Seattle Breast Augmentation

What is Breast Augmentation?

You may hear breast augmentation referred to by a variety of terms, and that includes breast enhancement, augmentation mammaplasty, breast implants or "boob job." All of these phrases refer to the same procedure, which aims to enhance a woman's natural breast shape and size with the addition of either silicone or saline implants.  Many women feel that their breast size is not in balance with their overall body or may simply not be the volume or contour that they desire. For these women, cosmetic breast enhancement can be the answer. Breast enhancement can balance a woman’s upper body with her waistline and hips to provide a wonderful, feminine silhouette and profile.
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Watch Jodie talk about her breast augmentation experience

Breast Augmentation In Seattle

Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the U.S. and one of our most popular here in our Seattle office. Most of our patients in the Seattle and Tri-Cities, WA areas are looking to achieve a certain “look” and balance with the rest of their body, and not necessarily a particular bra cup size. Most of our patients want – and what we always strive for in our practice and approach are – youthful but natural results so no one knows for sure if they have had surgery.

Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants in the breasts.

Our patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast volume after pregnancy or surgery, and correcting a congenital breast defect. Under Dr. Salemy’s care, patients can enjoy natural-looking breast enhancements that can help them meet their aesthetic goals.

FAST FACTS: Breast Implant Surgery

  • PURPOSE: Add volume, shape and cleavage.
  • RESULTS: patients can see results immediately, but it can take several weeks to a month to see final results.
  • PROCEDURE TIME: Procedure typically takes 60-90 minutes.
  • INCISION LENGTH: Incision length is typically quite short from 2 to 2.5 inches in length.
  • COMBINING SURGERY: Breast Implant surgery can be combined with a breast lift.
  • WHAT THE FDA SAYS: Both silicone and saline implants are FDA-approved.

Reasons to Get a Breast Augmentation: What You Can Achieve with Implants

Women choose to undergo breast enhancement for a number of reasons, but it’s important to understand what can and cannot be accomplished with this surgery.

Breast augmentation can help you attain the following goals:

  • Enhancing the natural projection of your breasts
  • Enhancing the overall shape of the breasts
  • Creating additional cleavage
  • Correcting asymmetry
  • Restoring breast volume following pregnancy or weight loss
  • Balancing your body shape

In addition, this cosmetic procedure can help to boost your self-confidence and help you to look and feel younger. A majority of patients report feeling sexier, more confident and many years younger after their breast augmentations.

What You Cannot Achieve with Breast Augmentation

Despite the fact that breast implants can help to correct a number of problems women may have with their current body shape, there are some things that this procedure cannot achieve. Breast augmentation surgery cannot correct saggy or drooping breasts. If you’re hoping to only correct sagging breasts, you may benefit from a breast lift procedure instead. However, if you want to improve the perkiness, size, shape and contour, it’s possible to combine a Breast Lift with implants. What’s the difference between Breast Augmentation and Breast Lift?

Breast Augmentation vs. Breast Lift

It’s easy to confuse a breast lift with breast augmentation, but the two procedures are quite different. Each surgery has contrasting goals and outcomes, which is why it’s so important to understand the difference.

Breast lifts do not increase the size of your breasts. Instead, the goal of this surgery is to reposition droopy or sagging breasts into a perkier position. This can involve removing excess skin around the breasts, lifting and reshaping the tissue and then tightening the remaining skin around the breast so that you get a better, fuller shape.

After a breast lift, you can enjoy perky, natural-looking breasts with enhanced cleavage, but they will not be any larger than before.

Breast augmentation is intended to add volume and size to your natural breasts. When you opt for implants, the intended results are larger, firmer breasts with an improved shape.

When you meet with Dr. Salemy, being open and honest about your aesthetic goals can best help him determine the correct procedure or combination of procedures for you.

Who is an Ideal Candidate for Breast Implants?

The best candidates for breast implants are women who are in good health and have realistic expectations for what surgery can achieve. If you’re looking for improved shape, increased volume or additional cleavage, you are likely a good candidate for breast augmentation.

For saline implants, patients must be at least 18 years old and in good physical and mental health. To receive silicone implants, you must be healthy and at least 22 years old.

How to Choose a Plastic Surgeon for Breast Augmentation

Choosing a plastic surgeon can be very personal. It’s important to choose a surgeon who understands your goals, answers your questions, and makes you feel comfortable and valued. It’s also very important to choose someone who is board-certified so you can feel confident he or she has the proper training and expertise, and meets stringent requirements.

