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Every woman is unique, which means your breast augmentation procedure should be customized to suit your natural anatomy and goals for your body. A breast augmentation helps to reshape and contour your breasts to your ideal size and shape. Breast lifts are customizable, allowing you to combine them with complementary procedures such as breast augmentation.  

What is a Breast Augmentation? 

Breast augmentation surgery, commonly referred to as a “boob job” by patients, involves the use of breast implants or fat transfer to increase the size of the breasts. This procedure may also help rejuvenate breasts after pregnancy or weight loss and improve natural symmetry. Breast augmentation surgery can improve breast projection, fullness, and balance relative to the rest of the body.  

Types of Breast Augmentation 

Breast augmentation often involves the placement of breast implants to achieve the desired breast size and shape. There are two main types of breast implants used for breast augmentation patients today, including saline and silicone.

Saline Implants 

Saline implants have a silicone shell and are filled with saline water to the desired size after the shell is surgically placed.  

Silicone Implants 

Silicone implants, also called silicone gel implants, involve a silicone shell but are pre-filled with silicone. “Gummy bear” implants are silicone implants with a thicker, cohesive fill. There are benefits to both breast implant types, but Dr. Young often recommends silicone because it offers a more natural look and feel, particularly gummy-style silicone implants. 

Things to Consider When Choosing Breast Implant Types

While both saline and silicone breast implants can provide beautiful breast surgery results, they are each associated with their own pros and cons.

Saline Implant Pros

  • Saline breast implants can be filled after placement, allowing for a smaller incision and adjustments in size following surgery.
  • If a saline implant leaks, the solution is safely absorbed by the body.
  • A leak is easier to detect, as the breast will take on a deflated appearance.

Saline Implants Cons

  • Saline implants may feel firmer and less natural compared to silicone implants.
  • Saline implants may be more prone to visible rippling in thin patients.

Silicone Implant Pros

  • Silicone implants tend to feel similar to natural breast tissue.
  • Silicone implants are often less prone to rippling than saline implants.

Silicone Implant Cons

  • In the event of a breast implant rupture, silicone implant gel may remain in the implant shell. This may not result in visible changes to the breast, so a leak may be harder to detect.

Estimated Breast Augmentation Cost

STARTING AT $7,000

Breast Augmentation Incision Types 

The location of your implant incision will depend on the type of breast implant you choose, implant size, and a few other factors. The three incision options for breast augmentation surgery include: 

Inframammary

 An incision is made in the crease underneath the breast. The resulting scar is hidden in the fold. Dr. Young typically recommends the inframammary incision. 

Periareolar

 The incision is created around the areola (nipple), and the surgical scar fades to blend in with the darker pigment of your areolas. 

Transaxillary

The armpit incision is often used for saline implants, as they are inserted empty and then filled to the desired size with saline (salt) water. 

Breast Implant Size 

Your breast implant volume depends on your natural anatomy, measurements, and desired results. The width of your breast implants must match the width of your natural breasts. Cleavage is another common concern our patients have when deciding on implant size and placement.  

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Breast Implant Placement Options 

Where your breast implants are placed can influence the appearance, feel, and movement of your breasts after augmentation. The best placement depends on factors such as the amount of natural breast tissue you have, your chest anatomy, the implant you choose, your activity level, and your aesthetic goals.

Dr. Young will evaluate these factors during your consultation and recommend the placement that best supports your desired outcome. Breast implant placement options include subglandular, subfascial, submuscular, and dual-plane placement.

Subglandular Breast Implant Placement

Subglandular placement, also called “over the muscle” placement, positions the breast implant underneath the natural breast tissue and above the pectoral muscle. This approach may be appropriate for patients who have enough natural breast tissue to provide adequate coverage over the implant. Because the implant is not positioned beneath the pectoral muscle, it also has less potential to move or change shape when the chest muscles contract.

One consideration with subglandular placement is that patients with less natural breast tissue may have a greater risk of seeing or feeling the edges or rippling of the implant. The amount of existing breast tissue and skin coverage is therefore an important factor when determining whether this placement is appropriate.

Subfascial Breast Implant Placement

Subfascial placement positions the implant above the pectoral muscle but beneath the fascia, the thin layer of connective tissue that covers the muscle. This technique adds an extra layer of tissue between the implant and the skin while keeping the implant above the muscle.

Subfascial placement may offer some of the characteristics of subglandular placement while providing additional soft-tissue coverage. As with other placement options, whether it is appropriate depends on your individual anatomy and the amount of natural breast tissue available to cover the implant.

Submuscular Breast Implant Placement

Submuscular, or “under the muscle,” placement positions the breast implant beneath the pectoral muscle. This may be particularly beneficial for patients with limited natural breast tissue because the muscle provides additional coverage over the implant. It may also reduce the visibility and palpability of the implant and can create a more gradual, natural-looking slope in the upper breast.

One consideration is that the implant can be affected by pectoral muscle contraction. Patients who regularly do chest-focused weightlifting may notice movement or changes in breast appearance when the muscle contracts. Submuscular placement may also involve more postoperative discomfort and a longer recovery period than placement above the muscle.

Dual-Plane Breast Implant Placement

Dual-plane placement combines elements of submuscular and subglandular positioning. The upper portion of the implant is covered by the pectoral muscle, while the lower portion sits beneath the breast tissue without muscle coverage. This approach allows the placement to be customized according to your anatomy.

