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Breast Augmentation: Alexander Cosmetic Surgery San Diego, California (CA)
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Breast Augmentation (Enlargement) is an excellent way to accentuate your curves and restore balance to the body. Women with small breasts, disproportionately sized breasts, or diminished breast volume can all enhance the symmetry, firmness, and size of their breasts through Breast Augmentation.

For more information about your breast augmentation procedure, please contact us online or call us at We look forward to helping you look your best.

A Wealth of Information

Click on the links below for more info on all aspects of this procedure.

Becoming Informed

Find out how to select a surgeon and what you need to know about breast augmentation surgery.

Preparing for Surgery

Learn if you are a candidate for a breast augmentation surgery, with it costs, and inportant procedure terms.

The Procedure

Get educated about anesthesia and get a step-by-step guide to how the surgery is performed.

Your Recovery

Learn what to expect from your breast augmentation surgery results.


Also known as augmentation mammaplasty, breast augmentation uses breast implants to create fuller breasts (breast enlargement) or to restore breast volume lost after weight reduction or pregnancy (breast enhancement).

Most women seeking information regarding breast implants fall into two categories: Women with small breasts who have not had children and women who have had children or have lost weight, resulting in smaller breasts

1. Incision: Incisions are made in inconspicuous areas to minimize visible scarring. We will discuss with you which incision options are best for your desired outcome. There are four possible options for incision placement:

Inframammary incision, in the crease under the breast

Periareolar incision, around the bottom of the areola

Transaxillary incision, under the arm

Transumbilical incision, in the belly button

Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference. In most patients we tend to prefer a periareolar incision because it heals incredible well and can be used again in the future, if necessary, without creating additional scarring. If you are having a breast lift in addition to your breast augmentation, the incision for the lift will be used to insert the breast implants.

2. Type of implant: There are two types of implants, saline and silicone. The outer covering (shell) of both implants is made of silicone.

Saline breast implants are filled with sterile salt water. The implants come empty and are filled during surgery. They can be filled with varying amounts, which can affect the shape, firmness and feel of the breast. Should the implant shell leak, a saline breast implant will collapse and the saline will be absorbed naturally by the body. Currently Saline breast implants are FDA-approved for augmentation in women 18 years of age and older.

Silicone breast implants are filled with an elastic gel and our pre-filled by the manufacturer. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may leak into the breast implant pocket, but will be contained by the scar tissue capsule, which forms around every implant. A leaking implant filled with silicone gel does not collapse. If you choose these implants, you may need to visit your plastic surgeon regularly to make sure the implants are intact. An ultrasound or MRI screening can assess the condition of breast implants. Currently Silicone breast implants are FDA-approved for augmentation in women 22 years of age and older. Silicone implants may be recommended at a younger age if used for reconstruction purposes. Silicone Gummy-bear implants have a cohesive silicone gel inside that is more solid. These implants are currently being studied and will not readily available until approved by the FDA. They are more commonly used in reconstruction cases for breast cancer.

3. Position of Implant: Implants can be placed above the pectoralis muscle or below the muscle. Most often, implants are placed below the muscle to obtain better soft tissue coverage of the implant in the medial upper chest. Implants are placed above the muscle when the patient has more breast tissue coverage or when the breast tissue is droopier and the patient does not want to do a breast lift.

4. Size: We spend a great deal of time discussing size with patients. It is important to make sure that the surgeon and the patient are speaking the same language in regard to size. By looking at photographs in magazines, before and after pictures, and discussing the patient’s desire for their overall look and proportion, we can come to a clear understanding on what each patient desires regarding size. It is more important to focus on the look then it is a specific implant volume.

Breast Augmentation

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