What to Expect During Your Consultation

When you first meet with Seattle cosmetic breast surgeon and breast augmentation surgeon Dr. Salemy, you should be prepared to discuss your expectations and goals for surgery as well as details about your medical history. You should have a list of any allergies, medical conditions, current prescriptions and supplements.

During your consultation, Dr. Salemy will take photographs and detailed measurements of your breasts, discuss possible treatment options and recommend the best course of action for you.  Dr. Salemy also discusses what patients can typically expect during breast augmentation procedures and his office is also happy to provide an outline of breast augmentation costs, based on your unique treatment plan.  It is always our Mission to tailor our treatments based on your unique anatomy, individual aesthetic goals and the safest techniques available.

Fully Customized Breast Enhancement

We know that every woman is unique in both her desires and her body shape. With that in mind, when Dr. Salemy meets with you to discuss your desired goals he will take the time during the pre-operative consultations in our Seattle office to learn what you hope to gain from breast augmentation surgery. He will then recommend the most effective technique to achieve the breast enhancement that you desire. This will include selecting the appropriate implant type, implant size, and implant placement, as well as any other procedures which may help create a nice result. In this way, every one of his patients enjoys a completely customized treatment designed with their specific goals in mind.

Breast Implant Types: Saline and Silicone Gel

Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Many patients opt for silicone implants as they are very durable and can offer a natural look and feel, but we also offer saline implants as well to patients who prefer it. Both implant types are very safe, and each offers its own advantages. Dr. Salemy will help you decide which is right for you. You will have the chance to see and feel different breast implants during your consultation. Dr. Salemy will also help you decide on the appropriate size breast implant to achieve your desired result.

  • 2
    Sientra textured round silicone implant
  • 1
    Sientra textured anatomic silicone implant
  • 4
    Natrelle smooth round silicone implant

After many years, the U.S. Food and Drug Administration (FDA) has approved silicone breast implants for breast augmentation surgery. We are proud to offer patients the option of silicone gel-filled breast implants, since they are softer and feel more natural than saline-filled breast implants. There are several outstanding silicone implant options for woman, including round implants, anatomic or “tear drop” implants, implants with a softer gel and implants with a firmer “gummy bear” feel. All of these implant types will be available at your consultation so that together with Dr. Salemy you can choose the option that can give you the look and feel you want.

Sientra Silicone Breast ImplantFor silicone breast implants, we utilize Sientra silicone gel breast implants because they are FDA-approved, and have an unrivaled safety profile, with some of the lowest complication rates clinically shown through a robust 10-year study*. Not only are Sientra implants safe, but they are also backed by their Platinum 20™ year warranty which provides the longest length of coverage, most financial assistance, and least restrictions in the industry. Sientra implants are designed to hold their shape while maintaining a remarkably soft feel. With two surface types, over 375 implant options, and 6 projection levels, Sientra breast implants can help you see the look you’ve always wanted. Only Board-Certified and Board-Eligible Surgeons are permitted to provide Sientra implants.  Dr. Salemy is proud to be a Sientra “Platinum” level provider, a top-tier provider of Sientra silicone breast implants.

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Breast Augmentation Incision Techniques

The breast augmentation procedure typically lasts 60 to 90 minutes and is typically performed with either general anesthesia or local anesthesia and sedation. Incisions are made in inconspicuous places on the breast to minimize scar visibility. Your surgeon will help determine the best incision for breast augmentation based on a variety of additional factors.  Breast augmentation incision options include:

  • In the crease on the underside of the breast (inframammary), or
  • Around the areola, the dark skin around the nipple (periareolar).

The breast is then lifted, creating a pocket into which the implant is inserted.

See how a mommy makeover helped Sara
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Breast Augmentation Placement Options

Breast Implant placement beneath the muscle of the chest offers a few advantages over placement beneath the breast tissue only. These include camouflaging of the implant and less interference with mammogram examinations. Possible disadvantages include elevated pain in the first few days following surgery, more swelling and more time until the implant settles into its final position.

Implant placement beneath the breast tissue (in front of the muscle of the chest) has advantages and disadvantages as well. Advantages include less post-op pain and a more natural look. Disadvantages include a higher risk of seeing the ripping of the implant wall, particularly in very thin women with saline implants. We will discuss which option may be best for you.

