Silicone gel implant insertion
Silicone gel implant insertion

illustration of silicone gel breast implant insertion

A silicone implant is inserted at the base of the breast. The pink area on the left side shows the sub-pectoral "pocket" that is surgically created for the implant. The right side shows the incision and the pectoralis major muscle. Breast implants are usually placed under the pectoralis major muscle.

Silicone breast implant insertion
Silicone breast implant insertion
On the right, an empty saline implant is placed through the breast fold. The left side shows a breast implant in position.
Breast fold with implants in a good position
Breast fold with implants in a good position

Breast augmentation through the breast fold approach with the implants in a good position.

Implant placement above and under
Implant placement above and under

Illustration of breast implant placement

On the left, the breast implant is shown above the pectoralis major muscle. On the right, the implant is under the pectoralis major muscle. Note that the muscle on the right is cut or "released". This allows the implant to settle nicely to the base of the breast. Also note that the outer part of the breast implant on the right has no muscle coverage.

Dual plane
Dual plane

illustration of dual-plant breast implant placement

This example of a mastopexy and breast augmentation demonstrates a dual-plane approach to the soft tissue coverage over a breast implant. On the right, the pectoralis major muscle has been released at the base of the breast and has retracted upward. In time, after the implant has settled into the base of the breast, only the upper third of the implant will be covered with muscle and the lower two-thirds of the implant will be covered with breast tissue and fat. The implant coverage with the muscle is adjusted on a case-by-case basis depending of the anatomy of each breast augmentation patient.

Subpectoral placement
Subpectoral placement

Illustration of subpectoral implant placement

This image shows the breast in cross-section with a breast implant in the subpectoral space, under the pectoralis major muscle. Note that the muscle does not cover the lower part of the implant. The implant is held in position at the base of the breast with the support of the skin and fatty connective tissue, not the muscle.

Subglandular placement
Subglandular placement

This image shows in cross-section a breast implant in the subglandular space, above the pectoralis major muscle.


Breast Augmentation Considerations

Candidates For Breast Augmentation

illustration of breast augmentation incision options

Breast implants are placed through three incisions. A. Axillary, or underarm, approach. B. Areolar approach. C. Inframammary, or breast fold, approach.

Breast augmentation is a surgical procedure, so there are some important qualifications for you to meet so that you can undergo the surgery safely and successfully. You must be 18 years of age or older and in good physical and emotional health.

You should have completed your last pregnancy (and breast-feeding) at least three to six months prior to surgery. And, it is wise to defer breast augmentation if you plan to become pregnant within 1-2 years of surgery. (This is because pregnancy can change the aesthetics of your breasts and might change the operative plan to achieve your desired results).

You must have realistic expectations about how surgery can improve the aesthetics of your breasts, your body image and your life. And, you need to have a good support person to help you through the entire surgical process, especially to be with you and assist you during the first 24 hours after surgery.

Personal Decisions About Having Surgery

There are a number of important decisions to make before embarking on breast augmentation surgery. Those considerations include technical, medical, financial, emotional, work and family issues. In this section we address many of the technical elements involved in your decision making process. There are seven general technical points to consider:

Key Breast Augmentation Technical Issues

  1. Breast implant insertion site - Axillary or breast fold?
  2. Breast implant position - Above or under the pectoralis major muscle?
  3. Breast implant type - Saline or silicone gel?
  4. Breast implant surface - Smooth or textured shell surface?
  5. Breast implant shape - Round or teardrop?
  6. Breast implant projection - Low, moderate or high profile projection?
  7. Breast implant volume - How big, how small?
  8. Breast implant dimensions - How wide and how projecting?

We Will Help You Make Confident Decisions

Dr. Connall is an expert with all types of breast augmentation surgery. Dr. Connall understands that each woman's breasts and body are unique, as are the goals one wishes to achieve with breast augmentation. Dr. Connall recommends two different methods of implant placement. The implants can be placed through the breast fold. Or, for women who do not want a scar on their breasts, the implants can be placed through the underarm using an axillary endoscopic breast augmentation technique. Dr. Connall is an expert in both of these techniques, so the choice is yours. Though at times, Dr. Connall may recommend a particular incision for technical reasons related to the anatomy of your breasts. The most important issue in this decision is how you feel about scars, your breasts, and your body.

Related Topics

~ Gummy Breast Impants See if the new teardrop silicone implants are right for you and be confident in your choice of implants.
~ Breast Implants Selecting the correct breast implants is a critical decision for a successful breast augmentation.
~ Implants & Lifts Breast lift, plus breast augmentation, can lead to perky, larger breasts.
  • Our team is full of caring & knowledgeable professionals
  • We will nurture you through every step you take with us
  • We use technology to enhance your experience & results
  • We will educate you so you can make confident decisions
  • We use state-of-the-art techniques to create optimal results
  • We're committed to excellence in everything we do
  • We love what we do & have fun caring for patients
  • Building respect and trust with you is our first priority