Breast Augmentation Breast augmentation is one of my most frequently performed procedures. It is also one of my favorite procedures because the patient satisfaction rate is very high. I use silicone-filled or saline-filled implants and place them under the chest (pectoralis muscle). For more information on silicone-filled implants please see the "What's New" section on my website. I usually use a 2 inch long incision under the breast but occasionally will use an incision around the areola (the colored area around the nipple) depending upon the patient’s anatomy and wishes. There are many different sizes and several different shapes of implants available. I will review these with you at your consultation and make my recommendations based on your anatomy and wishes. Occasionally, if a woman has significant sagging (ptosis) of the breast, a breast lift either with or without implants may be recommended. I perform most of my breast augmentations at Seattle Surgery Center which is conveniently located next door to my office building. You will be able to go home the day of surgery. Most patients take about a week off after surgery. During this time, you will be up and about but should avoid heavy lifting, reaching over your head or other strenuous activities. Most patients take narcotic pain medications for 4 or 5 days after surgery It is very important for patients to understand that while breast augmentation is a good operation for many women, it is not a perfect operation. Women who choose breast augmentation, especially young women, need to understand that they may need further surgery sometime in the future. Sometimes implants leak or become hard and sometimes breast tissue sags, especially after childbrearing and breast feeding. Surgical procedures such as implant replacement, removal of scar tissue or a breast lift are indicated to help maintain an attractive breast. I have even done an implant removal combined with a breast reduction on a middle aged lady who became very busty with the onset of menopause! I would be happy to discuss this issue with you at the time of your consultation.