Breast enlargement surgery is performed as an outpatient under general anesthesia. Measurements of the breasts are taken in the office preoperatively to allow choice of the proper implant. Implants come in a variety of diameters and projections which allows the doctor and patient to choose the implant that will achieve the patient's cosmetic desires while taking into account her unique anatomy.
Implants are filled with saline or silicone. The silicone used to fill the implants is now available in different densities, including the "gummy bear" variety.
Incisions are made in the crease under the breast, around the lower half of the nipple, or in the armpit. A breast implant filled with saline or silicone is inserted, usually under the chest wall muscle located behind the breast ( pectoralis muscle). The sutures used to close the incision dissolve and do not require removal postoperatively. Surgical time is between one and a half and two hours and no overnight hospital stay is needed.