Breast Augmentation with Implants

Performed by Dr. Wooten of Beleza Plastic Surgery

Are you considering breast augmentation? Dr. Anna Wooten is well known for delivering beautiful, natural looking results for women from Pittsburgh to Cranberry Township and the surrounding areas. In the past few decades, breast augmentation surgery has become a common way to enhance breast size. Even with the rise of several other plastic surgery procedures, those related to breast enlargement remain the most popular. Yet, each breast enhancement is unique and subject to to its own set of challenges based on your anatomy and preferences. With this in mind, it’s important that you lay out the details of your breast augmentation with the guidance of a board-certified plastic surgeon. In consultation, Dr. Anna Wooten provides comprehensive pre-surgery planning, including insightful recommendations on breast implants based on your body shape, lifestyle, and desired breast size.


Breast Augmentation Considerations

During your breast augmentation consultation, you’ll encounter a number of options. With Dr. Wooten’s help, you’ll select the type, size, and placement of your breast implant. And finally, you’ll decide on an incision method.

Types of Breast Implants

All breast implants consist of silicone shells filled with either a saltwater solution known as saline, or a silicone gel. Beleza Plastic Surgery only uses Allergan, Mentor, or Sientra. (These are the only 3 breast implant manufacturers approved by the FDA.)


Saline implants are a popular option for women undergoing breast augmentation. So, what is saline? Saline refers to a sterile salt water solution which goes inside of silicone shells (elastomers). Essentially, the size of your breasts will depend on the amount of saline inside the implant. Because saline is a liquid filler, Dr. Wooten can insert your implant shells first. She can then fill them, while already in position. Ultimately, this method will result in a smaller scar. We should also note that your body is able to absorb saline solution harmlessly in the event of a leak or rupture.


After prohibiting sales of unsafe silicone implants in 1992, the FDA approved a new version of the silicone gel implant in 2006. Today, silicone is widely used and deemed completely safe. In fact, breast augmentation patients with a smaller bust often prefer silicone implants. This is because silicone can seem softer and more natural to touch. Unlike saline implants, silicone gel implants come pre-filled by the manufacturer.

Anatomical Implants

Breast augmentation candidates who have small breasts may be interested in anatomical breast implants. Anatomical breast implants are actually shaped in accordance with the anatomy. Instead of having a circular outline, these silicone-filled implants have more of a “teardrop” shape. Hence, the shape of the anatomical breast implant allows women without much existing breast tissue to achieve a natural and tapered breast slope.

Keller® Funnel

Dr. Wooten inserts silicone implants with an instrument known as the Keller® Funnel. The Keller® Funnel provides a completely sterile method for breast implant insertion. Keeping the implant sterile is crucial to a safe and successful breast augmentation. In surgery, Dr. Wooten transports the implant from its sterile packaging, through the sterile Keller® Funnel, and into the patient, eliminating any chance of contamination en route.



In consultation we will decide on implant placement. Both silicone and saline implants can be placed in a pocket either above or below the pectoral muscle. Placing them above the muscle, in a subglandular position, typically results in less discomfort following the procedure. This is because only a small amount of surface tissue is displaced.


Many patients and surgeons feel that placement below the muscle achieves a more aesthetically pleasing result. This is also known as submuscular placement. Submuscular placement hides tiny imperfections like ripples or exposed edges. However, this method does cause more discomfort during breast augmentation recovery.

Split-Muscle Technique

The split-muscle technique combines the advantages of both subglandular and submuscular placements. When the split-muscle technique is used, the upper pole of the breast implant is placed beneath the pectoral muscle, while the bottom part of the implant is placed above the muscle, but under the mammary gland. The split-muscle placement technique is especially appropriate for patients who are very athletic because it helps to conceal any animation deformity, as well as prevent undesirable results, such as a ‘double bubble.’

Incision Methods

Inframammary Incision

Breast implants placed through an inframammary incision are inserted through the fold below the breast. This allows direct access for future replacement or modification of the implant. Scarring caused by inframammary incisions is hidden under the breast fold.

Peri-Areolar Incision

Dr. Wooten makes the peri-areolar incision along the border of the areola. In time, this incision becomes practically invisible since it’s placed at the junction of two different skin tones (where the darker nipple meets the lighter skin). It’s also the optimal option when correcting nipple asymmetry or performing a simultaneous breast lift.

Transaxillary Incision

A transaxillary incision enters underneath the armpit. It is one way to achieve a “scarless” breast augmentation. However, revision surgeries most likely will require additional incisions.


Dr. Wooten performs a transumbilical breast augmentation by placing an opening in the navel and tunneling towards the breast. This involves the use of a micro camera to ensure correct placement of the implant. It is important to note that this technique is only used for the placement of saline implants.

Breast Augmentation Recovery

Following breast augmentation, it can take up to 6-7 months before your breasts look their best. Your implants may initially ride high on your chest. Also, they may feel very firm. This is completely normal. Generally speaking, a feeling of tightness will occur after surgery.

Be patient. Allow the swelling to recede and the implants to settle. Over time, they will drop into a more natural position. Your breasts will also soften. While it could take half of the year before you look and feel your best, you should be able to wear a bikini comfortably anywhere from 6 to 12 weeks after your breast augmentation.

Ideally, most bruising, pain, swelling and discomfort will abate after 2-3 weeks. However, it may take longer before you can comfortably sleep in any position but flat on your back. Allow several weeks before undertaking serious physical activity. Straining to do too much will only intensify pain.

Scheduling your Breast Augmentation

It is essential that you permit yourself enough time to recover properly. Your recovery time will depend largely on specifics dealing with your breast augmentation and also your body. Dr. Wooten along with our patient coordinator can help you schedule an ideal surgery date during your consultation.

Here are a few questions you should ask yourself when planning for your surgery:

  • How much time can you afford to take off of work? Dr. Wooten advises patients on “rapid recovery.” And so, following her instructions will help most patients return to work after a few days.
  • Is there a time of year less hectic than usual? Contrarily, are there dates that you definitely can’t afford to spend in recovery? An accountant, for instance, probably can’t take a vacation in the middle of tax season.
  • Will you have anyone to help at home while you recover? Ideally, someone will be able to help, at least for that first week. Having another person around is mandatory for the first 24 hours following surgery. Will your partner or another loved one be able to be with you for that time?
  • Are there any big life events coming up? When would you like to look your best? Many women plan to totally heal from their breast augmentation surgery prior to weddings, reunions or other important milestones.

Schedule your Consult

Dr. Anna Wooten is a top aesthetic plastic surgeon offering a wide variety of breast surgeries in Pittsburgh, PA. To schedule a one on one consultation, call our office or fill out the form below.