Breast Enlargement

Breast augmentation, also known as augmentation mammoplasty, is a very popular and common procedure that can increase your breast size by one or more sizes. By surgically inserting breast implants beneath the breast tissue or the chest muscle during breast augmentation, we can help women achieve larger, shapelier breasts. This type of breast enhancement is sometimes performed in conjunction with a breast lift. For some women, breast augmentation is a way to enhance self-image and self-confidence. For others, breast augmentation is part of breast reconstruction after surgery for breast cancer or other conditions affecting the breast. Breast enlargement results can be enhanced by mastopexy or breast lift. This is particularly desirable for women with small breasts that are also saggy. Areola reduction may reduce diameter of the areola.

Breast Augmentation Considerations

Breast augmentation can dramatically improve the appearance of a woman’s breasts. During your consultation, you’ll learn more about your options for creating your ideal breast appearance, including:

• Implant size, style, and shape
• Implant material (silicone, gel or saline)
• Implant position (above or below the pectoralis muscle)
• Implant incision site

The goal is to create a natural and alluring look. Which implant size will work best for you must be individually determined with your input. The size, shape, style, and type of implant will be decided after a comprehensive examination. Placing implants that are too large for the intended body size have greater chances of capsular contracture, discomfort and longer recovery times.

Who is a good candidate?

Candidates consist primarily of women who desire larger breasts and women who have smaller breasts with a moderate degree of sagging. Women who have one breast that is noticeably larger than the other may also desire breast enlargement to provide symmetry.

How is a breast enlargement performed?

A small incision is made either under the breast or areola margin, and the implant is inserted under the breast tissue or under both the breast tissue and underlying muscle. Our surgeons prefer to place the implant beneath the muscle if possible. The procedure is completed on an outpatient basis under anesthesia. Patients have an option of choosing either saline or silicone implants.

Implant Info

Comparison Chart of Saline and Silicone Implants

For more information, visit

A new breast augmentation option

Breast augmentation is commonly performed with the patient asleep in the operating room under general anesthesia, and Dr. Moya continues to offer this option. For those patients who might wish to avoid general anesthesia, however, advances in surgical technology (specifically, the Harmonic® scalpel) have allowed him, in recent years, to successfully perform an “awake” in-office breast augmentation utilizing local anesthesia with mild sedation. (This is also a more cost-efficient choice.) Because this ultrasonic tool causes less tissue trauma, discomfort both during and after the procedure is minimized, and post-operative recovery is smoother and faster. Both surgical options involve placement of either silicone gel or saline-filled implants under the chest wall muscles in order to provide better coverage (since this hides the upper edges of the implant) and improved overall long-term results. Total recovery time, with limited strenuous activity, is six weeks, but with return to casual activities and generally feeling back to normal in one to two weeks.

Recovery After Breast Enlargement

The patient goes home in a lightweight bra, which helps to hold the breasts in correct position. Initial discomfort is controlled by oral medication. Sutures are usually removed in 7 to 10 days. Light activities may be resumed as tolerated. Patients can return to aerobic activities in approximately 3 weeks.

Insurance Guidelines

Because this procedure is considered cosmetic and is not covered by insurance, the patient is responsible for entire payment. The cost of breast augmentation can be determined during a consultation with one of our surgeons.

Silicone Breast Implants

Silicone breast implants were approved for general use in December of 2006. Our surgeons do utilize silicone breast implants and have extensive experience with them. Silicone breast implants are not for everyone. These implants have benefits and risks as well.

In general, silicone breast implants provide a softer feel. They also tend to wrinkle less than a saline implant. Compare saline and silicone implants.

Controversy over the safety of silicone breast implants involves the fact that deflations of the implant are difficult to detect. If a silicone breast implant deflates, the silicone stays in the area of the breast. Over time, silicone can migrate into the breast or surrounding areas. Our surgeons believe current scientific evidence does not suggest that silicone is a health problem. Silicone can cause some local problems in the breast if it leaks from the implant. Scar tissue can form, or granulomas (firm collections of silicone) can form, which can detract from how the breast feels or mimic breast cancer. These problems are rare, and usually are discovered when silicone has freely leaked for some time.

Silicone implant leakage can be difficult to diagnose. Patients and doctors usually cannot feel when a silicone implant leaks. Mammograms do not detect silicone implant leaks very readily. The only method to detect silicone implant leaks is with a test called an MRI. The FDA has recommended that women with silicone implants undergo an evaluation with an MRI every two years. This is not necessary with a saline implant leak, because the saline is harmlessly absorbed. Deflations are obvious because as the saline is absorbed, the breast loses volume.

Comparison of Saline & Silicone

Saline vs Silicone


Firm, wrinkles
Soft, felt to be a more natural implant


Small incision, approximately 1 inch.  Implant is inserted deflated.
Larger incision, approximately 2-3 inches. Implant is inserted inflated.


Saline absorbed if deflation occurs. Deflation is obvious by loss of volume.
Silicone stays within implant. Deflation is not obvious. FDA says women should have an MRI to look for deflation every 3 years - controversial.


Safe if implants leak. Saline is harmlessly absorbed by the body.
Silicone is safe and does not cause disease. Might cause lumps in breast (granulomas) if silicone has leaked and is present for extended period.


Pair Cost (does NOT include fees for: surgeon, anesthesia, and operating room):
Pair Cost (does NOT include fees for: surgeon, anesthesia, and operating room):


Round: $1,000
Shaped: $1,400
Round: $2,000
Shaped: $2,8000



Modern Silicone Breasts

Dr. Normington explains what you can expect with Silicone Breasts.

Virtual Consultation

Take advantage of our Virtual Consultation feature to simulate an in-office consultation within the comfort of their own home for those who do not reside locally. The virtual consultation allows you to provide information with our team before you make the trip into our office for non-surgical treatments or cosmetic surgery. Click below to fill out our form.