Breast Augmentation
(Breast Implants)

What is Breast Augmentation?

There are many reasons a woman may choose to undergo breast augmentation, and no matter what they are, it will be a very personal experience for her.

The more common reasons for this procedure are the effects of aging, or there is a change in breast size through pregnancy or weight loss, or weight gain.

Another common reason is the woman may be seeking to alter her breasts for a boost in her self-confidence.  One final area is where breast augmentation may be required is the breast reconstruction after an injury or a mastectomy.

What Happens Before a Breast Augmentation (Breast Implants) Procedure?

Initial Consultation

Well before there is any breast augmentation procedure, candidates will meet with their surgeon for an initial consultation. There are many factors to consider, and a woman needs to understand every one of these.

Dr. Z has spent years helping candidates understand all the steps of the breast augmentation process. During this initial consultation, the patient will undergo a thorough examination of the breasts.

In this step, he will evaluate the size, shape, the location of nipples and the areolas, and the skin quality. All of these will have a bearing on reaching the desired results. There will be photographs taken for the before and after pictures, as well as for further reference.

A patient’s health status needs to be understood, so if there are any prior health conditions, these need divulging.

There are several areas, before Breast Implants, which require detailed discussion such as

  • Is there any family history of breast cancer, or has the patient undergone biopsies or previous mammograms.
  • Does the patient suffer drug allergies, medical conditions or undergoing any medical treatments?
  • Medications include tobacco use, herbal supplements, and recreational drug use or alcohol consumption.


Dr. Zuriarrain has conducted enough consultations to answer most patient’s questions without being asked. The main criteria is to be open and honest during the consultation because hiding anything can lead to undesired results or complications.


Implant type, shape and size

There are two types of breast implants available. These are the older saline implants vs. the newer silicone implants.

Saline implants contain a filling of sterile salt water. These deliver a natural appearance, and a realistic feel when touched. A saline implant has approval by the F.D.A for use in women over 18 years of age.

Silicone implants have an outer silicone coating with a softer filling of silicone gel. This is durable and delivers a natural feel and texture when touched. A silicone insert can create a natural line when they form into a teardrop shape (anatomic style). With approval for women over 22 years of age, these “Gummy Bears” offer results, which are longer lasting and safer.

Candidates will discuss between this teardrop and round shape in their consultation, along with the size of implant they wish to have.

Dr. Zuriarrain will discuss this and give his recommendations for a natural appearance. Any patient, who reconsiders on the size, will find out, they can choose an alternative size closer to their operation.

What Happens in a Breast Augmentation Procedure?

In the most basic, there are three steps in a breast augmentation procedure:

  1. 1. Anesthesia – Patients are recommended the best option for them and can include intravenous sedation or general anesthesia.
  2. 2. Incisions – There are three areas these can be made. Under the breast (inframammary), under the armpit (trans-axillary), or around the areola and nipple (periareolar). The incision location will depend on the style and size of implant. Patient preference will also be taken into consideration.
  3. 3. Insertion of the Implant – Two locations can be used for placement. Subpectoral where it is placed under the pectoral muscle, or under existing breast tissues, but above the pectoral muscle (sub-glandular).

After the Breast Augmentation Operation

There may be some discomfort, and it can take a few days to recover fully. Painkillers will be prescribed to manage this discomfort. Walking after the procedure is encouraged, but any strenuous activity should not be undertaken.

In most cases, a successful candidate can return to regular but light activities after a week.

How to Get Started

Choosing a certified team to work with is the first step to a smooth breast surgery. You want a team that helps make your wishes come true and is able to answer all of your questions. You also want to make sure they know all the cutting edge techniques and the best ways to get you the look you want without any extra incisions.