Breast Augmentation

For women with uneven breast sizings, one being noticeably smaller than the other, or are wanting more shapely, larger breasts, a breast augmentation is often the solution. Our plastic surgeons are highly experienced and ready to help make that solution a reality.


Breast augmentation is an outpatient procedure performed under general anesthesia. Below the crease of each breast, a small incision is made. The doctor then creates a small pocket of space designated for the implant. Typically this space is either above or below the muscle, or below the fascia of the muscle. The decision as to where to create the space and place the implant is based on body fat, type of implant, and the ability of your body’s tissue to provide safe coverage. Once the pocket is created, a saline or cohesive gel implant is placed inside the space and the incisions are closed using a suture.

breast augmentation


It takes about 3 weeks to fully recover from breast augmentation with most patients able to return to work in about 2 to 3 days. For the first week, patients must be very careful with their activities and should not lift anything over 15 pounds. During the second week, while you may progressively exceed the 15 pound limit, you should still avoid most physical activity including running, motorcycling, biking, jet-skiing, and sexual intercourse. As well, the single suture can be removed by day 8. By the third week most patients will have returned to normal activity.


There are two main types of breast implants currently used; a saline implant or a cohesive gel implant. Neither have known associations with any disease and do not increase your future risk of breast cancer development. Saline implants use a intravenous quality saline solution that’s added to a fully-cured silicone bag through a sealed system to guarantee safety. Cohesive gel implants come pre-filled and are made with a medical grade silicone gel.

Breast Augmentation Baltimore Center Before and After Breast Augmentation at Baltimore Center


The doctor’s aim for a breast augmentation is to create a more even shape and sharper contour of both breasts. Symmetry between breasts can create a natural appearance and a boost in self-image.


Can a silicone implant leak?

A silicone implant is extremely stable, but in the rare case of a leak, it can easily be detected via MRI. The silicone does not travel throughout the body, but instead stays confined to rather specific areas of the breast. If there is a leak, it’s quite easy to remove the implant and replace it with a new one. Side effects of a ruptured implant are mild with a slight burning, breast hardness, or a feeling or irregularity in the implant itself.

Are soybean oil implants still available?

Due to several class action suits, the soybean oil implants have been removed from the market. Most “experimental” implants have recently been withdrawn from the medical professions’ use, with silicone and saline implants being the safest choices.

How do teardrop implants work?

As the name suggests, the teardrop implant has the shape of a teardrop with a fullness that decreases in size toward the tip to simulate the natural shape of a breast. However, recent studies tend to show that the teardrop shape does little for difference in appearance, costs more, and can cause serious issues if the implant is rotated.

What about fat injections?

While it’s technically possible to receive fat injections, they should be avoided. Unlike an implant which is able to keep its shape, fat will dissolve after a few years and leave scar tissues. This tissue cannot be distinguished from breast cancer and is very unsafe for the patient.

What if I want to breastfeed?

Breast implants have shown no known effects on breastfeeding, pregnancy, risk of cancer, fibrocystic disease or any other known diseases.

Can fungus grow in saline implants?

A few cases have appeared where fungal growth has developed inside a saline implant. However, manufacturers have updated the filling process which includes a closed system. This eliminates any risk of fungus inside the implants.

To learn more about breast augmentation in Baltimore, Maryland, contact us today!

Founded and directed by Johns Hopkins faculty Dr. Randolph Capone, the Baltimore Center is a premier plastic surgery practice dedicated exclusively to providing state of the art care for individuals desiring body enhancement, rejuvenation, or repair. The Baltimore Center for Plastic Surgery was founded for one purpose: to combat the signs of aging and deformity.

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