What is breast augmentation? Is it the same as breast implants?

Is it the same as breast implants ? If not what is the difference

Doctor Answers 14


Breast Augmentation refers to a procedure to enlarge the breasts- Breast Implants are one method of doing so. I recommend that you book an appointment with a board certified Plastic Surgeon to talk about breast augmentation if you wish. They will examine you, discuss your goals and provide options.
All the best

What is breast augmentation? Is it the same as breast implants?

Breast augmentation is the process of making the breast bigger in size. Breast implants are simply one technique that allows for augmentation of the breast (which would be enlargement), but other augmentation techniques may consist of fat transfer, body filler injectables and etc.

Mahmood Kara, MD
Toronto Plastic Surgeon
4.7 out of 5 stars 18 reviews

These are the same

The most sophisticated approach to breast augmentation is through the armpit with a surgical camera (transaxillary endoscopic). Using this modern approach the space can be crafted under direct vision, with virtually no bleeding and no postoperative bruising. Most importantly, the shape of the breast is meticulously created. The other, older methods of insertion are technologically less advanced. Both silicone and saline implants can be placed through the armpit by a surgeon with skill and experience using this approach. The incision in the crease is the oldest method of placing the implants and puts a scar directly on the breast. A round implant would be a better choice because they move more like breasts. The anatomic implants have a textured surface which makes them feel very unnatural. In addition, there is no benefit to anatomical. There is an X-Ray study that shows the implants from the side at 6 months. Standing, the round and the antomical implants have the same profile. When you lie down however, the anatomical implants do not change, which is unnatural. A round implant will change when you lie down, like a natural breast would. HP implants, which are a more modern shape than moderate profile implants, fit most women better. They have a more appropriate base diameter and can be made to look very natural or very augmented, depending on where in the range the implants are filled to achieve a particular volume. High profile implants are the first choice in my opinion. I rarely find an indication to use moderate or moderate plus implants. The subtlety in the final outcome is not achieved by which profile implant is used, it is determined by the skill in the creation of the pocket, the choice of volume, and where in the range the implant is filled. There are many advantages to sub muscular dual plane placement and very many disadvantages to sub glandular placement.  I would see no indication to do anything but sub muscular dual plane.  Subglandular silicone implant placement is the historical approach to this surgery, and was widely used in the 1960's.  The implant edges are more visible, the risk of rippling is higher, the implant is in contact with the non-sterile breast tissue so the risk of infection and capsular contracture is higher.  The interface between the breast tissue and the muscle is blurred so the implant interferes with mammography more than sub muscular placement.  The blood supply surrounding the implant is worse so the risk of capsular contracture is higher.  The support for the implant is less so there is more long term shape abnormalities and sagging.  The look of a sub glandular implant is much less appealing than a sub muscular implant.  The placement of sub glandular implants makes any subsequent revision surgeries more complicated and less successful.  There are no advantages to sub glandular implant placement. The choice between saline and silicone is one that requires a complex discussion of all of the advantages and disadvantages of both implants. The issues to be considered are safety, density, mobility, rippling, rupture rate, consequences of rupture, detection of rupture, need for follow-up care, cost of follow-up, appearance, feel, sensation of heaviness, radio-density, mammograms, and costs, among other things. There are advantages and disadvantages of both products. The decision will ultimately be up to you based on what is appropriate for your particular situation. Beautiful results can be obtained with either implant. The best way to determine the size that fits your personal perception of the perfect breast is to try on sizers. This way you can see how they fit on you, how they add to your current volume, and whether they fit your frame. Although the surgeon can guide you, only you will be able to tell what is the right size. Try on sizers. Measuring a diameter and then telling the patient what volume they can have (in high, moderate or moderate plus implants) in my mind is backwards. The patients should be allowed to choose the volume. Then the surgeon carefully considers the base diameter, projection, profile, manufacturer, and fill material that will achieve the patients goals of size as well as qualitative look (natural, intermediate, or bold upper pole fullness or projection), all the while taking into consideration the patient's anatomic features that will affect the outcome. The experience of the surgeon and the degree to which they explain the options to you is of utmost importance. The subtlety in the final outcome is not achieved by which profile implant is used, it is determined by the skill in the creation of the pocket, the choice of implant. Don't let the doctor tell you what would look good on you. They cannot tell what you perceive to be the best size. There is no maximum. That is up to you.

What Is Breast Augmentation?

Breast augmentation is surgical enhancement of the breast. It can be done either with fat or with breast implants. The term "breast augmentation" includes the use of eithe type of enhancement. Sometimes breast augmentation using fat is also referred to as "natural breast augmentation."

Millicent Odunze-Geers, MD, MPH
Sacramento Physician
4.6 out of 5 stars 5 reviews

What is breast augmentation? Is it the same as breast implants?

The short answer is yes. The augmentation is usually done with an implant and some people call a breast augmentation  'getting breast implants'. Some, but not all surgeons will enlarge or augment your breast with fat injections and then that would not be breast implants

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.7 out of 5 stars 21 reviews

Breast Augmentation - Implants

There are several choices a woman must make once the decision has been made to move forward with having breast augmentation with breast implants. These choice include: Implant type, implant size, implant profile, incision location, and implant placement. There are currently two types of implants to choose from – Saline and Silicone. Saline is made with a silicone outer shell that is filled with saline water during the surgery. The implant shell is ordered in a specified size which can be filled to a minimum or maximum fill amount. This allows the plastic surgeon some flexibility with sizing during surgery. Often times a woman has breasts which vary slightly in size. If one breast is slightly smaller than the other, each implant can be filled to a different amount to create better symmetry.  Saline tends to be a little less natural feeling than silicone, but it can also create a more dramatic upper breast appearance, which some women prefer. A new saline breast implants option called Ideal Implant™ was recently FDA approved and is now being offered at the Pacific Center for Plastic Surgery Newport Beach. The Ideal Implant™ was created for women who are not comfortable having silicone implants in their body, but desire a more natural feeling implant than traditional saline implants on the market.  The unique structure of the Ideal Implant allows for a similar look and feel as silicone with the safety of saline.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

What is breast augmentation? Is it the same as breast implants?

Thank you for sharing your question.  A breast augmentation is the procedure by which breast implants are placed into a woman's body to increase her bust size.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 38 reviews

What is breast augmentation? Is it the same as breast implants

The answer to your question is yes. The term breast augmentation is the name of the surgical procedure to have breast implants placed. 

Lawrence Bundrick, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 6 reviews

What is breast augmentation

Any women desiring breast augmentation surgery in Newport Beach is a candidate as long as there are no health problems present which would preclude her from having surgery. If the desired goal is to enhance or restore size and shape or to improve asymmetry, breast augmentation is a viable option. Breast augmentation can improve a body image, self-esteem, self-concept, and quality of life. IDEAL CANDIDATES FOR BREAST AUGMENTATION IN NEWPORT BEACH
  • Desire larger, shapelier breasts.
  • Moderate degree of breast sag and smaller breasts, whose problem can be solved by enlargement.
  • One breast that is noticeably smaller or is positioned differently than the other (asymmetry).
  • Uneven chest wall or rib cage.
  • Women requiring breast reconstruction following a mastectomy.
  • Restore breast volume or shape following pregnancy, breast feeding and/or weight loss.

What is breast augmentation? Is it the same as breast implants?

Breast implants are a device used to make the breasts larger in appearance.  Breast augmentation surgery, on the other hand, is a procedure used to increase breast size.   Best wishes.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.