Who is a Candidate?

Women who feel that their breasts are too small for their body, have breast asymmetry, or feel uncomfortable wearing certain articles of clothing due to their small breasts can often benefit from a breast enhancement. Ideal candidates are healthy, nonsmokers with realistic expectations of the results of their surgery. A consultation with Dr. Homas can help to determine if this surgery is right for you.

The Procedure

The breast augmentation procedure can be performed using either silicone or saline implants. Both implants are commonly used, but do have some differences, each with their own pros and cons.

Saline Implants

Saline implants are made of silicone shells filled with a sterile saline solution. They are placed deflated, through a smaller incision, and filled with saline after in position. These breast implants usually feel firmer than natural breast tissue.  However, if they were to rupture the body simply absorbs the saline solution without any harm to the patient.  A rupture of a saline implant is immediately noticeable.

Silicone Implants

Silicone Implants are made of a silicone shell filled with a silicone gel. These implants feel the closest to natural breast tissue. Since they are inserted already filled, the incisions tend to be longer.  If silicone implants were to rupture, the silicone gel typically stays inside the scar capsule which the body forms around the implant.  As a result, the rupture is often not realized until a MRI scan or a mammogram is performed.

Regardless of which type of implant you choose, the breast implant procedure will involve an incision. Common incisions include the periareolar incision (around the areola), the inframammary incision (in the breast crease), or the transaxillary incision (in the armpit). The type of incision pattern that is right for you can be discussed during your consultation. The breast implants will be placed through these incisions into the breast pocket either on top of or underneath the chest muscle. Incisions will then be closed with sutures.


After your breast augmentation surgery, you will need to wear a special surgical bra to help reduce swelling and support the breasts as they heal. Any bruising and swelling that occurs will typically resolve within a month. Post-operative discomfort can be controlled with pain medication. Physical activity should be avoided for the first couple of weeks after surgery, including pulling or pushing. You may be able to return to work within a few days to a week, depending on the nature of your job.

If you are interested in learning more about breast augmentation surgery in the San Antonio, TX area, contact New Image Plastic Surgery today to schedule your consultation with Dr. Homas.