Breast Augmentation Overview
Women who are unhappy with their breast size may consider breast augmentation surgery to enhance their shape. As one of the most frequently requested cosmetic surgery procedures among Baltimore women, breast augmentation is designed to enlarge the breasts with the use of either silicone gel or saline-filled implants. Breast augmentation techniques have advanced so greatly over the past few years, that today’s results, under a qualified surgeon, appear beautiful and natural. During the consultation, Dr. Woodyard will work with her patients to understand their aesthetic goals, including breast size and desired shape.
Breast Augmentation Reviews
"Dr. W is an excellent surgeon who I would highly recommend. This was a great decision & the care I received from Dr. W and her staff was wonderful."- Anonymous / Office Visit / Nov 12, 2014
"Your gift provided me the serious body image boost I needed to wear the wedding dress of my dreams."- P.F. / Office Visit / Nov 12, 2014
"Want Breast Surgery???!.... Janet Woodyard is THE BEST!!! - Owings Mills, MD - After feeling self conscious about my undersized chest for years and breastfeeding two, I decided, "That's it, I'm doing something about this now!" I spent every evening for a week looking at reviews, websites and blogs. After deciding to move forward the next thing I had to do was pick my surgeon. For me this was a very personal, private decision, one I didn't feel comfortable discussing with just anyone. For me, having a male surgeon was not an option. Why would I want to go to any man for breast advice, let alone be undressed in front of him- no way! So onto the women I searched!When I found Dr. Woodyard I thought I'd give her a try and go to a consult, why not... I had nothing to lose! From the moment I walked through the door I had a good feeling. I went from being very nervous to at ease immediately! The office staff were amazing! Brittany and Stacey were so welcoming! I immediately felt like I was in a safe zone and actually wanted to talk about surgery, what I felt needed corrected, my insecurities etc! These girls didn't even ask me any questions... They were just at the front desk! I just felt like they were old friends and we were girl talking! This was not what I expected! I was imagining some sterile, serious sort of intimidating place! Can I just say, I loved it there!!!Ashley took me back before Dr. Woodyard came in. She was great! She was so friendly, helpful and made me feel right at home! Then Dr. Woodyard came in... I knew RIGHT away I had found my surgeon! She was friendly professional, and really listened to what I said. She never made me feel like her opinion was more important than mine. She looked me over (I wasn't even embarrassed!) and sat on the bench and gave me every possible fact, pro, con etc. Every website I read said to bring a list of questions with me so that I had every question answered, I was ready with plenty of them. At the end of her going over everything she asked me if I had any questions... I HAD NOTHING! She had answered every single thing I ever read, or could think of! This lady was good! She spent so much time with me! That's was it for me, I made my decision and scheduled that day! There was no turning back! I went for my pre-op appt. I brought pictures of what I wanted to look like (if my anatomy would allow). Dr. Woodyard looked over them, told me how she believed I could best achieve that look and listened to me. She never said "I think you should...." I really appreciated knowing that when I went under the knife and was asleep she was clear on what I wanted. I trusted her! At the end of the day my surgery was about her knowledge and experience, but even bigger about trust. I found someone I trusted with my own body, that was HUGE for me!!! On the day of my surgery she came in and measured etc. I even showed her my favorite picture again. :) Dr Woodyard has a very calm, warm, confident way about her. I had full confidence in this woman, and was eager to see what she could do! When I went back to the operating room, I have to admit it I was nervous, there was no turning back now! Seeing Dr. Woodyard in the operating room was very reassuring, she is totally in her element and you can tell she loves her job! There was even classical music playing!After surgery she went out and talked to my husband, he was amazed at how informative she was and he told me later "Dr. Woodyard was very clear on what you wanted and tried to do everything possible to give you the results you requested. She really cares!"My results are EXACTLY what I was hoping for (secretly my expectations were way lower than my results... I've seen a lot of scary Frankenstein looking, boob jobs online with other surgeons) Dr. Woodyard did an amazing job! I am forever grateful! Something that was a huge insecurity in my life has now turned to confidence! I would highly suggest Dr. Woodyard and her staff to everyone! And yes, I would do this a hundred times over and not change one single thing! Dr. Woodyard, Ashley, Brittany, and Stacey, thank you all! You have given more than you know! You all made this process seamless and fun! I am forever grateful!!!"- T. / RealSelf / May 31, 2016
"Breast Augmentation at 35 - Dr. Woodyard is extremely professional and thorough. She explained everything in full detail, gave me exactly what I wanted, and I am beyond pleased with my results!!"- E. / RealSelf / Feb 07, 2018
"Dr. Woodyard is extremely knowledgeable and answered my questions before I could ask them. I never realized the whole process of a breast augmentation until Dr. Woodyard laid it out for me. She is HUGE on preventing infection more so from any doctor I have ever seen. All of her staff are extremely friendly and caring and always has smiles on their faces!"- E.M. / Google / Oct 22, 2019
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). Patients must be at least 22 years of age to receive silicone implants.
Other Implant Information
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 provide more upper pole fullness and are frequently used in breast augmentation, while anatomic-shaped (teardrop-shaped) implants have a more natural breast shape and are frequently used in breast reconstruction.
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.
- Submammary (Retromammary): Under the mammary gland, over the muscle (sometimes called 'subglandular')
- Submuscular (Retromuscular): Mostly under the muscle
- Dual Plane: Along two planes/layers
- 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 (Not Recommended)
- Transumbilical: The incision is made in the belly button (Not Recommended)
Breast Augmentation During/After 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.
Breast Augmentation Expected Cost
The cost for breast augmentation surgery will vary depending on whether saline implants or silicone implants are used. The total cost for breast augmentation using silicone implants is about $6,300-$6,800. Saline implants generally run approximately $600 less.
Plan Your Procedure
- Total Cost
- $6,300 - $7,500
- Recovery Time
- 4 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- 1 Day
- Procedure Recovery Location
Breast Augmentation FAQs
Saline or Silicone?
Both saline and silicone implants are popular choices among surgeons and patients. In general, women with a moderate amount of breast tissue are good candidates for either type of implant, 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. The risk of implant rupture is low but it gradually increases over time as the implants become older. 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 may be necessary to detect a silicone defect.
How Long do They Last?
Most implants will last 10-15 years or 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.