Plastic Surgery & Cosmetic Center

Understanding Your Breast Augmentation Options

Understanding Your Breast Augmentation Options

Breast augmentation is the most popular cosmetic surgery performed each year, so it’s likely that you know at least a little bit about it. What might surprise you, however, is the number of different options that come with it. Breast augmentation is a highly customizable procedure that can fit your unique goals and preferences. As you schedule your consultation with Dr. Timothy Janiga, here are some things to consider about your breast augmentation surgery.

Silicone or Saline?

One of the biggest decisions to make about your breast augmentation is the type of implant; or, more specifically, the type of filling. The two most common options are saline-filled and silicone gel-filled. Although both have a silicone shell, each type has a different interior.  Saline implants are filled at the time of surgery with sterile saline water.  Silicone implants or gummy bear implants have a silicone gel inside This silicone filling is cohesive and form-stable, meaning it keeps its shape.  In previous years people used to worry about silicone implants rupturing and the silicone being free within the body, but with the new advances in gummy bear technology the silicone is cohesive and stays together even if the outer shell ruptures.

Size and Shape

Along with the type of implant, you’ll need to consider how you want your results to look. This can be greatly affected by the size and shape of your chosen implants. When considering size, it’s important to consider your ideal projection, cleavage, and bra size (although keep in mind that implants are measured differently than simple cup sizes). Different implant shapes are a relatively new advancement, and anatomically-shaped implants can produce excellent, natural-looking results. However, round implants can produce more projection and volume.

Dr. Janiga can guide you to the right shape and size based on your overall goals for breast augmentation and at Janiga MDs Plastic Surgery and Cosmetic Center you may also “try your implant on” your virtual body with our state of the art Vectra technology.  With the Vectra a 3-D image is taken of your body and you are able to “try on” different sized and shapes to see what they look like on your own 3-D image..


Although no one likes to think about the scar associated with surgery, every breast augmentation does have to cut the skin in order to insert the implant so it is worth reviewing the different types Your incision choices may depend on the type of implant you choose, but the traditional options are around the areolae, under the breast fold, or within the armpit. Each of them offer nice concealment, but each has its benefits when it comes to ease of placement and the size of the incision needed. Dr. Janiga discusses placement of the incision with you and can be based on physical activity, size of your natural breast, and your desire for concealment of the incision.

Implant Placement

Obviously, implants go inside the breast — however, they can be placed either on top of the chest muscle or underneath it. In either case, a pocket is created inside the breast tissue to accommodate the implants, but the specific placement of the implants with be a decision made between you and your doctor.  Some of the reasons one may be chosen over the other are physical activity, type or size of implant chosen, projection or hang of your natural breast to start with and even your future desire to breast feed a child.  There are many factors that contribute to the decision to go above or below the muscle and you and Dr. Timothy Janiga will review these options based on your specific needs.

Schedule a Consultation

There are a lot of options that go with breast augmentation that can make your results unique to you. It can seem overwhelming at first, but a board-certified plastic surgeon can guide you to the best options for your goals and preferences for breast augmentation. To get started, contact our Reno office by calling or filling out our online form.

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