What Is Breast Augmentation?
Breast augmentation using implants or fat transfer is the most performed cosmetic surgery in the US — with well-documented outcomes and evolving implant technology.
Implant Options
Saline: filled with saltwater after placement, smaller incision, adjustable. Silicone gel: pre-filled, more natural feel, slightly larger incision. Structured saline (IDEAL Implant): internal baffles reduce sloshing. Highly cohesive ('gummy bear'): maintains shape if shell is compromised. The right choice depends on anatomy, tissue coverage, and goals.
Implant Placement
Sub-muscular (under pectoralis major): more natural in thin women, reduces rippling, may facilitate mammogram reading — more post-op discomfort. Sub-glandular (above muscle): less discomfort, more natural movement, higher rippling risk in thin patients. Dual plane: partially under muscle, common compromise.
Breast Implant Illness
BII describes systemic symptoms (fatigue, brain fog, joint pain) reported by some patients with implants. The FDA has investigated — causation not definitively established scientifically, but many patients report improvement after explantation. Review the FDA's updated safety communication with your surgeon.
BIA-ALCL Risk
BIA-ALCL is a rare immune system cancer linked specifically to textured-surface implants. Risk: estimated 1 in 2,000–86,000 with textured implants. Most are cured by implant removal alone. Smooth surface implants are not associated with BIA-ALCL.
What to Look for in a Plastic Surgery Provider
- Board certification by the American Board of Plastic Surgery (ABPS) specifically — verify at abplasticsurgery.org
- Hospital privileges at a Joint Commission-accredited facility
- Accredited surgical facility (AAAASF, AAAHC, or Medicare-certified) for in-office procedures
- Substantial before/after portfolio of your specific procedure
- No disciplinary actions on your state's medical board website
- Realistic, procedure-specific quotes — not vague 'starting at' prices
Find Breast Augmentation Experts Near You
Connect with verified plastic surgeons professionals who specialize in breast augmentation.
Search Breast Augmentation ContractorsFrequently Asked Questions
How much does breast augmentation cost?
Total: $6,000–$12,000 (surgeon fee + anesthesia + facility). Silicone implants cost $1,000–$2,000 more than saline. Geographic market affects total cost significantly.