Breast Augmentation


Although breast augmentation consistently ranks among the most popular plastic surgery procedures, the choices associated with breast enhancement may initially seem overwhelming. Working with Dr. Neaman, Dr. Christiansen and the team at Neaman Plastic Surgery can help you understand your breast augmentation options, so you feel comfortable and confident in your decision. Many women find that they are unhappy with the balance and proportion of their bodies. In addition, breast augmentation can boost one’s self esteem and help you feel more youthful.

Are You A Candidate For Breast Augmentation?

If you are unhappy with the proportion of your body, or size and balance of your breasts, breast augmentation may be right for you. You might also want to check out other breast surgeries including a breast lift, breast reduction, breast revision to learn more as oftentimes a breast surgery is a combination of procedures that will lift, reduce or add volume, or perhaps rework an existing surgery through breast revision. Your consultation will determine if you’re a candidate for breast augmentation and allow you to explore your choices for achieving the results you desire. See real patient before and after breast surgery photos.*

Benefits of Breast Augmentation

The benefits of breast augmentation are not limited to enhanced size and contour. Breast augmentation can provide aesthetic balance giving women a new sense of self-esteem, often times allowing many to feel more confident in clothing, bathing suits and allow for an increase in wardrobe options.

For the right patients, breast augmentation can successfully:

  • Enhance small breasts
  • Restore breast volume and profile lost due to aging, child-rearing or substantial weight-loss
  • Correct disproportionately sized breasts
  • Balance asymmetrical breasts
  • Revise previous breast enhancement
  • Recreate breast appearance following a mastectomy in conjunction with breast reconstruction

Breast Augmentation Surgery

Breast Augmentation is one of the most popular cosmetic procedures in the US. Please watch Dr. Keith Neaman review common options including breast implant size, breast implant incision location, and the type of implant that will help you achieve the balance and symmetry many patients desire.

“Amazing staff..and even better physician, who not only has great surgical skill but the bedside manner to match. I recommend Dr Neaman for any of your surgical or cosmetic needs he is able to address!”

– Melissa, Actual Patient*

Your Breast Augmentation Consultation

During your consultation, Dr. Neaman or Dr. Christiansen will discuss your cosmetic goals and expectations, as well as breast augmentation preferences including:

  • Type of breast implants
  • Breast augmentation incision options
  • Breast implant placement options


Dr. Neaman or Dr. Christiansen will also review the specifics of your breast augmentation procedure, including risk factors and recovery details, based on your custom treatment plan.

Patient Video Testimonial

Breast Implant Placement

Dr. Keith Neaman discusses breast implant placement locations which are typically above and below the muscle. Most patients today will have the implant placed under the muscle which has specific benefits including shape and upper pole fullness. Learn how Dr. Neaman works with patients to decide where to place implants.

Breast Implant Incision Types

Dr. Dustin Christiansen discusses the three most common type of incisions when performing breast augmentation surgery. Learn more about these types and the benefits of each technique.

Mammograms and Breast Augmentation

Yes, you can have a mammogram after breast augmentation! See Dr. Dustin Christiansen discuss a few key facts.

How Do You Know What Breast Implant Size Is Perfect?

Dr. Keith Neaman discusses the ways Neaman Plastic Surgery helps patients determine what size is a good outcome. Implant sizer systems, looking at before/after photos, and the photos patients bring all help. Learn more by watching Dr. Neaman.

Breast Implant Types for a Breast Augmentation Surgery

There are two common types of implants in breast augmentation including saline and silicone. Learn more about the benefits of each kind from Dr. Keith Neaman.

Breast Augmentation Restrictions Following Surgery

Breast augmentation surgery is one of the most popular procedures in the US. See what Dr. Keith Neaman says about recovery and when you can resume exercise activity.

Should I have a breast lift with a breast augmentation?

Dr. Keith Neaman discusses how a breast lift surgery is added to an augmentation to create better aesthetic harmony.

Types of Breast Implants

One of the most important decisions in planning for breast augmentation is which type of breast implants to use. There are three basic forms of breast implants approved by the Food and Drug Administration (FDA) for breast augmentation:

 Silicone Breast Implants

Silicone breast implants have become one of the most popular implant choices. Many women feel as if these implants resemble and “feel” more like real breasts compared to the other choices. Silicone gel implants are prefilled to a particular number of cc’s using a gel type silicone with a “gummy bear” type consistency. If a silicone breast implant ruptures or leaks, often times the gel consistency will stay within the shell of the implant, however it does have the possibility of escaping. Unlike saline, silicone breast implants will not completely deflate and a rupture or leak is much harder to identify. The only real way to determine if something has occurred is by having an MRI.

