Are Breast Implants Right for You? A Great Guide to Help You Decide

Increase Fullness and Projection With Breast Augmentation

When it comes to breast enlargement surgery, there’s one thing that’s for sure no matter where you go: it’s 100% your decision. Whether you’re looking for larger, more shapely breasts or whether you think it will give you a more positive self-image, no matter what the reason is, it’s entirely your decision. Just make sure you get all the information and know all the details – both good and maybe not so good – before going under the knife.

There are several factors and decisions that need to be made when choosing to go through with breast augmentation surgery. From differences in incision placement and position to breast implant size and profile, make sure you and your physician are on the same page.  There are also many questions that will arise that should be carefully considered, including down time, pain and swelling, ability to work out and many more. Luckily for you, Washington DC’s premier plastic surgeon, Dr. Sheilah A. Lynch, provides answers to all your questions and concerns at her Maryland practice, Lynch Plastic Surgery in Chevy Chase.

Types of Breast Implants

Probably the most common question of all when it comes to breast augmentation surgery is which type of implants should you go with. The two most popular options offered at Lynch Plastic Surgery are Silicone and Saline.


Silicone breast implants are pre-filled with a silicone gel closely resembling the feel of human fat, which a large number of patients consider give you a more natural feel than that of the saline implant. Saline implants on the other hand, although they too are placed inside a silicone shell, they are only filled with sterile salt water once in place, offering a different consistency for patients. Obviously by offering a more natural feel, women tend to lean towards going with the silicone implants, however they do pose more of a risk if they happen to leak. According to the American Board of Cosmetic Surgery, both saline and silicone implants are generally round, which will typically give patients a fuller top portion of your breast.

Incision Placement breast-implant-incision-chevy-chase

At Lynch Plastic Surgery, we offer 3 different options to insert the implants into our patients.

  • Transaxillary – an incision through the axilla, or more commonly known as the arm pit.
  • Periareolar – an incision made around the bottom portion of the areola, right below the bottom of the nipple.
  • Inframammary – an incision made in the inframammary fold, the crease or fold right below the breast.

All of these different option come with separate advantages and disadvantages, something you will want to discuss with your physician before going forward. But in minimalistic terms, the decision really comes down to where your scarring will occur. Obviously, transaxillary incisions leave no scar on the breast itself as the implant is inserted through the armpit. With Inframammary incisions, the scar is usually 1 to 2 inched long and is easily concealed within the crease below your breast. And with Periareolar, the scar will go right below the nipple, usually blending in with the nipple’s original pigmentation.

Implant Placement

There are two locations in the breast where implants can be placed. The simple answer is, below or above the breast muscle. That being said, the decision of where to place them has to not only do with you, but with your doctor’s professional opinion.


Over-the-muscle implants, also known as Subglandular placement is less invasive and can offer a lower recovery time, but the choice also has to be made based on the amount of breast tissue is available and can cover the implant.

Under-the-muscle implants, also known as Subpectoral placement is generally used for more petite women who have less breast tissue above the muscle. Implanting below the muscle adds additional coverage of the implant, but can also lead to longer periods of swelling and discomfort.

What is the Down Time After the Procedure?

Unfortunately for this question, there is no “right” answer because every person’s body handles surgery and heal time differently, but there is a baseline for recovery. After the outpatient procedure is complete, the patient goes home in an elastic bra that is used to hold the breasts in the correct position. Initial discomfort is controlled with oral medication. We suggest taking about a week of from work and the sutures are usually removed in 7 to 12 days, at which time light workout activities can be resumed as tolerated. However, aerobic activities, especially when running or using machines like an elliptical, where your boobs are constantly bouncing, should be put on hold for around 3 weeks to a month.

What are the Risks Involved With Breast Augmentation Surgery?

The specific risks and the suitability of breast enlargement for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally, including breast pain and changes in nipple sensation. Major complications are unusual, but occasionally leakage or rupture can occur.

As you can see, there are many, many decisions that need to be made when considering breast augmentation surgery. To find out more about this popular procedure in Chevy Chase, MD, and the Washington, DC, area or to see real results of breast enlargement patients — schedule a consultation with Dr. Lynch today.

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