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Breast Augmentation

What is a Breast Augmentation?

Breast augmentation (often referred to as breast enlargement, boob job, breast enhancement) is relatively simple from a surgical standpoint and one that can restore or create a more youthful and natural appearance. You are likely to look AND feel better about yourself. The incisions are usually small and inconspicuous and the risks acceptable.

Are Breast Implants Safe?

The science of breast implants has been studied exhaustively over the last two decades and the safety of implants confirmed. Today, there are many good choices for implant materials, shapes and sizes and this is a great time to have this procedure. Dr Brown offers the full spectrum of implants; saline and silicone gel, many sizes and shapes.

How is it Done?

Breast Augmentation includes both open and endoscopic breast augmentation techniques, access through the axilla (armpit), under the breast or through the areola (nipple area). Dr. Brown’s techniques include the addition of local anesthesia that make this one the least painful plastic surgery procedures.

Additional Information From Reputable Sources

Visit American Society of Plastic Surgeons (ASPS) on Breast Augmentation. Good safety information can also be found at ASPS on Breast Implant Safety as well as the FDA website and at the breast implant manufacturers sites.

During your Consult

At the time of your consultation we will review your goals. Dr. Brown will evaluate your medical conditions, drug allergies, current medications/herbal supplements and prior surgical history.

He will examine your breasts, take measurements, and finally take photographs. At this time Dr. Brown will determine if the augmentation can be done under the breast gland, or needs to be placed under chest muscle. A second visit is usually performed with one our nurses to help select implant size. This is typically done using a bra our your desired size fitted using trial implants to provide and potential look.

Prior to Surgery

To get ready for surgery there are a number important steps. We will obtain recent blood work and sometimes obtain medical clearance from your primary doctor

You must stop smoking. You must avoid taking Aspirin, anti-inflammatories and herbal supplements for 3 weeks prior to surgery as this increases the risk of bleeding. Certain hormones must also be stopped as these increase the risk of Deep vein thrombosis

The Procedure

Dr. Brown will perform some markings in the preoperative area. This surgery is typically done under a general anesthesia. Dr. Brown will inject the area with local anesthetic. Most patients are quite comfortable after surgery. The incision is made and the breast pocket is developed. After creating a pocket in each breast, a trial implant or sizer is placed. Symmetry is checked and the implant pockets are appropriately adjusted. Then using new gloves and completely sterile technique the permanent implants are placed. The soft tissue and skin are closed in layers and a supportive bra is placed.

How is the Recovery?

Some mild to moderate soreness persists for a few days or week but light activity and exercise is encouraged in the early post op period.  Finally, most people can return to work within a few days or a week.


  • Anesthesia Risks
  • Bleeding
  • Infection
  • Poor Healing of Incisions
  • Numbness or changes in breast skin or nipple sensation
  • Breast Asymmetry
  • Fluid Accumulation
  • Deep Vein thrombosis
  • Cardiac and pulmonary complications
  • Possibility of Revision Surgery