Overview
Breast augmentation remains one of the most performed plastic surgery procedures in the country — and one where the details of surgical planning and execution determine whether results look natural or obviously augmented. Dr. Fern takes a precision approach to implant selection: measuring chest width, breast base diameter, tissue thickness, and patient goals to identify the implant that integrates rather than overwhelms. Both saline and silicone implants are offered, and both structured and traditional gel options.
Are You a Good Candidate?
Ideal candidates for breast augmentation typically present with one or more of the following:
- Desire for fuller breasts proportionate to your frame
- Breast asymmetry you'd like to correct
- Loss of volume after pregnancy or weight loss
- Breast augmentation revision candidate
- Non-smoker in good general health
The Procedure
Dr. Fern's approach to breast augmentation proceeds through the following steps:
- Comprehensive measurement and implant sizing using the High Five methodology
- Incision type selected (inframammary, periareolar, or axillary) based on implant and anatomy
- Pocket created submuscular, subglandular, or dual-plane depending on tissue coverage
- Implant placed and position confirmed intraoperatively via sizer
- Careful closure in three layers; no drain required in most cases
Recovery
Tightness and pressure are the primary sensations in the first 3–5 days. Most patients are comfortable returning to sedentary work by day 5–7. Sports bra worn for 6 weeks. Upper body exercise restricted for 4–6 weeks. Implants settle into final position over 3–4 months.
Frequently Asked Questions
Saline or silicone — which is better?
Modern cohesive gel silicone implants feel and look more natural in most patients. Saline implants are a good option for patients concerned about implant rupture detection, as a deflated saline implant is immediately visible. Dr. Fern will discuss both options at length.
What is dual-plane placement?
Dual-plane places the implant partially under the muscle and partially under the breast tissue. It offers better coverage in the upper pole than subglandular placement while reducing the animation deformity of full submuscular.
Do I need a lift as well?
If your nipple-areola complex sits at or below your inframammary fold, augmentation alone will not produce an uplifted result — a mastopexy (lift) is required. Dr. Fern assesses this at consultation.
How long do implants last?
Modern implants are not classified as lifetime devices, but many patients keep them for 15–20+ years without issue. Implant replacement is performed when there is a clinical reason — rupture, capsular contracture, or desire for a size change.