Breast Augmentation

Refining Proportion. Restoring Confidence

Breast augmentation is one of the most transformative procedures in aesthetic surgery—designed to enhance volume, restore balance, and create a natural, proportionate silhouette.

At Utah Aesthetic Surgery, our approach prioritizes precision, artistry, and harmony—ensuring results that complement your anatomy rather than overpower it.

What is Breast Augmentation?

Breast augmentation enhances the size and shape of the breasts using implants or fat transfer. It is commonly performed to:

Increase naturally small breast volume
Restore fullness after pregnancy or weight loss
Improve symmetry between breasts
Enhance overall body proportions

The goal is not simply “larger,” but balanced, natural, and refined.

Implant Options

Silicone vs. Saline

Silicone Implants

Softer, more natural feel
Less visible rippling
Preferred for most patients

Saline Implants

Filled after placement
Slightly firmer feel
Smaller incision possible

👉 Most modern augmentations favor silicone for optimal aesthetics.

Implant Shape & Profile

Choosing the Right Plane

The optimal implant position depends on:

Existing breast tissue thickness
Chest wall anatomy
Desired aesthetic outcome
Lifestyle and activity level

A tailored approach ensures the most natural, balanced, and long-lasting result.

Submuscular (Under the Muscle)

Implant placed beneath the pectoralis major muscle
Creates a more natural upper pole slope
Lower risk of capsular contracture
Provides additional soft tissue coverage
Ideal for thinner patients with limited breast tissue

Subglandular (Above the Muscle)

Implant placed directly beneath the breast tissue
Allows for more pronounced cleavage and fullness
Shorter recovery and less postoperative discomfort
Best suited for patients with adequate existing tissue

Subfascial (Under the Fascia)

Implant placed beneath the thin fascial layer covering the pectoralis muscle
Provides slightly more soft tissue coverage than subglandular placement without full muscle disruption
Avoids animation deformity associated with muscle movement
Can offer a natural contour with less postoperative discomfort than submuscular placement

Particularly useful in select patients seeking a balance between coverage and recovery

Find Your Ideal Implant Placement

A Personalized Guide to Breast Augmentation

Answer a few simple questions to better understand which implant placement may best align with your anatomy and goals.

Question 1: How would you describe your current breast tissue?

A. Minimal volume / very thin tissue
B. Moderate natural tissue
C. Fuller breast tissue with good coverage

Question 2: What type of result do you prefer?

A. Very natural slope, subtle upper fullness
B. Balanced, natural with some fullness
C. More pronounced upper fullness and cleavage

Question 3: How important is recovery time?

A. I’m okay with a slightly longer recovery for optimal results
B. I prefer a balance between recovery and outcome
C. I want the quickest recovery possible

Question 4: Are you physically active (weightlifting, fitness, etc.)?

A. Yes—frequent upper body activity
B. Moderate activity
C. Minimal upper body strain

Question 5: How important is avoiding animation deformity (implant movement with muscle flexion)?

A. Not a major concern
B. Somewhat important
C. Very important

Incision Options

Inframammary (breast crease) – most precise and commonly used. Slightly higher wound healing issues when compared to the Periareolar approach.
Periareolar (around the areola) – well hidden but slightly higher risk of capsular contracture
Transaxillary (armpit) – no breast scar, more technically complex

Each approach is selected based on anatomy, implant type, and patient preference.

The Consultation Process

Your consultation is highly individualized and includes:

Detailed measurements of chest and breast anatomy
Discussion of goals and desired shape
Implant sizing and profile selection
Review of before-and-after results
Education on risks, recovery, and long-term expectations

Recovery & Downtime

First 48 hours: Tightness, mild discomfort
1 week: Return to light daily activity
2–3 weeks: Resume non-strenuous work
6 weeks: Full activity including exercise

Swelling gradually resolves over several weeks, with final results continuing to refine over 2–3 months.

Safety & Long-Term Considerations

Breast implants are not lifetime devices
Periodic imaging (ultrasound or MRI) is recommended for silicone implants
Rare risks include:
- Capsular contracture
- Implant rupture
- Infection
- BI-ALCL

We emphasize education, safety, and long-term follow-up.