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Breast Augmentation

Full, shapely breasts are feminine and desirable to most women. Breast augmentation surgery enhances a woman’s appearance by increasing breast volume and improving her breast shape. Dr. Linder has been performing breast enhancement procedures since 1997 and

has placed over 12,000 breast implants.

On an annual basis, Dr. Linder performs hundreds of breast augmentations. There are many different options for breast augmentation, and each procedure is entirely customizable to achieve the patient’s desired results.

Reasons to Consider Breast Augmentation

Restore Youthful Fullness

After pregnancy, breastfeeding, or significant weight loss, the breasts can appear deflated and aged. Breast augmentation restores the breast volume women may have had in their youth or during pregnancy to rejuvenate their appearance.

Improve Misshapen or Asymmetrical Breasts

Breast augmentation can improve a variety of breast shape and size issues, including tubular (constricted) breasts and breasts that are noticeably different sizes. Implants create a rounder and more attractive bustline, and implants of various sizes can be used to correct asymmetry.

Have a Wider Variety of Clothing Options

Some women abstain from wearing particular clothing styles because they draw attention to the lack of fullness in their chest. After breast augmentation, women often enjoy shopping more and have a more extensive range of flattering clothing options.

Breast Augmentation Options

Implant Profile

The specific implants used depends on the amount of breast tissue and aesthetic goals a patient has. The different implant profiles are as follows:

  • Low: useful for women desiring less projection (these are the least common option)
  • Moderate: useful for women with thick chest walls
  • High: useful for patients with thin chest walls (these are the most commonly used implants)
  • Extra High: useful for patients who desire larger implants

Incision Techniques

Inframammary incisions are created along the breast crease and allow for optimal breast pocket creation. This technique does produce visible scarring, but scars are likely to fade over time and can be concealed with clothing. The chance of this method affecting breastfeeding is less than five to eight percent.

Periareolar incisions are created along the lower portion of the areolas and allow for optimal breast pocket creation. This technique produces scars that are easy to conceal, and the chance of it affecting breastfeeding is five to eight percent.

Transaxillary incisions are placed within the armpit, which leaves no visible scarring on the breasts. Although the chance of this technique affecting breastfeeding is less than five percent, it is not recommended.

Transumbilical incisions are placed in the belly button, which leaves no visible scarring on the breasts. Although the chance of this technique affecting breastfeeding is less than five percent, it is not recommended.

Implant Placement

Subpectoral implant placement involves using the dual plane technique: two-thirds under the muscle medially and one-third over laterally. This allows coverage of the implant and reduction of visibility along the sternal area and cleavage region. There is a reduced risk of capsular contracture and scar tissue formation with this type of placement, and it has also been shown to be helpful for mammograms and MRIs in detecting cancers. The majority of our patients receive subpectoral implant placement.

Subglandular implant placement may be useful for patients with severe tubular breast deformity; however, in the majority of these cases, Dr. Linder still performs the dual plane technique with the last sum medial muscle coverage just in case the patient experiences weight loss in the future, which would lead to visible implants.

Implant Type

Silicone implants are FDA approved for patients 22 years of age and older and are ideal for thin-chested women. These implants have stronger shells and produce a more natural appearance. There is a higher risk of capsular contracture and scar tissue formation, and due to the cohesive nature of the silicone filler, rupture can only be detected with an MRI.

Saline implants are FDA approved for patients 18 years of age and older and are less expensive than silicone implants. Rupture is immediately noticeable without diagnostic testing, and any saline filler leakage can be safely absorbed by the body. They tend to produce a more visible and less natural look, particularly with subglandular placement.


Breast augmentations at Brighton Surgery Center are performed under general anesthesia with Board-Certified Anesthesiologist Dr. Hoffman. Laryngeal mask airways are used with the majority of patients. However, those who have a history of reflux or gastroesophageal disease are usually better candidates for endotracheal tube intubation.

Surgery Time Table

Preoperative: Patient is started on an intravenous antibiotic.

Surgery: A primary augmentation takes 45 to 60 minutes.

Recovery Room: Patients are required by federal law to stay in the recovery room for at least an hour.

After Surgery: Patients are sent home with a bias wrap and gauze in place. No heavy lifting or raising the arms above the shoulders for 3 weeks.

Postoperative Visit: All dressings are removed, and an upper pole compression band is placed. This band allows the implant to maintain an inferior position and softening of the muscle so that there will only be natural occurrence over the next 4 to 6 weeks. Recommendation: The Dr. LinderBra™ uses a double clip zip mechanism, which allows easy placement with new gauze. It costs $49.95.

Day 7 Follow Up: Breasts are examined for bleeding, infection, and positioning of the implants.

Days 8 to 14: Changing the gauze will then occur twice a day for the next 7 days. Patients will do this at home.

Day 14 Follow Up: The upper pole band may or may not be discarded depending on the placement of the implant at the time. Sutures are removed. If there is any evidence of significant scabbing, patients are asked to return in 5 days for final suture removal.

Days 14 to 21: Light activities may be resumed. Incisions can get wet while showering.

Breast Augmentation

Breast Augmentation

Frequently Asked Questions

  • Is Dr. Linder board certified by The American Board of Plastic Surgery?

    Yes. There are absolutely no substitutes.

  • Do I need to have my implants replaced in 10 years?

    Contrary to popular belief, breast implants do not need to be replaced every 10 years. If you are free from pain and happy with how your breasts look, there is likely no reason for breast revision; however, it is recommended to see a board-certified plastic surgeon if you have any concerns regarding the condition of your breast implants.

  • What are the brands of implants used at this facility?

    Dr. Linder prefers smooth, high-profile saline and silicone implants by Mentor® Corporation, Allergan Pharmaceuticals, or Sientra®. All three are FDA approved.

  • How much does breast augmentation cost?

    The cost of breast augmentation will vary per patient. Cost includes surgeon’s fee, operating room fees, implant cost, and anesthesia fees. In general, silicone implants are more expensive than saline implants.

  • What types of medications will I be given after my breast augmentation?

    The types of prescribed medications depend on the patient. Patients are given one of two antibiotics: Ciprofloxacin or Keflex (not recommended for patients with penicillin allergies). To manage pain, Dr. Linder may prescribe Norco or Vicodin. For muscle spasms, patients may be prescribed Flexeril, and Zofran prevents nausea and vomiting.

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