Breast Augmentation Surgery (Saline/Silicone Implants or Fat Transfer) – Boston, MA

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About Breast Augmentation

Cosmetic breast surgery is a procedure that redefines the breasts to create a fuller appearance. It is often considered to be one of the most wanted cosmetic surgeries, offering women who are unhappy with their breasts many options for improvement. Using implants or a fat transfer, this procedure improves breast shape, size, and symmetry, and creates an appealing and natural-looking outcome. Boston, MA plastic surgeon Dr. Daniel Del Vecchio is skilled in executing this surgery and performs countless breast augmentations each year. He is also the pioneer of the expansion vibration lipo filling method (EVL), which is one of the safest and most effective ways to transfer fat for breast augmentation. During your consultation at Back Bay Plastic Surgery, Dr. Del Vecchio will listen to your concerns and desires and educate you on all of the options available while also creating a surgical plan to meet your goals.

Implant Options

During your consultation with Dr. Del Vecchio, the correct implant will be recommended based on your body frame, as well as the results you wish to achieve. Implants come in different sizes and profiles, as well as shapes and textures — all of which are taken into consideration in order to attain the desired appearance. Today, the most common implants are saline or silicone, both widely chosen and safely approved by the FDA (Food and Drug Administration). It is important to mention that those considering saline implants must be at least 18 years of age while patients must be at least 22 years old in order to receive augmentation with silicone. Other options include gummy bear implants, a fat transfer with Dr. Del Vecchio's advanced EVL technique, or a combination of the two. Aside from the type of augmentation chosen, there are other important factors to consider.


Implant size is determined based on the number of CCs of silicone or saline used. To pick the appropriate amount, Dr. Del Vecchio will look at how much original tissue exists and the size you desire to be. During surgery, it is common for Dr. Del Vecchio to temporarily switch out several implants to get an idea on a better fit.


Breast implants are made in either a round or teardrop shape. Both shapes are commonly used; however, a large majority of our patients decide on a round-shaped implant. It often looks more natural and adds a fullness to the upper breast that a large percentage of patients desire.


Breast implant profile refers to the projection. Meaning, this is what one sees from the side view. The most common projections include low, intermediate, high, or extra high.

Making Your Choices

These options may appear overwhelming, but agreeing to the correct implant is easy once the goals are discussed during the consultation. These considerations, combined with the expertise of Dr. Del Vecchio, ensure the right outcome is attained.

Ideal Candidates

The choice to have breast augmentation is a personal decision. If you are contemplating this treatment, you should be physically healthy with breasts that are developed and be the appropriate age to get implants. If you are dissatisfied with the size and shape of your breasts because they appear shapeless, you may benefit from breast enhancement surgery. In addition, if your breasts have been affected by weight loss or pregnancy, this cosmetic treatment can bring them back to life with increased volume. It is also a welcomed solution if you lift weights or have an overall lack of natural breast tissue.

Surgical Technique

Incision type, as well as implant placement, are discussion points that are made before surgery. During the procedure, an incision is created and then the implant will be slipped into its position. There are a couple of methods that may be used for implant placement. These include either submuscular placement (under the pec muscle) or submammary/subglandular placement (over the pec muscle). Where to place the implant is based on numerous factors, including the type and degree of implant enlargement, as well as the opinion of Dr. Del Vecchio. Regardless of the incision, scarring is generally minimal. Implant placement is determined based on your body type, implant size, and lifestyle.

What to Expect

Breast enhancement surgery is performed as an outpatient procedure using general anesthesia. Once the incision is made, the implant chosen for enhancement will be inserted through the incision and deposited into a pocket created for it, and then fitted into its proper position. After this process, the incision is closed with sutures or surgical adhesives. All patients will be taken into recovery and observed and monitored before being released. You will be sent home wearing a compression garment to assist with swelling. Within a few days, the swelling and bruising will start to decrease, and the breasts will begin to feel normal as they settle into their new position. A large percentage of patients can return to normal activities within the first week; however, exercise should be avoided for a minimum of 6 – 8 weeks. Cosmetic breast surgery creates beautiful outcomes that look and feel natural. This treatment in most cases can be life-changing for many patients, allowing them the chance to feel more self-assured.

Frequently Asked Questions

How much does breast augmentation cost?
Your total cost for breast augmentation surgery will vary based on your implant choices and if you are having any other surgeries at the same time. Once your treatment plan is developed in your consultation, Dr. Del Vecchio can talk to you about estimated costs and financing options. To ensure your results match your goals and last a long time, it's important to focus on quality over costs.

Do I need a breast lift or augmentation?
Your treatment plan may include breast augmentation, a breast lift, or both. A breast lift removes excess skin and improves the position of the breasts while augmentation addresses the size and shape of the breasts. During your consultation with Dr. Del Vecchio, he will listen to your needs and goals before explaining your best treatment options. 

Can I breastfeed with implants?
If you want to breastfeed after breast augmentation, be sure to tell Dr. Del Vecchio during your consultation. It is usually possible to breastfeed after implants with the right surgical technique and placement. Pregnancy and breastfeeding can alter your results so it is best to wait until after you are done having children to have breast augmentation.

Can I have my implants removed?
You may decide at some point that you want to replace or remove your implants. If this happens, Dr. Del Vecchio can perform breast revision surgery. During the revision surgery, your current implants can either be replaced with new implants or simply removed. If you choose to have your implants removed, you may need to have excess skin removed since larger implants can stretch your skin. If you have any questions or concerns after your breast augmentation surgery, schedule an appointment at Back Bay Plastic Surgery to discuss your options.

Do implants cause breast cancer?
The Food and Drug Administration (FDA) is still investigating a possible link between breast implants and anaplastic large cell lymphoma (ALCL). This is not breast cancer but a cancer of the immune cells. According to the World Health Organization (WHO), breast implant-related ALCL is very rare and when caught early, it is easy to treat. Dr. Del Vecchio encourages all patients with breast implants to get regular screenings for breast cancer. You should contact Back Bay Plastic Surgery if you notice any concerns, such as swelling or other visible changes.

Get the Look You Want

Breast augmentation surgery is notorious for so many reasons. This cosmetic surgery is safe and effective and produces amazing results. With an abundance of augmentation options, you can have the look you have always dreamed of. Back Bay Plastic Surgery is excited to provide this proven procedure, and we invite you to learn more. Contact Back Bay Plastic Surgery in Boston, MA to plan your private consultation with seasoned plastic surgeon Dr. Daniel Del Vecchio.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.