A surgeon performs the procedure in a surgical facility under a light where an anesthesiologist administers a general and local anesthetic for the surgery, which lasts from one to two hours. The duration depends on the patient, the procedure and the surgeon. The surgeon enlarges the breasts by placing soft implants through a small incision, either though the armpit, from around the nipple or under the breast. Both saline and silicone implants are now available.

Endoscopic

Endoscopic is the most modern technique for breast enlargement surgery. A surgeon makes a small incision in the axilla (underarm) and uses an endoscope to introduce the implant, either under the pectoralis muscle or the breast tissue. The doctor employs absorbable sutures throughout the procedure to assure the comfort of the patient. The unique features of this technique are the small incisions used to perform the procedure and the location of the incisions in the axilla or armpit. Therefore, no scars are visible on the breast or at the breast crease, which lead to excellent aesthetic results. It is an ideal procedure for those patients with smaller breasts where the scars on the breast would be visible, and for those who have a predisposition to abnormal scarring.

Axillary

Doctors use an axillary approach when the breasts of the patient are small, in good position and are relatively symmetrical. Cosmetic surgeons introduce the implant through a 1- to 1 1/2-inch incision in the center of the axilla and generally place the implant under the muscle mass. In patients who are extremely muscular, this placement may show movement of the implant; in such cases, the doctor puts the implant over the muscle tissue. To finish the procedure the doctor uses absorbable stitches at underarm area and uses a small tubular drain to collect fluid for a day or two in order to decrease swelling.

Nipple

This commonly used approach involves a 1- to 1 1/2-inch incision on the lower border of the pigmented areola and allows some correction of shape and position discrepancies of the breasts. The incision generally heals well with minimal scarring. Although blockage of nipple ducts is a theoretical problem, it rarely occurs. Most women are able to breast feed after this procedure.

Inframammary Incision

In a small number of cases where the areola is very small, the doctor makes an incision at the crease below the breast. This approach may be suitable with the most complicated breast augmentations or for women who had previous breast surgery.

Augmentation

Breast augmentation surgery involves using breast implants to achieve fuller breasts. Some women have breast augmentation surgery to improve their self-image. Some feel dissatisfied because the size of their breasts do not meet expectations. Others want to bring balance to a breast that is somewhat smaller than the other is. Often women want the procedure to restore their natural breast volume, which may have decreased because of pregnancy, weight loss, aging or even breast cancer surgery.