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Breast Augmentation

Breast Augmentation surgeon in Fort Worth, Texas with over 30 years experience. Patented implant insertion technique – S3 Breast Augmentation.


For many women, breast size is an important part of a confident self-image. Breast augmentation plastic surgery can add fullness to breasts that have decreased in size or have begun to sag due to age, pregnancy, or weight loss. Some women choose larger breasts to balance their overall appearance, creating a proportion that suits their natural beauty and unique personal attributes. Breast augmentation plastic surgery is a highly personal decision. In your cosmetic surgery consultation at Fort Worth Plastic Surgery, we will discuss any concerns you may have and explain the details of breast augmentation surgery. We will guide you through the many options to consider, including breast implant type (saline or silicone gel), size, profile, and surgical method. Our doctors take great pride in helping breast augmentation patients achieve their desired aesthetic goals and improved self-esteem.

Saline Vs. Silicone

Saline Breast Implants

Saline breast implants are filled with a sterile saltwater solution and offer no risk to the patient in terms of extracapsular spread or silicone leakage. Saline implants are appealing to many because they generally cost less than silicone implants. In some patients, silicone may be a better option due to the rippling that may occur along the edges of the saline implant that can be visible in thin women. Patients considering saline implants must be at least 18 years of age.

Silicone Breast Implants

Silicone breast implants are filled with a gel substance that looks and feels like natural breast tissue. They are ideal for women who are thin or physically active. Silicone implants are specially engineered so that if the shell should become compromised (a surface crack), the silicone will remain intact within the implant (known as cohesive gel implants). Silicone implant defects are rare and can only be found through an MRI, unlike saline implants which will deflate. Patients must be at least 22 years of age to receive silicone implants.

Product Information


Saline: Allergan (branded as Natrelle®)
Silicone: Allergan (branded as Natrelle® Gel)


An implant profile depicts the distance the breast will project forward from the chest wall. Implants are made in low, moderate, high, and extra high profiles. Patients vary on profile preference. We encourage patients to try on various implants in their consultation to experience each type on their body.


Breast implants come in two shapes. Round implants tend to offer more fullness on the top of the breast, while teardrop implants are touted to mimic the shape and look of natural breasts. 


Breast implants are made with a smooth or textured surface. Round implants can be chosen with either surface, while teardrop implants are made with a textured surface only.

Our surgeons generally recommend smooth, round implants with a variety of sizes and profiles to fit each patient’s body type.

Implant Replacement

  • Submammary (Subglandular): Under the mammary gland, over the muscle
  • Subfascial (Retrofacial): Under the fascia of the muscle
  • Dual Plane: Along two planes/layers
  • Submuscular (Retromuscular): Mostly under the muscle
  • Complete Submuscular (Full retromuscular): Completely under the muscle

Incision Type

  • Inframammary: The incision is made in the breast crease where the breast meets the torso
  • Periareolar: The incision is made just under and along the areola
  • Transaxillary: The incision is made in the armpit
  • Transumbilical: The incision is made in the belly button

During/After Surgery

Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes about 1 hour to complete. It is considered an outpatient procedure. After surgery, patients need to rest for a few days, but will be encouraged to move around in order to promote circulation. As the skin adjusts to the new breast size, it is normal to feel tightness in the chest area. Patients may resume their normal exercise routines within 4-6 weeks. It typically takes around 6 months for the breasts to fall into their final position. The result is a softer, natural looking breast appearance.

Before/After Photos

ARoss breast aug before after RGA
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