What is Breast Augmentation?

Breast augmentation is a cosmetic procedure that adds volume to the breasts through the surgical placement of implants. Sometimes called breast implant surgery, breast augmentation is the most popular plastic surgery procedure performed each year. This procedure is performed under general anesthesia and requires a predetermined incision to carefully place implants within the breast tissue. Each patient will have specific preferences for implant type, placement, size, and shape, so Dr. Erella will discuss your best options for your cosmetic goals during your consultation.

Breast Augmentation Benefits

For Naturally Small Breasts

Women who have naturally small breasts often desire an augmentation to fit into clothing better and wish to create breasts more proportionate to the rest of their body. Dr. Erella can help you to choose the right implants to help create the beautiful results you desire.

For Post-Pregnancy Breasts

Pregnancy and breastfeeding can cause many changes to a woman’s body, including loss of volume in the breasts. This can cause the breasts to appear saggy or deflated. In these cases, many women can benefit from a breast augmentation combined with a breast lift to restore their youthful breast profile.

For Aging Breasts

Age can cause the breasts to lose their shape, shrink in size, and become lax. Dr. Erella will work with you to create an individualized treatment plan to achieve your breast goals.

Breast Augmentation Options


Silicone breast implants provide the most natural appearance and feel. They are available in a range of sizes and shapes to provide the optimal appearance for each individual patient. Silicone breast implants must be monitored with periodic MRIs for the possibility of rupture because there is no sudden deflation that makes it immediately apparent.


With saline breast implants, the incisions can be smaller because they can be filled after being placed in the chest. If a saline implant ruptures, the implant will deflate, and the saline will be absorbed by the body.

Breast Augmentation Incision Options


This incision is created in the lower breast crease, which allows for well-hidden incisions. This technique is the most common since it allows for superior accuracy during placement.


This incision is created around the nipple areola and does not require any other incisions on the breast. It provides the least amount of scarring and has a low risk of altered nipple sensation.


This incision is created within the armpit, so there is no scarring created on the breasts. This technique may also benefit those who wish to preserve their mammary glands for future breastfeeding.

Breast Implant Placement


Submuscular implant placement is the most common and entails the breast implant being placed beneath the breast tissue and the chest muscle. This technique allows for a more natural breast appearance, and reduces the risk of complications.


Subglandular placement entails the breast implant being placed beneath the breast tissue but over the chest muscle. This technique may be used with very small implants, as heavy implants may stretch the skin over time.

What Breast Augmentation Surgery Can Do

Breast augmentation is the most effective way to add volume to the breasts for natural-looking results or an augmented look based on your cosmetic goals. It can even correct asymmetry and restore the breasts after life events like pregnancy or weight loss. Breast augmentation can be combined with a breast lift when sagging and volume loss are a concern. In this case, excess skin is removed and the breasts are brought to a more upright, youthful position along with adding volume through implants.

What Can I Expect During a Breast Augmentation Consultation?

During your consultation for breast augmentation, you will discuss your goal results, details about the surgery, and health history, including any medical conditions, medications, or allergies. During this appointment, Dr. Erella will evaluate whether you are a suitable candidate for breast augmentation. This is also a time to view and examine firsthand the different breast implant sizes and their appearance. He will also likely examine your breasts and take measurements or photographs as necessary to prepare for the procedure. The consultation is also your chance to ask any questions that you may have about the breast augmentation procedure or recovery period.

Breast Augmentation Concerns


Following breast augmentation surgery, patients will need to wear a special compression bra to minimize swelling and support the breasts during healing. Patients should avoid heavy lifting, pulling, or pushing the first week of recovery. Physical activity should be minimized for at least the first couple of weeks. Dr. Erella will provide you with specific post-op instructions.


Breast augmentation can be performed using a number of incision patterns. Your incision will be placed in the armpit, around the areola, or in a lower breast fold. Scarring will be placed so that they can easily be hidden beneath a bra or swimsuit.


