Overview: Breast Augmentation

Dr. Jonov offers Seattle area women the opportunity to have beautiful, shapelier breasts through breast augmentation surgery. During this procedure, Dr. Jonov places either silicone or saline implants directly behind the breast or behind the pectoral muscle. During the initial consultation, he will assess the breasts and work with the patient to determine if silicone or saline is right for them. He will also discuss certain considerations such as implant size, shape, profile, and incision placement. Breast augmentation continues to be one of the most popular cosmetic surgeries in the U.S. today.

Breast Enhancement Guide

Breast Augmentation Guide
View our detailed Breast Enhancement Guide to learn about how Dr. Craig Jonov approaches breast augmentation surgeries.

Other Implant Information

Saline: MENTOR®
Silicone: Mentor (branded as MemoryGel®)

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.

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.

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-chested 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 similar to natural breast tissue. They are ideal for women who are thin-chested. 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.

Implant Placement

Submammary (Retromammary): Under the mammary gland, over the muscle (sometimes called ‘subglandular’)
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

Additional Information
Breast Augmentation – Complete Guide Benefits of Breast Augmentation for Women



Questions about Breast Augmentation

Saline or Silicone?
Both saline and silicone implants are popular choices among surgeons and patients. In general, patients with a decent amount of breast tissue are good candidates for saline implants, while those with limited tissue and thin chest walls will benefit from silicone.

Is Silicone Safe?
Patients sometimes have concerns about the safety of silicone breast implants because of the attention they received in the media years ago. However, the FDA did approve their safety. In addition, no evidence has ever been found to link silicone breast implants to cancer, auto-immune deficiency disease, or any other illness. Ultimately, 62% of today’s breast augmentation patients choose silicone over saline. For reconstruction cases, they choose them 3 times more often.

Breast Aug or Lift?
Breast augmentation will help with size, but it will not correct sagging. If you are happy with the shape and laxity of your breasts, then implants alone may meet your cosmetic goals. If sagging is what is most bothersome to you, then you may be considered for a breast lift. During your consult, we will determine if you are better suited for breast augmentation, a lift, or a combination of the two.

Risk of Rupture?
Modern engineering creates strong and durable implants. With proper care and regular check-ups, the risks for rupture are rare. If a saline implant does rupture, the solution will be absorbed by the body and the implant will deflate, becoming visibly noticeable. If a silicone implant ruptures, the cohesive gel will stay intact and will not leak into the body. An MRI will be necessary to detect a silicone defect.

How Long do They Last?
Most implants will last about 10 to 15 years. Some can last even longer. If there is no rupture, leakage, deflation, or any other visible defects (such as rippling), then there is no need to change the implant or have any type of secondary surgery.

How Long Do Implants Last?
So basically, there’s been this discussion or concern that implants only last about ten years. Actually, when the implants are made – whether they are silicone based or saline based or anatomical or gel – they basically are not made to be a lifetime type of device; however, they may still be able to last a lifetime. Mostly what happens after the implants are placed is how well they are maintained and how well the breast tissue around the area and the body kind of heals to the site. The long term adverse effects are about 1% a year in whether an implant needs to be replaced. Normally, that’s where the discussion after about ten years comes into play. Normally the situation that can occur that requires the implant to be replaced is something such as a rupture or capsular contracture where the scar around the implant becomes hardened to the point where it’s uncomfortable or actually deforming.

Other situations require removal potentially for an infection, but those are pretty much early on that those become identified. So, the normal maintenance and following – if there isn’t a concern in the way the breast looks, feels, and presents itself with any changes of any breast volume due to weight change, pregnancy, or any other changes, the implants really don’t have to be removed. The FDA does recommend every 3 years for an MRI to evaluate the integrity of the shell because sometimes with silicone implants, you can’t tell if there is any leakage around the implant because of the cohesiveness of it. So as long as those situations have been looked at and evaluated, and there are no glaring issues or symptoms, the implants can be maintained. Saline, on the other hand, if they deflate, it’s pretty obvious that there’s a deflation that occurs and the implant would need to be removed. So the majority of the time, the risk for adverse reaction is about 1% per year over the lifetime of the implant. So although they are not made to be lifetime, they can be a lifetime.

During/After Breast Augmentation Surgery

Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes between 1-2 hours to complete. It is considered an outpatient procedure. After surgery, patients will need to rest for a couple of 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.

Average Cost

$4,500 – $7,500

Recovery Time

1-6 Weeks

Average Procedure Time

1-2 Hours


Lynnwood, Kirkland & Bellevue, WA

What people want most when they go to a plastic surgeon is an excellent result. That is what I got when Dr. Jonov performed reconstructive surgery on my breasts. I am ecstatic with the results – the doctor exceeded my expectations! In addition, Dr. Jonov is compassionate and kind and took the time to address my concerns and to check in on me the evening of the surgery.

Besides the expertise of Dr. Jonov, I also received wonderful service from each and every person that I came into contact with at the Gallery of Cosmetic Surgery; from the beginning of the planning process, through the surgery itself, to post-operative care. I strongly recommend Dr. Jonov and his team to anyone interested in breast surgery!

SandraI strongly recommend Dr. Jonov and his team to anyone interested in breast surgery!

Contact Us

To schedule a complimentary consultation with Dr. Jonov or with questions Breast Augmentation at The Gallery of Cosmetic Surgery serving Kirkland, Bellevue & Lynnwood, WA.

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