Form Stable Implants

Often referred to as “the gummy bear implant” form stable implants offer some unique benefits for the right candidates. These shaped implants allow Dr. Neaman and Dr. Christiansen to give some patients a completely natural look and feel while keeping the implant above the muscle.


In addition to looking and feeling like natural breast tissue, these shaped implants do not ripple, wrinkle or bubble, they hold a natural shape and due to the textured outer shell, may reduce risks for capsular contracture.

Saline Breast Implants

Saline breast implants are filled with a salt-water solution. The implant itself has a silicone outer shell that is inserted as an empty shell during the procedure. After the implant is in place, Dr. Neaman or Dr. Christiansen fills the implant with the solution to the amount of desired cc’s discussed during your consultation. Patients may choose this implant because of the natural solution the implant is filled with. If a rupture or leak occur, the body will safely absorb the fluid. However, if one does occur, the implant will most likely be completely deflated within 48 hours.

Each of these breast implants is available in a spectrum of sizes and contours so you can find the perfect look and feel for your unique frame and cosmetic goals. The best way to learn which one is the right choice for your procedure is by scheduling a consultation with Dr. Neaman.

Featured Breast Augmentation Before/After Photos*

Breast Augmentation Incision Options

Breast implants are placed through four incisions locations.

  • The underarm crease (axillary) approach
  • Periareolar (at the border of the areola) approach
  • The old beneath your breast (inframammary) approach
  • Umbilical incision (tuba) incision


Determining which is right for you mostly depends on the aesthetic goals you are trying to achieve but also the comfort level of the surgeon.


Breast augmentation scars are well concealed and are very discrete. They should not be visible within clothing, and likely hidden without clothing. For the most part, beautiful results can be achieved with each incision and with low risks. Talk with Dr. Neaman to discuss incision locations relative to your aesthetic goals and type of implant and you’ll together come up with a plan that is best for you.

Breast Augmentation Placement Options

Once you have chosen an incision, the next key decision for your breast augmentation is whether to place the breast implants under or over the pectoral muscle.


The implant is placed in a pocket either:

  • Underneath the pectoral muscle, which is located between the breast tissue and chest wall.
  • Underneath the breast tissue and on top of the pectoral muscle.


Both subpectoral and subglandular pockets are widely used by plastic surgeons, but subpectoral placement is the most common current approach as one can more easily hide the edge of the implant with soft tissue coverage. Multiple factors, including your anatomy and your surgeon’s recommendations, will determine how your breast implant is inserted and positioned.

Breast Augmentation FAQ’s

What is breast augmentation surgery?

Breast augmentation surgery involves making the breast size larger and is done with implants. The goal is to achieve a pleasing profile that is in line with the patient’s size and proportion.

How is a breast augmentation different than a breast lift?

A breast augmentation involves adding implants to increase volume. A breast lift involves removing excess skin, relocating the nipple and reshaping the breast profile. Many times, a breast lift is done in conjunction with placement of breast implants.

Should I get silicone or saline breast implants?

Before your breast augmentation, together with Dr. Neaman, you will be required to decide which of the two types of breast implants you want to be placed. You will discuss and weigh the options of the pros and cons related to saline and silicone.

Where are breast implants placed?

Breast implants can be placed either above or below the muscle in your chest. Anatomical considerations must be made by this decision as well as the type and size you desire.

Can I get a mammogram after breast augmentation?

It is true that when mammography is performed on patients who have previously undergone breast augmentation, specialized techniques are used. These methods utilize compression and displacement to move the implant away from the breast tissue. Special views are used to help see the breast tissue clearly. When these methods are used, the presence of an implant doesn’t change the effectiveness of mammography.

Where is the incision in a breast augmentations surgery?

There are three common areas: Trans-axillary (in the armpit), Inframammary (in the crease at the bottom fold of the breast), and Areolar (in the pigmentation line of the areola and skin).

Will people know I had breast augmentation surgery?

When implants are incredibly obvious, it is usually due to poor placement or using an implant that is too large for one’s stature. If it is a natural look that you desire, you and your doctor will consider your height and weight and the natural shape of your breasts, and your results will be optimal.

Will I have scars after breast augmentation?

There are a few different methods in which implants are placed, all of which, with the skill of a well-seasoned plastic surgery, leave minimal scarring. Typically, an incision is made just under the breast, in the natural crease, and is as inconspicuous as possible.

Breast Augmentation Consultation with Dr. Keith Neaman or Dr. Dustin Christiansen

If you’re considering breast augmentation and would like to learn more about your options, please contact Neaman Plastic Surgery to schedule your personal consultation and see breast augmentation before/after photos*. We welcome patients from the greater Portland, Salem, and Eugene, Oregon, areas.