Plastic Surgery
What Is Breast Augmentation?
Last reviewed: May 2026 · Haute MD Editorial Team
Breast augmentation (augmentation mammaplasty) is one of the most commonly performed cosmetic surgical procedures, using either silicone or saline implants — or in some cases fat transfer — to increase breast size, improve shape, and enhance symmetry. It is appropriate for patients who desire larger breasts, have lost breast volume after pregnancy or weight loss, or have breast asymmetry they wish to correct.
Implant types
Saline implants: filled with sterile salt water after insertion, allowing smaller incisions; if they leak, the saline is safely absorbed by the body. Silicone gel implants: pre-filled with cohesive silicone gel that more closely mimics natural breast tissue feel; require MRI monitoring for rupture detection. Highly cohesive "gummy bear" implants: shaped implants with form-stable silicone that maintains shape; associated with specific rupture and rotation concerns.
Implant placement
Subglandular (over the muscle): above the pectoral muscle; shorter recovery but higher visibility of implant edges in thin patients. Submuscular (under the muscle): beneath the pectoral muscle; more natural appearance and less capsular contracture risk, though longer recovery and animation deformity with muscle use. Dual plane: partially under the muscle — combines benefits of both positions.
Recovery from breast augmentation
Most patients return to light activity within 1-2 weeks. Upper body exercise is restricted for 4-6 weeks. Significant swelling resolves in 3-6 months. Final results are visible at 6-12 months as implants settle into position.
Frequently Asked Questions
How long do breast implants last?
Breast implants are not lifetime devices. Most implants last 10-20 years. The FDA recommends MRI screening every 2-3 years for silicone implants to detect silent rupture.
What is capsular contracture?
Capsular contracture is scar tissue that forms around the implant and squeezes it, causing firmness, distortion, and pain. It is the most common complication of breast augmentation and may require revision surgery.
Is breast augmentation covered by insurance?
Cosmetic breast augmentation is not covered by insurance. Breast reconstruction after mastectomy and correction of significant developmental abnormalities may qualify for coverage.
What is the difference between breast augmentation and breast lift?
Augmentation increases size. A breast lift (mastopexy) elevates and reshapes sagging breasts without necessarily changing size. Patients with both size and ptosis (sagging) concerns may benefit from combined augmentation with lift.
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