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Breast Augmentation

Breast augmentation, also known as augmentation mammaplasty, is an elective cosmetic surgical procedure offered by Dr. Waitze using breast implants. In addition to enlarging the breast size, breast augmentation can correct slightly sagging breasts or breasts that have lost volume due to pregnancy or weight loss.

There are three different types of incisions. Selection is based on individual anatomy, your desired outcome, and the size and shape of your implants:

  • Inframmary incision (an incision made under the breast)
  • Transaxillary incision (an incision made in the underarm area)
  • Periareolar incision (an incision made around the areola [the darker skin, surrounding the nipple])

The implants will be placed beneath the chest wall muscle or directly behind breast tissue; they will either be pre-filled or filled during surgery to create the desired volume. Incisions are closed with absorbable sutures. The incision lines will fade over time.

Breast Augmentation Before Photo of Breasts
Breast Augmentation After Photo of Breasts

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About Breast Implants

Everyone’s body is different. Even the smallest differences are important when it comes to selecting the right kind of breast implant, silicone gel or saline. Comprehensive measurements and an evaluation of your skin and breast tissue characteristics play a key role in determining what kind of implants fit your unique shape.

Silicone Gel

Silicone is a chemical compound made from silicon, the earth’s second most common element, found in rocks, sand, and quartz, for instance, and is used in lotions, soaps, processed foods, and many other everyday items. Silicone is used in both saline and silicone implants, as it makes up the outside shell or pouch. Because silicone gel has a texture similar to that of breast tissue, silicone breast implants tend to have a more natural look and feel than saline implants.


Saline implants vary in shell surface (i.e. smooth or textured), volume, shell thickness, profile, and shape (round or anatomical). There are also expandable implants. Most saline implants are single lumen, and are filled at the time of surgery.

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