Many women in the United States start looking into breast augmentation when they feel that the size, shape, or symmetry of their breasts no longer matches what they want for their bodies.
This interest tends to appear at different stages of life: after pregnancy, following weight changes, with aging, or simply because the desire for more volume has always been there.
In many of these situations, the motivation relates to self-confidence and the intention to align their appearance with what they picture as ideal for themselves.
But what exactly does this procedure involve? How does it work? And could it be the right choice for you?
Let’s walk through the key points of this popular surgery in a clear and straightforward way.
What is breast augmentation?
The term breast augmentation describes a cosmetic procedure designed to increase breast volume, adjust shape, or improve symmetry.
Women often consider this surgery when they want a noticeable yet proportional change that aligns with their body, lifestyle, personal preferences, and aesthetic goals.
There are two main approaches within this procedure. The most familiar option uses breast implants, which vary in size, projection, and material. Another option involves fat transfer, a technique that removes fat from specific areas of the body and repositions it in the breasts. This method tends to attract women who prefer a softer enhancement and want to use their own fat to achieve a more subtle result.
The most common aesthetic goals include increasing volume, improving long-standing asymmetries, restoring breast appearance after pregnancy or weight changes, and enhancing the overall proportions of the chest. Many patients look for an outcome that reflects how they picture themselves, respecting their anatomy and what fits naturally with their body structure.
Each choice within breast augmentation depends on an individual evaluation, since factors such as lifestyle, breast tissue amount, skin elasticity, and natural breast shape influence the final surgical plan.
Types of implants
Women in the United States who research breast augmentation usually come across three main categories of implants: silicone, saline, and the so-called structured implants.
Each option offers its own characteristics, which influence how the implant feels to the touch, how long it tends to last, the final appearance, and even the total cost of the procedure.
Understanding these differences helps you identify what aligns better with your body and the type of result you hope to achieve.
Silicone implants
Silicone implants often appeal to women who value a more natural feel. The texture tends to move in a way that resembles natural breast tissue. Many surgeons rely on silicone models for a large portion of procedures in the U.S.
The FDA approves multiple shapes, sizes, and cohesivity levels, which gives you more room for customization.
Saline implants
Saline implants are filled with sterile saltwater after placement. They attract patients who prefer an option with liquid filling. If a rupture happens, the body absorbs the fluid.
The feel tends to be slightly firmer compared to silicone, which may influence your decision during the consultation.
Structured implants
Structured implants combine an internal support system that aims to deliver a look and feel closer to silicone while keeping saline filling. They tend to interest patients who want an option between firmness and softness.
Some U.S. brands offer FDA-approved versions with different levels of internal support.
Comparative table of implant types
| Feature | Silicone | Saline | Structured |
| Feel | More natural, softer texture | Slightly firmer | Intermediate feel |
| Average durability | High, with good stability | Varies based on fill | Moderate stability with internal support |
| Appearance | Natural look, with realistic movement | Can feel firmer and more rounded | Balanced appearance with internal structure |
| Average cost in the U.S. | Usually higher | Usually more affordable | Mid-range |
| Common preference | Patients who prioritize natural feel | Patients who prefer saline filling | Patients who want a middle-ground option |
The choice of implant type varies according to your aesthetic goals, your natural breast anatomy, and the evaluation made by your surgeon, since each body responds differently to the selected volume and projection.
Surgical techniques your surgeon may consider
Plastic surgeons use several approaches to perform breast enhancement, and each one carries its own characteristics.
- Inframammary incision: The surgeon makes a small cut in the fold beneath the breast. This technique offers direct access and allows precise implant placement.
- Periareolar incision: The incision is made around the edge of the areola, where the scar may blend more easily with the natural color transition of the skin.
- Transaxillary incision: This incision is placed in the armpit, keeping the breasts free of visible scars.
- Transumbilical incision:: Less common, this technique uses a small cut inside the belly button, although it limits implant positioning options.
Implant placement also varies. Some surgeons position the implant behind the pectoral muscle (submuscular), while others place it in front of the muscle but behind the breast tissue (subglandular).
Each approach carries specific considerations that your surgeon will review with you during your consultation.
Implant placement (subglandular vs. submuscular)
After choosing the implant type and the incision method, patients also look at where the implant will be positioned.
In the United States, the two most common placement options are the subglandular plane and the submuscular plane.
Each option functions differently and may suit specific body types or goals.
