Breast Augmentation or Enlargement


Breast Augmentation Overview

  • Commonly known as a “Boob Job”
  • One of the most popular cosmetic surgeries
  • Enhances the size and appearance of the breasts
  • Implant options include Silicone or Saline
  • Implant incisions are usually in the lower breast crease
  • Fat Graft option gives a more natural look and feel
  • Fat Graft incisions are all small, very small
  • Recovery is relative to the patient
  • A week off of work is recommended
  • Look forward to larger and fuller breasts


About Breast Augmentation

Breast augmentation, commonly referred to as a “Boob Job”, is one of the most popular surgeries performed by plastic surgeons today.  It is a cosmetic surgical procedure that both enhances the size and appearance of the breasts of a woman who feels she is too small.


What Breast Augmentation won’t do

Breast augmentation will enlarge the size of the breast but will not lift the breast and elevate the position of the nipple. If the desire is to reposition the nipples and “put them back where they used to be,” then a Breast Lift or Mastopexy should be considered. Occasionally, an Augmentation-Mastopexy will be performed at the same time; however this increases the risks of the procedure and may not have the desired results. If both breast augmentation and breast lift are desired, you should discuss your options with your plastic surgeon.


Candidates for Breast Augmentation

  • Women who feel their breast size and/or appearance is too small
  • Women who have low self-esteem, especially about their intimacy
  • Women who consider their breasts, after pregnancy, are not as desirable
  • Good physical health
  • Positive outlook and realistic expectations

Often women are self-conscious about their breast size or appearance. For them, to be seen in a swimsuit is a “no way” experience. This can affect their self-esteem and all too often, their intimacy. Many women never develop a desired amount of breast tissue. For some, pregnancy may improve this dilemma for a short time. Then, there are those who feel they had what are to be considered “nice breasts” only to become disappointed after they were done nursing.

The majority of the women seeking breast augmentation fit into these categories and are good candidates for the procedure. However, only an evaluation and discussion with your plastic surgeon will help you understand if you are a good candidate for breast augmentation.


Options for Breast Augmentation

In the 21st century, there are multiple options for breast augmentation:

  • Silicone Breast Implant: The most common choice is the silicone breast implant. This gives a relatively natural look and feel if the proportional size is chosen.  The FDA approves silicone breast implants for augmentation in women age 22 or older.
  • Saline Breast Implant: The saline breast implant is still chosen by several women. This also gives a relatively natural look and feel if the proportional size is chosen.
  • Fat Grafting or Fat Transfer: Women like to joke about taking fat from their hips and thighs and putting it in their chests; well, that can happen. Fat grafting for breast augmentation is growing in popularity. This option gives the most natural look and feel of the breast.

(see Breast Augmentation with Fat Graft for more information)



Details of the Breast Implant Augmentation Procedure

Breast implant placement has several approaches: a small single incision is usually made in the area of the lower breast crease, the inframammary fold.  Other options for incisions include an incision along the lower margin of the nipple and in the axilla (arm pit). The inframammary fold approach is preferred for many reasons.

The implant may be placed directly under the breast tissue for those who already have an adequate amount of tissue to cover the implant. More commonly, the implant is placed under the pectoralis muscle.

The incision is closed with 3 layers of suture followed by a sterile dressing.  A surgical bra is provided.



Recovery After Breast Implant Augmentation Procedure

  • At least a week off of work is recommended
  • Excessive motion is discouraged during healing process
  • Heavy lifting discouraged during healing process
  • Pain medication is given for discomfort

After implant surgery, everyone is worried about pain. Pain medication and muscle relaxers are given to make the discomfort tolerable. Excessive motion of the arms and heavy lifting are discouraged during the healing process. Minimal motion allows for the tissue around the implants to heal and keep them in proper position. At least one week off of work is encouraged. Many are back to work in just a couple of days. This is all patient dependent, as some are more resilient than others. Either way, the end result includes larger and fuller breasts. More importantly, we find happy and satisfied patients.



Safety of Silicone Breast Implants

The FDA has approved silicone breast implants for breast augmentation and states that, “There is no apparent association between silicone gel-filled breast implants and connective tissue disease, breast cancer, or reproductive problems.”


Breast Augmentation with Fat Graft

Breast augmentation with fat graft is a 2-for-1 procedure: The patient gets both liposuction and larger breasts.

Fat grafting is different in that the incisions at all sites are usually about ¼ inch or less. Liposuction of the thighs, hips, and/or abdomen provides the fat that is injected into the breasts. More than one procedure may be needed to achieve the best results possible.

The advantage over implants is that this is the patient’s own tissue. The investment is made up front so that the patient won’t need to worry about the other operations in the future that will be needed with breast implants.


Recovery for Breast Fat Grafting Augmentation Procedure

Fat grafting recovery is also different than implants in that the tenderness is more at the liposuction sites as opposed to the breasts. Like implant surgery, pain medication is given to make the discomfort tolerable. Excessive motion of the arms and heavy lifting are also discouraged during the healing process. This allows for the fat to heal in the proper position. At least one week off of work is encouraged. Some are back to work sooner. Again, this is all patient dependent, as some are more resilient than others.

Either way, the end result includes larger, fuller, and more natural breasts. We find high satisfaction among fat graft breast augmentation patients.




Expectations after Breast Augmentation

After the surgery, instructions are given to guide activities and limitations, all designed to obtain the best results. By 6 weeks, usual activities can be resumed. Exercises are taught to help keep the breast implants soft.

Nipple sensation is important. The anatomic techniques used in this surgery help to protect the nerves that provide sensation to the nipples.

Mammograms are recommended at the regular scheduled times. For Silicone implants, the FDA recommends an MRI of the breasts, to detect what is known as a silent rupture, 3 years after placement of the implants and every 2 years thereafter. This is the best way to detect rupture of the implant.

Overall, the breast augmentation patient can expect satisfaction with larger and fuller breasts.

Will my results last?

Surgical breast augmentation is the only way to achieve a predictable, reliable, and lasting result. Dr. Grant A. Fairbanks is well known for the quality of his breast augmentation surgery.


Safety and Aesthetics

As with all surgeries, every consideration is made to insure patient health and safety. Aesthetics and concepts of beauty will be reviewed with you during your consultation. Various approaches will also be reviewed along with the pros and cons prior to your surgery.

Dr. Fairbanks will work with you to create a plan to make you as attractive and proportional as possible using the most advanced methods of both art and medical science.

Call Fairbanks Plastic Surgery at (801) 951-8099 today to schedule your consultation for your Breast Augmentations options.



Related Procedures:

Mastopexy (Breast Lift) 

Mommy MakeOver


Abdominoplasty (Tummy Tuck)