The breast augmentation procedure is carried out under general or local anesthesia, and takes about one to two hours to complete. An implant (prosthesis) may be placed under the breast tissue or under the muscle after an incision is made, either in the area of the chest where the breast meets it, or the dark skin surrounding the nipple (also known as the areola). In either case, the cosmetic surgeon will make sure that any incision made results in the most inconspicuous scars as possible, and work performed will be done through that incision. Depending on the cosmetic surgeon’s recommendation and your anatomy, the insertion of the implant, as well as the positioning of it, will differ according to each patient.
The skin and breast tissue is lifted to create a pocket directly behind or underneath your chest wall muscle (the pectoral muscle). Then, the breast implant is inserted in a position centered beneath your nipples, creating a natural appearance. Once that is complete, the incision is stitched closed. Tape may also be used to provide additional support. A gauze bandage may be applied over your breasts to facilitate healing.