The cost of breast augmentation varies based on region and practice. A consultation with Dr. Erella is the best way to determine the cost of your breast augmentation surgery.


Discomfort is a normal part of surgery recovery. Commonly, pain lasts for about seven days, and can be managed with pain medication and compression garments. Most patients are able to return to everyday activities within two weeks.

Who is a Good Breast Augmentation Candidate?

The augmentation, like all our breast procedures, is quite commonly performed and boasts an impressive safety record. It is exceptionally customizable, which means most women who are looking to enlarge their breasts are candidates for the procedure. When it comes to a breast augmentation, the right candidates:

  • Are primarily interested in enlarging their breasts; an augmentation is not designed to address moderate or severe sagging. Instead, a breast lift is the right choice in that specific situation.
  • Are in sound overall health and suffer from no active infections. Surgery puts a significant strain on your body, which should be as healthy as possible. Be open with us about your health when discussing a procedure.
  • Has reasonable and realistic expectations for the procedure. A breast augmentation can achieve a lot, but it is not a magic elixir to restore youth. You should have a clear sense of what you hope to achieve when you talk to Dr. Erella.
  • Possesses sound mental health. Your mindset is almost as important as your physical health- you should know what to expect from the procedure, you should have the right reasons for undergoing a breast augmentation and you should be able to withstand the mental strain associated with any major surgical procedure.

What Questions Should I Ask My Plastic Surgeon About Breast Augmentation?

Before your breast augmentation procedure, you will have the chance to ask any questions you may have during a consultation appointment. You can do some research online beforehand, but there are several common questions that most patients have for their plastic surgeon. These include:

  • What certifications, experience, or training do you have?
  • What common complications should I be aware of? How do you deal with breast augmentation complications?
  • Am I a good candidate for breast augmentation? Why or why not?
  • What type or size of implant would you recommend for me?
  • What type of implant placement would you recommend for me?
  • What kind of incision would you use for my breast augmentation?
  • How long should my breast implants and results last?
  • What will my recovery be like?

Breast Augmentation Frequently Asked Questions


Yes, they can cause pain especially if capsular contracture develops. If you have pain after years please see your PS for evaluation.


Yes they can last many years. But after 10-15 years tend to get complications and need to be assessed by your pS. It is not routine requirement to change every 10 years.


No unless there is a problem, but need to be assessed by an experienced plastic surgeon.


It is safe outpatient surgery and one of the common cosmetic procedures.


Breast augmentation involves either inserting breast implants or fat transfer.

What are the Safety Considerations Associated with Breast Augmentation?

Breast augmentation remains one of the most sought-after cosmetic surgery procedures for women in the U.S. Breast implants have been in use for decades both for breast enhancement and breast reconstruction.

The procedure is exceptionally common and possesses an exceptional safety record. Still, like any surgical procedure, breast augmentation does carry some risk, including:

  • Anesthesia complications
  • Bleeding
  • Infection
  • Loss of sensation in the nipple or breast
  • Scarring
  • Movement of the implant
  • Implant rupture
  • Capsular contracture
  • Pain

Perhaps the most important safety consideration for breast augmentation is the acknowledgment that future surgery will likely be required to remove or replace the implants. On average, breast implants last about 10 years before they need to be replaced. For some women, breast implants may last considerably longer, but other women may require replacement in just a few years.

At Aspira Plastic Surgery, we do everything possible to ensure that you only undergo those procedures that are right for your specific needs. We never perform any procedure unless it’s appropriate in your circumstances.

At Aspira, we consider the health of our patients to be our number one priority. Fortunately, studies have shown that breast implants do not impair breast health. During your breast augmentation consultation, we will address any concerns you may have and discuss all of your options to help you make the right decision for your individual goals.

If you live in the Austin, Texas area, such as Round Rock, Cedar Park, Killeen and Steiner ranch and would like to learn more about all of the breast surgery options available at Aspira Plastic Surgery & Med Spa, please call us today at (512) 730-3885 for a free breast augmentation consultation in the Austin, Texas area.