More Than a Cup Size
Breast augmentation is often painted as a one-size-fits-all “bigger is better” surgery. In reality, Bellevue women come to The Gallery of Cosmetic Surgery for dozens of reasons: filling post-baby deflation, balancing asymmetry, upgrading from saline to gummy-bear silicone, or simply wanting curves that match how they already feel inside. Below is a human-first guide to help you decide if implants—or fat transfer—are the right next step.Step 1: Clarify Your “Why”
Write down three everyday moments implants would change. Maybe it’s wearing a plunge dress without tape, jogging without padded bras, or seeing proportional hips-to-bust lines in photos. These day-to-day details guide sizing better than cup letters alone.Step 2: Know Your Implant Choices
| Type | Feel & Look | Longevity | Ideal For |
| Silicone Gel | Soft, natural hang | 10-15 yrs | Most patients seeking realistic bounce |
| Gummy Bear (Cohesive) | Firmer teardrop shape | 15 yrs+ | Athletic builds, minimal breast tissue |
| Saline | Slightly firmer, adjustable in OR | 10 yrs | Budget-friendly, ≥ 18 yrs old |
Step 3: Choose Incision & Placement
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- Inframammary (under-fold) – Standard for optimal control and hidden scars.
- Peri-areolar – Camouflaged on the pigment border; small implants only.
- Trans-axillary (armpit) – Scar off the breast; endoscopic approach.
Step 4: Preview in 3-D
Our Vectra® imaging system lets you “try on” sizes from 250 cc to 500 cc in a sports bra while digital renderings rotate on-screen. Couples often attend so partners visualize, too—reducing post-op size second-guessing.Surgery Day & Beyond
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- Duration: 60–90 minutes in our AAAHC-accredited suite.
- Anesthesia: Light general; you’re home by lunch.
- Pain Level: Described as chest tightness vs. sharp pain; many switch to Tylenol® at 48 hrs.
- Back to Desk Job: Day 5 in a front-close sports bra.
- Gym Return: Week 3 for legs/cardio, week 6 for upper-body weights.
Combining Procedures (Mommy Makeover Lite)
Pairing augmentation with a mini-lift or VASER® lipo of the bra-line is common and saves on facility fees. Discuss bundle pricing during consult if multiple areas bother you.Frequently Asked “What Ifs”
- Will I lose nipple sensation? Temporary numbness is common; permanent change < 5 %.
- Can I still breastfeed? Most women can—especially with inframammary incisions.
- What about mammograms? Imaging centers in Bellevue routinely screen augmented breasts; just tell the tech.
