Breast Augmentation

What to look for first?

Looking for Change? 

There are various reasons that a woman might choose to undergo breast augmentation surgery. Breasts may be underdeveloped; there may be a noticeable size difference, asymmetry or simply changes because of weight loss, aging or from breastfeeding. In some cases a breast augmentation may be combined with a breast lift to correct drooping breasts while adding volume.

Dr Freed has preformed thousands of breast procedures ranging from breast augmentation, breast lift, breast reduction and breast reconstruction after mastectomy.

The most common reason women inquire about augmentation, is to simply enhance their body contour because they feel their breast size is too small. Having augmentation surgery will not only make your breasts fuller but enhance the shape as well. After this procedure women often feel their clothes fit better and they express feelings of improved self worth and confidence.

What can I expect at my consultation with Dr Freed? 

During your initial consultation, Dr. Freed will review your personal concerns and desires, evaluate whether or not you are an appropriate candidate for this procedure and explain how he will perform the surgery. Dr. Freed will also discuss what shape, size, surface texturing, incision site and placement site that are recommended for your specific body. A clear understanding of risks and complications will be explained. This is always an important topic when having any type of surgery. We  believe you will leave the consultation feeling well informed and confident that you will have the best care.

What are the different types of implants?

Dr Freed uses only FDA approved implants and there are currently three different types of implants, Saline, Silicone and Silicone shaped implants.  All implants have the same basic implant anatomy, a firm silicone shell.  It’s the filling that makes them different.

Saline Breast Implants

Approved by the US Food and Drug Administration for patients aged 18 and over, the saline breast implant has helped millions of women achieve their breast enhancement goals. Saline implants are made of a silicone outer shell encasing a saline (salt water) solution. These implants have been used in breast augmentation procedures for many years, and can provide patients with beautiful results.

Silicone Breast Implants

Silicone breast implants are known for their very natural look and feel. Approved by the FDA for breast augmentation patients over the age of 22 and for breast reconstruction patients of any age, silicone breast implants are composed of a silicone outer shell that is filled with a thick silicone gel. They are typically less prone to rippling, and are often beneficial for patients who have very thin body frames.

How do I decide on a size?  

Implant size and profile should always be considered on an individual basis for each patient. The decision should be based on the patient’s chest diameter, the width of the patient’s breasts, and her cup size. For each patient, there is a range of implants that will look natural. If too wide or too narrow an implant is used, or if too large or too small an implant is used, an unnatural result can occur. That is why the implant profile is so important.

Implant Profile

The profile of an implant refers to the width (base diameter) and projection of an implant. In other words for a given implant volume, a wider implant will have a lower profile (it will project less), while a narrower implant will have a higher profile (it will project out more). Thus for each size of implant there is a wider, flatter version (low profile), a narrower, more projected version (high profile), and implants in the “in-between” range (moderate and moderate plus profile).

What are my options for incision sites and implant placement?


The incisions can be made either in the crease where the breast meets the chest (inframamary), around the nipple (periareolar) or in the axilla (arm-pit) area (trans-axillary). Working through the smallest incision possible, Dr. Freed will lift your breast tissue and skin to create a pocket, either beneath the pectoral muscle (sub-muscular placement), or directly behind the breast tissue (sub-glandular placement). In most patients the implants are generally placed behind the pectoral muscle. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible. This pocket will hold the implant you have chosen.


Will I lose nipple sensation after a Breast Augmentation?

No, Breast Augmentation does not affect nipple sensation.

Get started on your new look with a personalized consultation

Your decision to have breast augmentation is a highly personal choice. Before you make your decision, do your research and find a board certified plastic surgeon that specializes in this procedure and make sure you feel comfortable with your surgeon’s skill, reputation and bedside manners. When you are ready to discuss your option, contact us to find out how Dr Freed can help you achieve your breast size goals. Being in a healthy state both physically and emotionally will also be critical in achieving a great outcome. Breast Augmentation is a wonderful procedure to have when it’s the right time, place and person.