Breast Augmentation

Dr. Rosing offers silicone gel, form-stable "gummy bear," and saline implants. Silicone gel implants are the most popular choice, providing a natural look and feel. Gummy bear implants hold their shape even if the shell is compromised, making them an excellent choice for patients seeking a slightly firmer, teardrop-shaped result. Saline implants are filled during surgery, allowing for adjustable volume and a smaller incision. Dr. Rosing will discuss the advantages of each during your consultation.

Choosing the right size involves balancing your aesthetic goals with your natural anatomy. Dr. Rosing uses 3D imaging technology and physical sizers during your consultation to help you visualize different sizes on your frame. Factors considered include chest width, breast tissue thickness, skin elasticity, and your lifestyle. The goal is a result that looks proportionate and natural—not just a cup size number.

Three main incision approaches are used: inframammary fold (beneath the breast crease), periareolar (around the lower edge of the areola), and transaxillary (in the armpit). The inframammary fold approach is most common as it provides the best access and control with a well-hidden scar. Dr. Rosing will recommend the optimal incision based on your implant type, body anatomy, and personal preference.

Modern silicone gel and gummy bear implants feel very natural, closely mimicking breast tissue. The placement technique also matters—submuscular (under the muscle) placement provides more soft-tissue coverage, creating a more natural look and feel, especially in thinner patients. Dr. Rosing selects the implant type and placement to deliver the most natural result for your body type.

Most patients can breastfeed successfully after breast augmentation. The periareolar incision has a slightly higher (though still low) risk of affecting milk ducts compared to inframammary or transaxillary approaches. Submuscular placement does not affect breast tissue at all. Dr. Rosing takes care to preserve breast anatomy and function during every augmentation procedure.

Modern breast implants are designed to last 10-20 years, though they are not considered lifetime devices. Many patients go much longer without issues. Routine monitoring through physical exams and imaging (MRI for silicone, ultrasound for saline) helps detect any changes. Not every patient will need a replacement—only those who experience a complication or desire a change in size or type.

Capsular contracture occurs when the scar tissue that naturally forms around any implant tightens and hardens excessively, potentially causing firmness, discomfort, or visible distortion. The condition affects a small percentage of patients. Dr. Rosing uses techniques proven to minimize this risk, including textured implants when appropriate, submuscular placement, and meticulous surgical technique. If capsular contracture occurs, a revision procedure can correct it.

Yes, mammograms are safe and effective with breast implants. You should inform the imaging facility that you have implants so they can use the Eklund displacement technique, which pushes the implant back and pulls breast tissue forward for optimal imaging. Submuscular placement makes mammography somewhat easier. Implants do not increase breast cancer risk.

After augmentation, implants initially sit high on the chest as the muscles and tissue adjust. Over 3-6 months, gravity and tissue relaxation cause the implants to "drop" into a more natural position while the lower breast tissue "fluffs" out to create a natural, rounded shape. This is a normal part of healing, and Dr. Rosing will guide you through the process during follow-up visits.

Breast augmentation at Allure MD typically ranges from $7,000 to $12,000, depending on the implant type, surgical technique, and whether additional procedures are combined. This includes surgeon fees, anesthesia, facility costs, and follow-up care. Dr. Rosing provides a detailed quote after your consultation. Flexible financing options are available to help make your investment manageable.