Breast augmentation is a procedure that can be performed in many ways to help you get the results you desire. One of the important options is where your incision is going to be placed. Dr. David A. Bottger offers three different incisions for your breast augmentation, all the options endorsed by the American Society of Plastic Surgery. These options are: Inframammary (in the crease under the breast)…

Both saline and silicone breast implants are safe and effective for breast augmentation. Saline breast implants are filled with a sterile salt water solution, the same kind used to supply fluid in surgical drips. Silicone breast implants are filled with coherent silicone gel that is medical grade and shown to be largely bio-inert (it doesn’t interact with body tissue). In the past, there were safety…

There are many different types of breast implants, with different fill materials, surface types, and shapes. Breast implantsmay be filled with either saline liquid (salt water) or silicone gel. Both have been approved for use in the US as being safe and effective, and the differences are largely a matter of patient preference. Saline breast implants are less expensive and more flexible surgically–being inserted via…

Breast implants can be placed either directly below the breast tissue (technically called subglandular placement) or they can be placed under some of the muscles in the chest (called submuscular placement). Submuscular breast implant placement has several advantages. Because there is more tissue to cover the breast implant, it is less likely to be visible, which is especially important for saline breast implants, which are…

Only you can determine your ideal breast size. Once you have decided on your desired breast size, we can easily determine the right breast implant size to achieve that result. A good place to start is with pictures of you at a time you were happy with the size of your breasts. Perhaps you were pregnant or had gained weight, causing your breasts to swell,…

Breast implants can be used to reliably achieve many cosmetic improvements of the breasts. However, breast sagging may or may not be correctable using breast implants. If your breasts are sagging as a result of lost volume that causes you to have slack, empty breasts, then breast implants can be used to restore that volume. Sometimes, too, breasts can look saggy because of their shape….

Philadelphia plastic surgeon Dr. David A. Bottger recommends performing breast augmentation under general anesthesia. Once you have been placed under anesthesia, an incision is made in the location you discussed with Dr. Bottger during your consultation. Dr. Bottger uses three different breast augmentation incision locations: the inframammary (in the breast crease), the periareolar (at the edge of the nipple-areola complex), or the axillary (in the armpit). The incision…

If you are considering breast augmentation, one of the most important questions you might ask is “Am I a candidate?” here is some basic information about the ideal candidates for breast augmentation using breast implants. First, the best candidates have cosmetic goals that can be achieved using breast implants. This can be to increase the size of breasts or restore lost volume in the breasts. Breast…

In recent months, plastic surgery has turned its attention to the effort to create more objective standards for breast augmentation results. One earlier effort established “standards” for the shape of the ideal breast. A more recent effort looks at the impact of the type of breast implant on breast shape after breast augmentation. The study looked at relatively small sample sizes of women receiving round breast implants and anatomic…

Last week, buxom actress Jennifer Love Hewitt revealed a nightmare she had about losing her breasts. She said she was trying to work when someone put tubes in her breasts and began making them smaller. She cried out “Guys, don’t take them away!” Hewitt has suffered significant manipulation of her breasts in the public advertising campaign for her new series The Client List. The racy…