Breast enlargement or augmentation is a surgery which places a silicone or saline breast implant behind the breast tissue to produce a desired amount of fullness. The decided size of the implant
either submuscular (behind a part of the pectoralis major muscle and breast tissue) or subglandular (behind the breast tissue only). A dual plane placement may help provide some internal lift to the breast. Two incisions are available: inferior periareolar, around the bottom edge of the areola; inframammary, just above the inferior breast crease.
The created breast space must be precise and trial implants help determine the final volume of the implant. The selected implant must be placed as aseptically as possible into the breast space, and always washing implant and breast space with antibiotic solutions during the final insertion.
I use breast implants manufactured by the Mentor Corporation, the only implant made in the USA. I always use round implants, which are available in different profiles and are available in a smooth or textures surface. I feel that anatomical implants are best for breast reconstruction.