Subglandular placement
In the subglandular plane, the implant sits behind the breast gland but in front of the pectoral muscle.
This option often appeals to women who already have a moderate amount of natural breast tissue, since their own tissue helps create a smoother transition. The procedure tends to be quicker, and recovery may feel more comfortable for some patients.
However, this placement may require careful evaluation for women with very little breast tissue, since implant edges can become more visible depending on the body’s shape.
Submuscular placement
In the submuscular plane, the implant stays partially behind the pectoral muscle. Many patients consider this option when they want a softer look at the upper pole of the breast.
This method often provides a smoother contour for women with minimal natural tissue and may lower the chance of visible implant borders.
At the same time, recovery may take longer because the muscle plays an active role in adapting to the implant.
Deciding the best placement
The choice between subglandular and submuscular placement varies according to breast anatomy, implant size, tissue thickness, and the type of result the patient hopes to achieve.
During the consultation, the surgeon reviews these factors and suggests the option that fits best with the patient’s goals and lifestyle.
How the surgical procedure works
Although every case requires an individualized plan, several steps appear consistently in breast augmentation surgeries performed in the United States.
Below, you’ll see what usually happens from the moment you arrive at the surgical center until the end of the operation.
Consultation and planning
Your process starts with a detailed conversation. The surgeon examines your breasts, discusses your expectations, and shows how different implant sizes may look on your body. You’ll review before-and-after photos of previous patients to understand the kind of results that may be possible.
Precise measurements and photographs document your starting point. Your surgeon also reviews your full medical history, including current medications and allergies.
Pre-operative preparation
A few weeks before surgery, you may need lab tests or a mammogram. Your surgeon provides specific instructions about medications you should avoid, especially those that increase bleeding.
Smoking can interfere with healing, so patients who smoke usually receive guidance to stop several weeks before and after the procedure.
The day of surgery
The procedure usually takes between one and two hours. You’ll receive general anesthesia, so you remain asleep the entire time.
The surgeon makes the planned incisions, creates the implant pockets, and positions the implants carefully.
After placing the implants, the surgeon closes the incisions with sutures and applies dressings.
Most patients return home the same day, but you’ll need someone to drive you.
Recovery and post-operative care
The first few days after surgery involve rest and attentive care. You may feel discomfort, swelling, and sensitivity. Pain medication helps manage these symptoms.
Many women return to work within a week, depending on the nature of their job. Intense exercise and heavy lifting usually wait about four to six weeks.
A surgical bra is used during the early weeks to support the breasts while they heal.
Follow-up appointments allow your surgeon to monitor your progress and guide your recovery.
How long the results may last
Modern breast implants are designed to be durable, but they aren’t considered permanent devices. The American Society of Plastic Surgeons notes that many women keep their original implants for 10 to 20 years or longer.
Gradual changes in the breasts tend to appear over time due to natural aging, gravity, and weight fluctuations.
Some factors that may influence longevity include:
- Quality of the chosen implant
- Surgical technique used
- Post-operative care followed
- Significant weight changes
- Future pregnancies
Regular check-ins with your plastic surgeon help monitor the condition of your implants. If you notice changes in shape, discomfort, or any other difference, you should contact your surgeon promptly.
Financial investment involved
The cost of breast augmentation in the United States varies widely. According to recent data from the American Society of Plastic Surgeons, the average surgeon’s fee is around $4,516, but this number reflects only the surgeon’s portion of the total cost.
Additional expenses may include:
- Surgical facility fee
- Anesthesia
- Pre-operative tests
- Prescribed medications
- Specialized surgical bras
- Follow-up appointments
The total investment often ranges between $6,000 and $12,000, depending on factors such as geographic location, surgeon experience, and implant type.
In Miami, where Smart Plastic Surgery operates, pricing may reflect the high demand for cosmetic procedures in the region.
Many clinics offer financing options to make the surgery more accessible.
Your journey starts here!
Breast augmentation has played a role in helping millions of women in the United States feel more confident and achieve the appearance they’ve always wanted.
If you’re considering this procedure, the first step involves education — and you’ve already begun by reading this guide.
At Smart Plastic Surgery in Miami, Florida, experienced professionals can walk you through every phase of the process. From your initial consultation to your post-operative follow-ups, you receive personalized care focused on your individual goals.
You deserve to feel comfortable and confident in your own body. Breast augmentation may be the tool that helps you move toward that vision.
How about taking the next step and scheduling a consultation to discuss your options?
