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.


Comments are closed.

Our office is now open!

Your health (and ours) is our highest priority so we are making a few changes to our reopening so that you can feel safe and confident coming in to see us. We are of course following all federal and local guidelines such as wearing masks and conducting phone screenings prior to your appointment but we are also implementing the following:

      Increasing the frequency of cleaning and sterilization to not only include exam rooms but also the waiting room, restroom, all doors, counters, etc.

      Offering multiple hand sanitizer locations throughout the office

      Reducing the number of appointments per day as well as our office hours, to limit the number of people in the office, including staff members

      Minimizing patient overlap to allow for proper social distancing

      Testing all surgery patients for COVID-19 at their pre-operative appointments

      Asking patients to leave family members or friends at home, unless they are coming with their primary caregiver. Please leave children at home as well


How can you help?

      Come alone to your appointment, unless you need your primary caregiver with you

      Please wear a mask or face covering to your visit and keep it on unless you are asked by Dr. Kearney or an RN to remove it

      Postpone your visit if you have traveled by air or experienced symptoms in the last 14 days

      Use a pen from the holder marked “clean” and put it in the one marked “used” when you’re done

      Use the hand sanitizers in our office

      In the rare case there is someone at the front desk when you come in please take a seat until we call you and maintain proper distance throughout your visit

      Take advantage of our virtual consultations or follow up appointments if it makes you feel more comfortable

Please bear with us as we work to return to our new “normal” and feel free to call or email with any questions. We look forward to seeing you again soon!


Dr. Kearney and staff