Dual-plane placement may be useful for patients who want the additional coverage of a muscle-based approach while maintaining fullness in the lower portion of the breast. It can also be considered when you want a customized transition between the chest and breast.

Which Breast Implant Placement Is Right for Me?

No single breast implant placement is best for every patient. During your breast augmentation consultation, Dr. Young will assess your natural breast tissue, chest dimensions, skin quality, breast shape, lifestyle, and aesthetic goals. These factors, along with your implant type and size, will help determine the placement that best balances appearance, coverage, and long-term support.

Breast Augmentation Procedure 

Your procedure will begin with Dr. Young cleansing the treatment area and making markups. Afterward, your doctor will administer anesthesia to help you maintain comfort during your procedure. The medication options include intravenous sedation and general anesthesia. Afterward, Dr. Young will make your desired incision and place the breast implants in your predetermined locations. After the implants look how you desire, your incisions will be closed. After surgery, you will be carefully monitored and released to your caregiver.  

Candidates for Breast Augmentation

Candidates for breast augmentation include individuals in generally good health who are unhappy with the appearance of the size, shape, or symmetry of their breasts. The best way to determine if you are a good candidate for breast augmentation is through a private consultation with Dr. Young.

Breast Augmentation Recovery and Results 

  • 6 weeks
  • Low activity

Breast implant surgery is typically performed on an outpatient basis so you can return home to heal. To give your body the opportunity to heal correctly, you’ll need to take one to two weeks off work or have help available at home for small children. You also need to avoid using your upper body to lift or reach objects for six weeks, but you can exercise your lower body after two weeks. Following your breast augmentation procedure, Dr. Young will see you for several follow-up appointments: one-week post-op, then six weeks, six months, and one year. Your breast augmentation results can take over three to four months to fully emerge.

Schedule a Client Consultation Today 

If you are interested in learning more about breast augmentation, please contact our office by calling 913-341-2188 to schedule a consultation today! 

Frequently Asked Questions

  • What does a breast augmentation do?

    This surgery increases breast size, addresses breast symmetry, and alters the shape of the breasts. This helps women gain confidence while achieving their ideal figure.

  • What is the difference between breast implants and a breast augmentation?

    Breast implants are the materials used to achieve your goal while a breast augmentation is the procedure used.

  • Is breast augmentation painful?

    The incisions for the implants range from an inch to two inches long and involve minimal pain. If you experience pain, it will subside within a few short days and can be managed with pain medications.

  • How long does a breast augmentation last?

    You can expect your augmentation results to last at least ten years.

  • What age is best for a breast augmentation?

    Many women receive a breast augmentation between 25 and 65 years old. Factors that can influence your decision include genetics, aging, and breast changes due to pregnancy and breast feeding.

  • When will I see the results of my breast augmentation?

    You may see some initial results immediately, but swelling and bruising after the procedure will hide the most significant changes. It can take several weeks to a few months before you see your full results. During this time, the swelling and bruising will dissipate and the implants will settle.

  • How long does breast augmentation surgery take?

    Depending on your needs, breast augmentation surgery can take anywhere from 1 to 2 hours. The exact time can depend on the type of implants used, the placement, and the surgical technique used.

  • What type of anesthesia is used during a breast augmentation?

    At Advanced Cosmetic Surgery and Medspa, we offer two different anesthesia options. Depending on your needs, general anesthesia and intravenous sedation are both available.

  • Can breast augmentation be combined with other cosmetic procedures?

    Absolutely! Breast augmentation can be combined with a number of different cosmetic procedures, including a breast lift, liposuction, tummy tuck and more. Dr. Young will design a custom treatment plan that suits your exact needs.

  • When can I start working out after breast augmentation surgery?

    Dr. Young typically recommends waiting at least 6-8 weeks after your breast augmentation before returning to working out and strenuous activities. This gives the body plenty of time to rest and heal and ensures a smooth recovery.

Dr. Levi Young, MD

“I am an artist. My artistic ability is an asset in the operating room, enabling me to visualize and create the best aesthetic results.”

With years of expertise in cosmetic surgery, Dr. Young prioritizes patients’ well-being and satisfaction. Whether you are considering a subtle enhancement or a transformative procedure, you can trust Advanced Cosmetic Surgery to deliver exceptional care and results tailored to your personal needs and cosmetic goals.

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Are you ready to embark on your journey to radiant beauty? Contact our dedicated team today to schedule your consultation and begin your cosmetic transformation.

You can contact our staff at Advanced Cosmetic Surgery to schedule a consultation, schedule an appointment, or ask any questions you have! We are here to assist you on every step of your cosmetic journey.

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Dr. Levi J Young
Board Certified Plastic Surgeon |  + posts

Dr. Levi J Young is a board-certified plastic surgeon and founder of Advanced Cosmetic Surgery in Leawood, serving patients throughout the Kansas City area. Renowned for his artistic approach, Dr. Young’s passion for drawing and painting enhances his expertise in facial plastic surgery, breast surgery, and body contouring. Patients appreciate his commitment to personalized care and natural-looking results, guided by both surgical skill and creative vision. Dr. Young is dedicated to helping each patient achieve their aesthetic goals with compassion and excellence.

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