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Summary: Breast augmentation is a complicated procedure, and while it may not seem like it, there are many decisions that a patient must make before the operation can begin. Of course, most patients have an idea of how they’d like to look

What Are You Considering with Your Breast Augmentation?

Year after year, breast augmentation continues to be one of the most popular plastic surgery procedures on the market. Over 200,000 people last year in the United States alone went in for breast augmentation. And the vast majority of those patients loved the results. But there are plenty of things to consider when making your breast augmentation decision (or should we say decisions).

Obviously, the most important thing to consider is always going to be your desired final results. But those results can be broken down into several categories, each of which demand a kind of sub-decision. It’s this decision chain that will eventually lead you to your final results.

Whatever you decide, the most important thing imaginable is that you are happy with your results—not your family, not your significant other, but you. When it comes to plastic surgery of any kind, your opinion about your results is always the most important one.

Size and Shape

When you start thinking about your breast augmentation procedure, the two most common criteria you have to consider are size and shape. In fact, during consultations with surgeons, these are perhaps the two most important questions to answer (along with type, but we’ll get into that later). When it comes to sizing breast implants, much will be left to the tastes and preferences of the patient.

However, surgeons will likely make plenty of suggestions. In most cases, women seeking a breast augmentation procedure will be looking for a bust size that is in proportion to the rest of the body. Many breast augmentation patients, for example, seek to bring the bust into proportion with the hips. A smaller, but significant, portion of breast augmentation patients are looking to increase the bust size beyond what might be proportional.

Once the overall size is determined (and patients can “try out” new sizes in several different ways), the shape can be decided on: round or teardrop. The size decision will determine the overall look of the implants once inserted.


Here’s the other big decision you’re going to have to make: what type of implant you want. There are several options, two of which tend to be a little more popular these days. Let’s go in order of least popular to most popular!

  • Saline Implants: This implant type was quite popular in the days where silicone breast implants were no longer on the market. Saline is, basically, medical salt water—and primarily what your body is already composed of. So it’s an incredibly safe implant type. The only downside is that saline implants aren’t quite as durable as other types and they don’t look quite as natural.
  • Fat Graft Breast Implants: This implant type uses fat from your own body as the implant material. The benefit of a fat graft approach is that the look and feel is incredibly natural. You also get the one-two bonus of getting rid of fat from somewhere else on your body (from where you don’t want it). So you get a slimmer and you get to increase the size of your breasts. It’s a good bonus. However, the downside of fat graft techniques is that it is somewhat unpredictable as to exactly how much fat will “take” to the new area. For patients that are looking for a very precise augmentation, silicone implants might be the way to go.
  • Silicone Implants: Easily the most common and the most popular breast implant type, silicone implants are the standard for breast augmentation procedures performed in the United States. They’re durable, relatively easy to implant, and look and feel comparatively natural. There are a lot of benefits of silicone implants and not very many drawbacks. It’s easy to see, then, why they are such a popular option.

Patients will have to determine, in concert with their surgeons, which breast implant type is best for them.


According to the website of the New Jersey breast augmentation specialists at East Coast Advanced Plastic Surgery, breast implants are effectively permanent; but they aren’t necessarily practically permanent. Patients may want to change the size of their implants, or have them removed. The FDA usually recommends that silicone implants be removed after 15 years or so.

In other words, the last thing you’ll want to think about is just how long you want your breast implants to remain with you. Because while your breast implants can certainly last for a while, they don’t have to last forever. Remember, at the end of the day, all of these decisions depend on the kind of body you want to have. And that’s how it should be.

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