After the implants have been inserted and positioned properly, the incisions are stitched closed, and a surgical bra is placed.

Breast Augmentation Recovery

Most patients feel tired and sore during the recovery after breast augmentation surgery, but this usually passes in a day or two. Many patients return to work within the week.

Any post-operative pain, swelling and sensitivity will diminish over the first few weeks. All of the stitches are dissolvable and Dr. Salemy will see you in a week to check your progress.

Scars from breast augmentation incisions will begin to fade in a few months and will continue to fade for months or years.

Read our comprehensive and detailed Breast Implant Recovery Guide & Timeline and learn what to expect after Breast Augmentation surgery.

Breast Augmentation Complications

Complications following breast augmentation surgery are uncommon and usually minimal. They may include bleeding, capsular contracture, swelling and pain, infection around the implant, a change in nipple sensation, milk production if you nursed a baby within a year before the procedure, and breakage or leakage of the implant (implant rupture) as a result of injury or the normal compression and movement of your breast.

If a saline implant ruptures, the implant will simply deflate in a few hours and your body will absorb the salt water. If a silicone implant breaks, you will need to see a doctor for replacement of the implant. Regular monitoring of breast implants after breast augmentation is recommended to ensure continuing breast and implant health.

Combined Procedures Can Enhance Results

Breast augmentation can achieve dramatic and beautiful results on its own as well as in conjunction with other cosmetic surgery or non-invasive procedures. Dr. Salemy sometimes recommends combining breast augmentation with other procedures such as a breast lift for more satisfying results. In fact, it’s become more common to combine a breast lift with augmentation. In addition to achieving the aesthetic goals you want, combining the two can be practical from a logistical perspective.

There are additional reasons to consider a breast augmentation with lift. Sometimes opting for a smaller implant size can help you achieve the same or better results than just receiving larger implants. Second, lifting and shaping your natural breast tissue before receiving implants can help improve the overall positioning and perkiness of your breasts.

Dr. Salemy regularly sees patients from all across the region. His Seattle, West Seattle, Tri-Cities, Issaquah, and Bellevue breast augmentation patients, as well as his patients from all across Washington, Oregon and Idaho state, are accommodated in his world-class, state of the art, AAAASF-certified ambulatory surgical center in Seattle, where he can deliver high standards of patient safety and care.

Breast Augmentation FAQs

Will insurance cover my breast augmentation?

Insurance does not typically cover breast augmentations but your insurance company can tell you more definitively.

How long will the results last?

How long your results last depends on a variety of factors. Some women can keep the same implants for many years, but in general, about 20-25% of patients will have some other surgery on their breasts within the first 10 years after their augmentation.

Why is choosing a board-certified plastic surgeon so important?

Board-certified surgeons are extensively trained and meet the stringent criteria and very high standards of a certifying body. In plastic surgery the American Board of Plastic Surgery is the only plastic surgery board recognized by The American Board of Medical Specialties. When you choose someone with these credentials, you can feel much more confident about the safety and legitimacy of the practice.

Which is the best type of breast implant to get?

The type of implant that is best for depends on many factors, including your aesthetic goals, your anatomy, the results you want to see, and your preference. Dr. Salemy will help you choose which material is best for the results you want.

Are silicone implants safe?

Yes, silicone implants are safe and are FDA-approved for anyone who is at least 22 years old.

How long is the recovery period?

Recovery can vary from one person to the next, but it generally takes a couple of weeks for most women to start feeling like themselves again. Some women can return to work a few days after their surgery, but any exercise or heavy lifting will have to wait a minimum of two to four weeks.

Will scars be visible?

Scarring is a natural result of surgery but your surgeon can apply techniques to help minimize their prominence and visibility, including making the smallest possible incisions and placing them in low-visibility areas.

Will I feel any pain or discomfort during my surgery?

Patients are under general or local anesthesia for the entire procedure, so patients don’t feel any pain or discomfort at all during the surgery, but postop discomfort is variable and typically lasts a few days.

Additional Resources:


* Stevens WG et al. Ten-year core study data for Sientra’s Food and Drug Administration—approved
round and shaped breast implants with cohesive silicone gel. Plast Reconstr Surg. 2018;141(4S):7S-19S.


Patient Favorite and Multiple Award Winner
Dr. Shahram Salemy Provides:

  • Customized Treatments
  • Natural-Looking Results
  • Compassionate patient Care in Safety-
    Rated AAAASF-Accredited Medical Clinic

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