Breast Augmentation in the Inland Empire: Implant Types, Sizing, and What to Ask Your Surgeon

This guide walks through the most common implant types, how sizing consultations work, incision options, recovery expectations, and the key questions to bring to your consultation.

Why Breast Augmentation Remains One of the Most Requested Procedures

Breast augmentation has consistently ranked among the top cosmetic surgeries in the United States for decades. Patients pursue it for many reasons, including restoring volume lost after pregnancy or weight changes, correcting natural asymmetry, or achieving proportions that better match their frame. Results vary by patient, but many people report a meaningful boost in confidence and clothing fit after healing is complete.

Understanding Your Implant Options

When it comes to breast implants Inland Empire patients can choose from, the two primary categories are saline and silicone. Each has unique characteristics, and the right choice depends on your body type, lifestyle, and aesthetic preferences.

Saline Implants

Saline implants are filled with sterile salt water after being inserted, which can allow for slightly smaller incisions. If a saline implant ruptures, the body safely absorbs the saline and the deflation is usually obvious. They tend to feel firmer than silicone and are FDA-approved for patients 18 and older.

Silicone Implants

Silicone implants are pre-filled with a soft, cohesive silicone gel that closely mimics the feel of natural breast tissue. They're FDA-approved for patients 22 and older for cosmetic augmentation. Many patients find silicone feels more natural, especially those with less existing breast tissue.

Gummy Bear Implants

So-called gummy bear implants are a form-stable, highly cohesive silicone gel implant. They hold their teardrop shape even if the shell is compromised. They can offer a more anatomical look but typically require a slightly longer incision.

Smooth vs. Textured

Most patients today receive smooth round implants, which move naturally within the implant pocket and tend to settle into a soft, rounded appearance. The decision between smooth and other surface types is something Dr. Frew will discuss based on your goals and medical history.

The Silicone vs Saline Implants Conversation

The silicone vs saline implants debate often comes down to feel, longevity, and personal preference. Silicone tends to feel softer and may be a better fit for slim patients with limited tissue coverage. Saline can be a strong option for those who prefer the assurance that any rupture would be immediately noticeable. Both implant types come with manufacturer implant warranty coverage, and Dr. Frew will review these protections during your consultation.

How Implant Sizing Actually Works

Factors That Influence Sizing

• Skin elasticity and how it may stretch over time
• Lifestyle — runners, yoga enthusiasts, and active patients often prefer moderate volumes
• Wardrobe goals and how you want clothing to fit
• Existing asymmetry, which may call for different implants on each side

Incision Options and Implant Placement

There are several incision approaches, and the right one depends on your anatomy, implant type, and personal preference.

Inframammary Incision

Areolar Incision

The areolar incision is placed along the lower border of the areola. The scar often blends with the color transition of the areola, though this approach may not be suitable for all implant sizes.

Transaxillary Incision

Some patients are candidates for an incision in the armpit, which leaves no scar on the breast itself.

Submuscular vs. Subglandular Placement

Recovery Timeline: What to Expect

The recovery timeline after breast augmentation varies, but most patients follow a similar general path. Individual healing depends on your body, the technique used, and how closely you follow post-op instructions.

First Week

Expect soreness, tightness, and swelling. Most patients take prescribed pain medication for the first few days and transition to over-the-counter options. A supportive surgical bra is worn around the clock.

Weeks 2–3

Many patients return to desk work and light daily activities. Driving may resume once you're off narcotic pain medication and can move comfortably.

Weeks 4–6

Light cardio is often reintroduced. Heavy lifting and chest-focused exercise are typically delayed until cleared by Dr. Frew.

Months 3–6

• Are you certified by the American Board of Plastic Surgery?
• How many breast augmentations do you perform each year?
• Which implants do you recommend for my anatomy, and why?
• What incision and placement approach do you suggest?
• What are the risks of capsular contracture, rupture, or revision?
• What does your implant warranty cover?
• Where will my surgery be performed, and who administers anesthesia?
• What does your follow-up care look like?

Why Patients Across the Inland Empire Choose Opus Plastic Surgery

Every plan is built around your unique anatomy and aesthetic preferences — there's no one-size-fits-all template.

Preparing for Your Consultation

Before your appointment, it can help to:

• Make a list of medications and supplements you currently take
• Note any history of breast biopsies, mammograms, or breast issues
• Write down lifestyle considerations like sports, work demands, or upcoming events

A productive consultation is built on open communication. Dr. Frew prioritizes listening so that your surgical plan reflects what you actually want.

FAQ

How do I choose between silicone and saline implants?

The choice typically comes down to feel, your existing tissue coverage, and personal preference. Silicone implants often feel softer and more natural, while saline implants make rupture immediately noticeable and can be placed through a slightly smaller incision. Dr. Frew will review the pros and cons of each option during your consultation so you can make an informed decision.

What implant size is right for my body frame?

How long is recovery after breast augmentation?

Where are breast augmentation incisions typically placed?

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