Breast Augmentation

Breast Augmentation using an implant or your own fat is a procedure designed to increase the size and/or improve the shape of the breast

Breast augmentation, also known as augmentation mammoplasty, is a very popular and common procedure that can increase your breast size by one or more sizes. By surgically inserting breast implants beneath the breast tissue or the chest muscle during breast augmentation, women can achieve larger, shapelier breasts. This type of breast enhancement is sometimes performed in conjunction with a breast lift.

Breast augmentation can dramatically improve the appearance of a woman’s breasts. During your breast augmentation consultation, you’ll learn more about your options for creating your ideal breast appearance, including:

  • Implant size, style, and shape
  • Implant material (silicone, gel or saline)
  • Implant position (above or below the pectoralis muscle)
  • Implant incision site

Dr. Somogyi’s goal is to create a natural and alluring look. The size, shape, style, and type of implant that will give you the look and feel you desire will be determined with your input and through a comprehensive examination. 3D VECTRA analysis will allow you see simulations of your proposed size and help in achieving your desired goals.

Breast Augmentation Considerations

Incision Location:

INFRAMAMMARY INCISION: This is Dr. Somogyi’smost commonly used incision at the present time and is made below the breast fold. This incision is generally well hidden, heals well and confers the lowest risk of internal scarring (capsular contracture).

PERIAREOLAR INCISION: This incision site is typically the most concealed. It is associated with a higher likelihood of breast feeding difficulties than the other incision options because periareolar incision involves cutting through the breast tissue. This may also increase the chance that there will be a change in nipple sensation.

TRANSAXILLARY INCISION: This incision is made under the arm and a small tunnel is made to create a pocket behind the breast. While saline implants are more easily placed through this incision, Dr. Somogyi effectively places silicone gel implants through transaxillary incisions as well.

Implant Placement:

SUB-MUSCULAR IMPLANT PLACEMENT:  The breast implants are placed partially or wholly under the pectoralis major chest muscle. Sub-muscular implants may result in a longer, more painful recovery than sub-glandular implants. Sub-muscular placement may result in less palpable implants and may reduce the risk of developing capsular contracture, as well as offer easier mammographic imaging of the breast.

SUB-GLANDULAR IMPLANT PLACEMENT: The breast implant location is between your chest muscle and your breast tissue (under the breast gland). Implants that are sub-glandular may be easier to see and feel through your skin and are only placed in this position if you have adequate thickness of overlying breast tissue. This placement may provide more upper fullness and even help slightly lift the breast.

Each placement type has benefits that may be right for you.  Dr. Somogyi will discuss your desired outcome and recommend the best option for your aesthetic goals and your body type.

What to Expect

Dr. Somogyi performs breast augmentation in the hospital or at our private operating facility (The Cumberland Clinic). Surgery usually takes one to two hours, is performed under general anesthesia and allows you to return home the same day.

Dr. Somogyi will provide you with customized guidelines to follow during your recovery based on your personal needs. In general, you can expect to return to your usual routine after a few days, but you should avoid excessive exercise or heavy lifting to minimize tension on incision lines, thereby ensuring minimal scar lines.

Feeling tired and mild soreness following breast augmentation surgery are common. Pain medication and antibiotics may be prescribed to help alleviate discomfort and reduce the risk of infection. Dr. Somogyi will advise you to remain in a support bra with no underwires for four to six weeks. Breast swelling may take up to five weeks to subside. Scars usually stay firm and pink for at least six weeks and will begin to fade after several months, taking on a flesh tone by 6 to 9 months post operatively.


Each year thousands of women undergo successful breast augmentation surgery, experience no major problems and are very happy with the results.  Significant complications from a breast augmentation are infrequent. However, Dr. Somogyi’s goal is to make sure you understand what the surgery involves, including possible risks, complications and follow-up care. Some of the issues you will discuss with Dr. Somogyi include:

  • Capsular contracture (a tightening of the scar tissue which can make the breast feel hard and can distort the shape of the breast implant).
  • Changes in nipple and breast sensation (usually temporary).
  • Breast pain
  • Rare implant leakage or rupture. If the implant is saline-filled, it deflates and the body harmlessly absorbs the saline solution. If the implant is filled with silicone gel, the gel may alter the shape of the breast, requiring implant replacement.

Correcting any of these complications might require additional surgery, either to remove or replace the implants.

Other Considerations for breast augmentation surgery include:

  • Breast implants won’t prevent your breasts from sagging. A breast lift may be needed in addition to a breast augmentation to correct sagging breasts.
  • Breast implants aren’t guaranteed to last a lifetime. In addition to the possibility of implant rupture or leakage, factors such as aging, weight gain and/or weight loss may further change the way your breasts look.  Any of these issues might lead to additional surgery.
  • Mammograms might be more complicated. If you have breast implants, routine mammograms might require additional, specialized views.
  • Additional surgery may be needed after breast implant removal. If you decide to have your implants removed at a later time in your life, you might need a breast lift or other corrective surgery to help your breasts maintain an aesthetically pleasing appearance.

Like any major surgery, breast augmentation surgery poses a risk of bleeding, infection and an adverse reaction to anesthesia. It’s also possible to have an allergic reaction to the surgical tape or other materials used during or after the procedure

Your consultation with Dr. Somogyi is designed to maximize your outcomes and minimize complications by ensuring that the appropriate procedure is selected and that you have a full understanding of your pre and post-operative instructions. Our office is a constant resource for you in this regard and will carefully guide you through this exciting experience.