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Breast Augmentation

What Is Breast Augmentation?

Breast augmentation can be performed if you are dissatisfied with the size and/or shape of your breasts. There are a number of things that can contribute to unsatisfactory breasts. The breasts can be naturally too small or asymmetrical. In other cases, pregnancy, nursing, and/or the aging process may have distorted the pleasing appearance of the breasts. Breast implants can be used to increase breast size and improve breast shape.

The Benefits of Breast Augmentation

  • Look better in or out of your clothing
  • Creates more attractive proportions
  • Builds confidence
  • Improves self-image

Choosing the Right Implant Type


  • A silicone shell filled with a saltwater solution
  • Appears rounder, firmer, and more conspicuous
  • Requires a smaller incision
  • Offers a variety of profiles
  • More likely to develop visible rippling and folds


  • A silicone shell filled with either cohesive or highly cohesive silicone gel
  • Has a more natural look and feel
  • Requires a larger incision site
  • Offers a variety of profiles
  • There are two types of silicone implants:
    • Cohesive gel implant
      • Round in shape
    • Highly cohesive gel implant
      • Tear-drop shaped
      • “Gummy bear”

VECTRA Imaging

Your implant choice can affect the way your breasts look and feel after surgery. Implant type plays an important role in achieving breasts that have a natural appearance, but implant size is just as vital. The VECTRA XT is a 3D imaging system that simulates your possible results. By analyzing patient anatomy and measurements, this system allows you to see what you would look like with various-sized implants. Imaging technology is a crucial part of your initial consultation because it provides a glimpse at your post-surgery body. This realistic image allows you to choose an implant size that will give you the look that you desire.

What to Expect During Recovery

Schedule a Consultation With Dr. Koch

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Frequently Asked Questions

A: There are three common incision placement options:

  • Periareolar: where the bottom part of the areola meets the breast skin
  • Inframammary: along the lower breast fold
  • Transaxillary: in the armpit

A: There are four implant placement options:

  • Subglandular: under the breast tissue and on top of the pectoral muscle
  • Submuscular: under both the breast tissue and pectoral muscle
  • Subfascial: under the muscle covering, known as the fascia (between the gland and the muscle)
  • Dual-plane: half under the muscle and half under the breast tissue

A: A smooth implant moves freely within the breast pocket, while a textured implant creates more adherence to the pocket. Texturing may decrease the risk of capsular contracture and implant displacement.

A: With a successful breast augmentation surgery, the results are long lasting. However, breast implants do not last forever. Weight loss, pregnancy, and aging can all affect the appearance of your breasts over time. It is best to maintain a relationship with your surgeon to address any problems that may occur.

A: Like all surgeries, there are possible complications associated with breast augmentation. Common risks include scarring, bleeding, infection, capsular contracture, implant leaks, implant rippling, and implant displacement. Following your surgeon’s after-care instructions will help minimize your risk of developing any of these complications.

A: Breast implants will correct mild degrees of sagging. However, a breast lift may be required to correct more extensive sagging. A breast lift can be combined with your breast augmentation to improve the size and shape of your breasts.

A: There is no specific correlation between breast implants and the ability to breastfeed. Many women without implants have difficulties nursing. In some cases, periareolar incisions may disrupt the underlying milk ducts. Each patient is unique and will recover from surgery differently. During your consultation, you can discuss your concerns with Dr. Koch.

A: Breast implants won’t affect your ability to have an accurate mammogram, but they may make it more difficult. You should consider getting your mammogram performed by a technician with implant experience. It is also important to remember that you should not skip a mammogram; these screenings are an important part of protecting your health.


Before & After Photos (Click and Drag to see Results)