Beyond the Big Decision, Other Augmentation Choices

The decision to have breast augmentation surgery is a big one and not to be taken lightly. But if you’re a woman who has been dissatisfied with the size, shape, or proportionality of her breasts, breast augmentation can be life changing. That explains why every year more and more women opt to have the procedure.

But once you’ve made the big decision to go ahead with your augmentation, there are still many other smaller decisions you’ll need to make. Together all of it can seem overwhelming, but Dr. Kearney will help you through each one.

Silicone or saline?

Breast ImplantFirst, you’ll choose between silicone or saline implants. Silicone is thought to feel the most like natural breast tissue and is the most popular choice. Of course, if your silicone implants rupture, the silicone will need to be removed from the breast pocket where the implant is placed. But this isn’t really a big deal, because with any type of implant, the ruptured implant will need to be removed, requiring revision surgery.

Saline implants don’t need as large an incision because they are filled once placed into the breast pocket. They also are less worrisome if they rupture, as the body simply absorbs the saline water. Saline implants do have a higher incidence of wrinkling, however.

A few years ago another type of silicone implant, colloquially known as “gummy bear implants” came on the market. These cohesive silicone implants are filled with thicker gel, think gummy bear, and are shaped like a teardrop. If these rupture, the thicker gel usually stays within the shell and doesn’t leak into the surrounding tissue.

Implant size and shape

OK, you decided on the type of implant. Next, you’ll decide the size and shape. Size is measured in cubic centimeters of the filling silicone or saline. You will also decide on the shape, basically teardrop versus round. Projection is the degree your implants project.

Incision location

You may not be aware of this decision, but you will also choose where you want your incisions. Implants can be placed through an incision in the armpit, at the base of the areola, on the under crease of the breast, or through the belly button. You will also decide if you want the implants placed atop or behind the pectoral muscle. Most people think that placement behind the chest muscle creates the most natural looking augmentation, plus it precludes the possibility of wrinkling.

All of these decisions may seem daunting, but Dr. Kearney and his attentive staff will help you with each one, so that you’re very comfortable heading into your augmentation surgery. Call us at 800-671-1951 to set up your consultation.


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After careful consideration and at the request of our state, and concern for the health and safety of our patients, we are cancelling all non-essential appointments and surgical procedures starting on 3-20-20. Please take note below of the ways that we are available to you over the next couple of weeks:

  • Appointments:Dr. Kearney will still be seeing a small number of post operative appointments over the next couple of weeks as well as any patients that require immediate attention or medical care, by appointment only. We are calling and emailing all patients who currently have appointments scheduled in the next 2 weeks to notify them and reschedule
  • Phone: We will be working remotely and able to answer questions as well as schedule future appointments and surgeries by calling our main number: 858.677.9352. Please note, however, that we will have reduced hours over the next couple of weeks so be sure to call during these times: M-F 9:30 a.m. to 3:30 p.m. If you have an urgent matter outside of these hours and need to speak to Dr. Kearney please call 619-270-4935.
  • Answering machine: Please do NOT leave important messages on the after hours greeting during the next 2 weeks as they may not be checked in a timely manner. Instead, we ask you to call or email during the above hours and we will get back to you as soon as possible.
  • Email: We will have access to email and our patient scheduling system and will be available to check and respond to emails M-F from 9:30 a.m. to 3:30 p.m. If you reach us outside of these hours please allow 24-48 hours for a response. You can continue to email the patient coordinator you’ve been in contact with or simply use [email protected]
  • Virtual consultations: Can’t come in for an appointment right now? No problem! Dr. Kearney is able to offer phone consultations during the next couple of weeks. Simply email us at [email protected] or call 858-677-9352 during the above hours and we will let you know the simple steps to take.

We apologize for any inconvenience the above changes may cause and are hoping things return to “normal” as soon as possible. Please stay safe and healthy and let’s all try to remain as positive as possible during this time of uncertainty.

We appreciate all of you and look forward to seeing you again very soon!


Dr. Kearney and staff