University of Virginia Plastic Surgery
1300 Jefferson Park Avenue 4th Floor
Charlottesville, VA 22908
Phone: (434) 924-1234
Location Hours: Monday—Friday | 8 a.m.– 5 p.m.

Breast Augmentation

The breasts provide a sense of confidence and femininity for women of all ages. When the course of life, including motherhood or weight changes, takes a toll on the breasts or they develop smaller than desired, breast augmentation may be the answer. The world-class plastic surgeons at UVA Plastic Surgery perform breast augmentation in Charlottesville and Fishersville, VA, using the latest evidence-based practices and FDA-approved breast implants to provide rewarding outcomes while minimizing complications.

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Who is a candidate for breast augmentation?

At UVA Plastic Surgery, ideal candidates for breast augmentation are women, often from Harrisonburg and Richmond, VA, Washington, D.C., and nearby communities, who are at least 18 years old, in good health, and have realistic expectations about how the surgery will affect their lives. This procedure provides one or more of the following improvements:

  • Increasing the size of naturally small breasts
  • Replacing breast volume after weight loss, pregnancy, or breastfeeding
  • Lifting breasts that sag slightly
  • Balancing the size and shape of uneven breasts

Women who have moderate to significant sagging may require a combination breast lift and augmentation to enhance breast shape while increasing size. Women who want to enhance body contours as well as their breasts with a single surgery and recovery period may be candidates for a personalized mommy makeover.

Which breast implants are best?

Because each breast augmentation patient has her own unique anatomy and aesthetic goals, no single type of breast implant is best for every woman. Our surgeons offer all FDA-approved breast implants available in the U.S. made by MENTOR® and Allergan®. Choices include:

  • Saline or silicone gel filling
  • Smooth or textured outer shell
  • Round or teardrop (anatomical) shape

Women who want a modest increase in size may consider fat grafting breast augmentation, which transplants fat from another area of the body to the breasts. Together, the patient and surgeon determine the combination of implant options, including size, that will best achieve the patient’s desired breast size and shape. The surgeon will account for the patient’s anatomy, measurements, existing breast tissue, elasticity of breast skin, and other factors.

How do you provide the most natural-looking results?

Our surgeons follow an evidence-based approach to breast augmentation to provide the most beautiful results and minimize the occurrence of complications. In general, they perform breast augmentation using:

  • Silicone gel breast implants
  • Incision placed along the breast fold (inframammary approach)
  • Implants placed under the muscle (submuscular placement)

These practices are not absolute; our surgeons take care to personalize each procedure to each patient’s individual preferences, lifestyle, and aesthetic goals.

How is breast augmentation performed?

Our surgeons perform most breast augmentation procedures as outpatient surgery with the choice of either local anesthetic with IV sedation or general anesthetic. After making the incisions, the surgeon creates a “pocket” behind each breast to hold the implants. Depending on the implant chosen and other factors, the surgeon may use the Keller Funnel™ to insert the implants. This simple device is shaped much like a pastry bag and allows the surgeon to insert silicone implants, without touching them, through the smallest possible incision. Once the surgeon is satisfied with the size, shape, and symmetry of the breasts, he closes the incisions with sutures and surgical tape. Patients are usually cleared to return home the same day in the care of an adult friend or family member.

What can I expect during recovery?

After surgery, it is normal to experience swelling, bruising, and numbness in parts of the breasts for the first few weeks. Prescription pain medication may be helpful for discomfort during the first few days. Your surgeon will provide you with specific recovery instructions, which will include the following:

  • Avoid lifting anything over your head for 3 to 4 weeks.
  • Strenuous exercise and activity should be postponed for 3 to 4 weeks after surgery.
  • Expect scars to gradually fade from pink to white over the following months to 1 year.

Patients are typically ready to return to non-physical work and normal activities within 1 week.

Are you ready to find out more?

To meet with one of the world-class plastic surgeons at UVA Plastic Surgery in Charlottesville or UVA Plastic Surgery, Augusta in Fishersville and learn more about breast augmentation, request a consultation using our online form or call (434) 924-1234 for an appointment.