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Breast Augmentation: What Are My Options?

Many women want to enhance the appearance of their chest with breast implants. Whether your breasts are naturally small or have changed size due to significant weight loss or pregnancy, breast implants can provide you with the breasts that you desire. Breast augmentation is very customizable, and you have the opportunity to make specific choices about your procedure. Dr. Alexander’s award-winning skill and expertise can help you make the decisions that will best enhance your figure. His experience and artistic sense provide world-class results.

Before surgery and After Surgery, Breast Augmentation Patient

Implant Types

  • Saline implants have a silicone shell filled with a sterile saline solution. These implants are typically inserted into the breasts while empty and filled once they’ve been placed. This allows Dr. Alexander to make adjustments during the procedure. Saline implants are FDA approved for women 18 years or older.


  • Silicone implants are made of an outer silicone shell filled with a silicone gel. This option is preferred by many patients because it looks and feels the most natural. They come pre-filled (and are inserted into the breasts as they are), so no size adjustments can be made during surgery. Silicone implants are FDA approved for women 22 years or older.

Incision Locations

  • An inframammary incision is made under the breast, along the crease where the breast meets the chest. It will leave a scar, but it will likely be inconspicuous once fully healed and can be concealed under a bathing suit or undergarment. An incision at the inframammary has many advantages and is the most commonly used incision.


  • A periareolar incision is made around the perimeter of the areola. The placement of the incision means that it is virtually unnoticeable and very easily concealed. This incision is much smaller, so it is most appropriate for small to moderate-sized implants.

Implant Placement

  • Submuscular implant placement (also known as subpectoral placement) means that the breast implant is placed underneath the chest muscle. This provides for more coverage of the implant. For women with smaller breasts, this can be beneficial, as there is often little breast tissue to cover the implant.

Diagram about method of insertion for breast implant

  • Subglandular implant placement means that the breast implant is placed over the chest muscle and under the normal breast tissue. This method can look best for women with some breast tissue using a silicone implant of small to moderate size. As with any choice made regarding breast augmentation surgery, the best placement is dependent on the type of implant, the implant size, and your personal anatomy.

Prior to your surgery, you will have a consultation with Dr. Alexander. During this appointment, he will perform a physical exam while taking into account your anatomy and your desired treatment goals to help you make the best decisions about your breast augmentation.

For more information on breast augmentation or to set up your consultation with Dr. Alexander, please contact our office. We can be reached at 702.242.6776.

Dr. Alexander's Office

A top Plastic Surgeon, Dr. George Alexander, serving more happy patients in Las Vegas, the United States and Internationally.

Dr. Alexander & Co

1725 Village Center Circle, Suite 150
Las Vegas, Nevada USA | (702) 242-6776

"Dr. Alexander and his staff are all accommodating and friendly. Dr. Alexander takes time to really address your concerns and questions. He is an awesome doctor. We highly recommend him to anyone in need of cosmetic surgery.” five star rating

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