your breast goals. A smooth texture is usually selected for most patients, which allows the implants to move naturally within the breast pocket. Smooth implants are less likely to cause visible rippling because the outer shell is thin and feels more similar to natural breast tissue. Textured implants adhere to breast scar tissue and do not rotate as often and are used for anatomical-shaped implants.


If you desire full breasts with more cleavage and a natural-looking shape, then round implants are usually the best option. However, if you prefer tear-drop shaped breasts that slope slightly downward, then anatomical-shaped implants might be considered. Your implants will be placed directly under the existing breast tissue and chest muscles for the most natural look.



Silicone implants are filled with cohesive silicone gel, which closely resembles the appearance and feeling of natural breast tissue. These implants are soft, and rippling or wrinkling are not likely to occur due to their composition. Silicone implants are safe and FDA approved for women over 22 years of age. Patients with small breasts and thin breast tissue are ideal candidates for silicone implants.


These implants have a silicone shell that is filled with sterile, IV grade saltwater (normal saline) and are FDA approved for women over 18 years of age. Because of the nature of the saline solution, rippling may be easier to see, and deflation may occur, although rarely. In the event of a deflation, the saline solution is absorbed by the body. A nice benefit of saline implants is that they can be placed through a smaller incision than silicone implants because the implants are filled after they are inserted.

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Confidence Boost

After breast augmentation surgery, breasts are fuller, larger, and more attractive. Patients feel more comfortable and self-confident with their body.

For more information or to schedule your consultation, please visit our contact page today.

Location, Location, Location

Determining the location of your incisions is an important factor in your breast augmentation procedure. Selecting a well-qualified surgeon will ensure that scarring is minimal and not visible. Each option has its own benefits, and factors such as implant size, shape, material, and your body type can all influence which location is best to achieve your desired results. During your consultation, Dr. Baker will discuss incision options and provide more information on surgical techniques.

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Where Should the Incision Be Made?

An incision must be made to provide access for your plastic surgeon to create a pocket for the implants. Scars are an inevitable outcome after surgery, but are hidden using various methods and will fade as time passes. Different incision location possibilities include:

  • Inframammary: Incisions are made precisely at the fold where the breast meets the body. This is one of the more commonly preferred methods, as it provides direct access to go under the breast and the chest muscle, without having to go through the breast tissue. The scars are hidden in the breast fold and are easily concealed under clothing. However, women with smaller breasts or poorly defined breast folds may not be good candidates for this method.
  • Periareolar: Incisions are made precisely below the areola, within the natural line between the areola and breast, utilizing the natural color difference between the breast and areola to conceal the scar. It is a good option for patients that do not have a well-defined breast fold to hide a scar. Women planning to breastfeed, or with smaller areolas, may not be ideal candidates for this option.
  • Transaxillary: This may be an option for patients with very small areolas and undefined breast folds, as the incision is located in the armpit. It requires special instrumentation and makes precise implant pocket dissection more difficult than the first two options Typically, saline implants are used with this technique, as they can be filled after insertion.
  • Transumbilical: Also referred to as TUBA, the incision is made in the upper edge of the belly button to hide scarring in the grooves. It provides the least control over implant pocket creation. Implants are inserted and moved up to the chest using an endoscope. Saline implants are used for this approach as well.

What Outcome Can I Expect?

The bottom line regarding breast augmentation is that every individual has different preferences and aesthetic desires. Whether you are seeking larger breasts or a subtle volume boost, there are incision and implant choices available to meet your needs.

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Would you like to learn more about breast augmentation and incision location choices? Contact Dr. Baker’s office to speak with a professional by calling (305) 381-8837 today!