June 8, 2026

Breast Augmentation remains one of the most frequently requested cosmetic plastic surgery procedures.

Today, we review the Top 10 Frequently Asked Questions about Breast Augmentation. These questions come from my patients and from inquiries on sites like the American Society of Plastic Surgeons (ASPS).

While the Internet cannot substitute for an in-person consultation, my goal is to provide you with accurate general information about Breast Augmentation and provide some background for you, prior to a detailed consultation with a Board Certified Plastic Surgeon.

1 – Am I a good candidate for Breast Augmentation?

This is the number one question I get from women seeking Breast Enhancement. A checklist for ideal candidates seeking to enhance breast size/shape includes:

Good overall health
Realistic expectations
Naturally small breasts
Asymmetry
Volume loss after pregnancy/weight changes
Stable weight
Non-smoker
A willingness to consider Breast Lift in cases with sagging

2 – What types of Breast Implants are available?

Saline Breast Implants are filled with sterile saltwater during surgery. They may wrinkle more and feel firmer. Silicone Breast Implants (including highly cohesive “gummy bear” implants) are pre-filled, feel softer/more natural, and are more popular. Both have silicone outer shells. Saline Implants flatten if they leak, while Silicone Implants require periodic high-definition ultrasounds or MRIs for surveillance.

3 – How do I choose the right sized Breast Implant?

Size is determined by:

Your body frame
Chest width
Existing breast tissue
Your size goal

Most patients select implants in the 200–450 cc range, aiming for natural proportions rather than dramatic changes. It is recommended that you purchase a soft bra of your desired goal size and stuff it as a trial. Ziplock bags filled with uncooked rice can be filled to varying sizes, and tried with clothing to give you an idea of what to expect.

4 – What are the different incision used for Breast Augmentation?

The most common incision is the inframammary fold beneath breasts (IMF). Many surgeons prefer this for the precise placement and ease of revisions. Periareolar incisions, placed around the areola from 4 to 8 o’clock were very popular when Saline Implants were the only option. Transaxillary (armpit) incisions can be used with saline implants, placement of silicone implants is more difficult with this approach, and can lead to higher rates of complications (asymmetry and deflation). Rarely a transumbilical incision (belly button) is used. Silicone Breast Implants cannot be placed with this approach. In general, Breast Augmentation scars are usually well-hidden and fade over time.

5 – Should Breast Implants be placed over or under the muscle?

Breast Implants placed in the submuscular plane (under the pectoralis major muscle) often look more natural, have reduced rippling, lower rates of capsular contracture risk and improve mammogram visibility. Breast implants placed in the subglandular (over the muscle/ subfacial) can have shorter recovery, less motion with muscle flexion, fuller upper poles, but will show the edges of the implants in thinner patients.

6 – How long is recovery after Breast Augmentation, and what does it feel like?

Most patients return to light activities in a few days to a week. Driving is often possible in 3-4 days after stopping narcotic pain medications. Full exercise/ heavy lifting is delayed 4–6 weeks. Initial discomfort, swelling, and tightness are managed with medication; many describe it as soreness or pressure rather than severe pain. A surgical bra and breast band are typically worn for support for a few weeks after surgery.

7 – After Breast Augmentation, will I lose nipple sensation or be unable to breastfeed?

Temporary or (rarely) permanent changes in nipple sensation occur about 15% of the time. The most common change is temporary hyper-sensitivity that may take several months to resolve. Nipple sensation can also be decreased. While sensation returns in most cases, it is possible to lose nipple sensation permanently.

Breastfeeding is usually still possible, though some women report reduced milk production, especially with oversized implants. Inform your surgeon if planning future pregnancies, so that they can provide specific guidance.

8 – How long do breast implants last? Do they need replacement every 10 years?

Breast Implants are not lifetime devices. They may need replacement due to rupture, capsular contracture, or desired changes (often 10–15+ years). Many last longer with modern materials and manufacturing. Routine monitoring (high definition ultrasound or MRI for silicone) is recommended rather than automatic replacement at 10 years.

9 – What are the main risks and complications of Breast Implants?

Risks of Breast Augmentation include

Capsular contracture (hardening)
Rippling
Asymmetry (especially if preexisting)
Bleeding
Infection
Changes in sensation
Implant rupture
Anesthesia issues

Serious complications are uncommon with board-certified plastic surgeons. Regular follow-ups and choosing an experienced provider help minimize risks.

10 – Will insurance cover Breast Augmentation, and what does it cost?

Breast Augmentation for cosmetic reasons is not covered by insurance Currently, the out-of-pocket cost ranges from $7,000–$10,000+ depending on location, implants, and surgeon. Costs are higher if ancillary procedures are needed, like a Breast Lift. Financing options are often available.

Breast Reconstruction after breast cancer treatment (e.g., post-mastectomy) is covered by insurance. Consult your insurance company for details including co-payments, in-network or out-of-network coverage.

These are ten of the most common concerns patients have when considering Breast Augmentation. Individual results vary based on anatomy, implant choice, and surgical technique. For the best advice, consult a board-certified plastic surgeon (check ASPS.org) who can provide personalized recommendations, before/after photos, and a full risk discussion.

Breast Augmentation Consultations

If you would like to schedule a private consultation appointment in the San Francisco Bay Area call, (925) 943-6353, today.