Breast Implants — Herman Aesthétiques

Breast Augmentation

Shape With Intention.

Breast implants (augmentation mammoplasty) can restore volume, improve symmetry, and refine proportion — with results designed to look soft, balanced, and authentically you.

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A Thoughtful Enhancement

What Implants Can Address

Augmentation mammoplasty builds breast volume using a biocompatible prosthesis placed in a surgically created pocket. It may help with hypomastia (naturally small breasts), postpartum involution (volume loss after pregnancy), or asymmetry due to differences in breast base width or glandular distribution.

Surgical planning considers the breast footprint (base width), skin envelope, nipple–areola complex position, and the inframammary fold — all of which shape how an implant settles and moves over time.

Medical Terms, Made Clear

Key Anatomy & Concepts

Breast parenchyma: The glandular and fatty tissue that naturally shapes the breast.
Pectoralis major: The chest muscle that may partially cover the implant in submuscular or dual-plane placement.
Inframammary fold (IMF): The crease beneath the breast; acts as a “base” for implant positioning.
Skin envelope: Your skin’s elasticity and surface area; determines how much volume it can support safely.
Projection: How far the implant extends forward from the chest wall (low/moderate/high profile).

These factors guide implant selection so the final contour aligns with your torso width, shoulder balance, and desired upper-pole slope.

Implant Options

Implants vary by fill (what’s inside), shell (outer layer), surface (smooth or textured), and profile (projection).

Silicone Gel

Pre-filled cohesive silicone with a soft, tissue-like feel. Lower risk of visible rippling in thin patients.

Saline

Sterile salt-water fill placed empty then inflated. Rupture is immediately noticeable; may feel firmer.

Highly Cohesive Gel

“Form-stable” or “gummy bear” implants maintain shape with a gentle anatomical slope.

Surface & Profile

Smooth shells reduce friction; textured shells may reduce rotation in select cases. Profile sets projection.

Your surgeon will also evaluate implant volume (cc’s), base diameter, and your tissue’s ability to cover the implant to avoid over-stretching and long-term ptosis (droop).

Precision Matters

Pocket Location

Implant placement is defined by the surgical pocket relative to the pectoralis major and breast parenchyma. The pocket controls upper-pole fullness, implant visibility, and how the breast moves during activity.

Submuscular

Implant sits beneath the pectoralis major. Adds coverage and often produces a softer upper slope.

Subglandular

Implant sits beneath breast tissue but above muscle. Useful when tissue thickness is adequate.

Dual-Plane

Upper implant under muscle, lower portion under tissue. Balances natural movement and fullness.

Incision sites include inframammary (hidden in IMF), periareolar (along areola edge), or transaxillary (underarm). Choice depends on anatomy, implant type, and scar preference.

Is This Right For You?

Ideal Candidates

You may be a strong candidate if you are medically stable, a non-smoker (or able to stop), and seeking proportionate enhancement.

Hypomastia or loss of volume after pregnancy/weight change
Breast asymmetry or tubular breast features
Stable body weight and good skin elasticity
Realistic expectations about scarring and healing

A pre-operative review includes medication history, bleeding risk assessment, and screening for conditions that may affect anesthesia or wound healing.

Your Experience

The Process

From consultation to final contour, each phase has a clinical purpose.

Consultation & Imaging

Measurements, tissue evaluation, and sizing to choose implant volume, base width, and profile.

Operative Planning

Incision choice, pocket map, and symmetry goals documented pre-op for accuracy.

Surgery (Augmentation Mammoplasty)

Outpatient anesthesia, pocket creation, implant placement, and layered closure.

Follow-Up & Scar Care

Surveillance for swelling, seroma, hematoma, and scar maturation.

Recovery & Results

Expect edema (swelling) and tightness early. Implants typically “drop and fluff” as the capsule relaxes and tissues adapt.

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Week 1

Rest, gentle walks, and a surgical bra. Bruising and pressure are normal.

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Weeks 2–3

Swelling decreases; range of motion improves. Early contour becomes visible.

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Weeks 4–8+

Resume full activity when cleared. Scar softening and final shape refine for months.

Safety First

Understanding Risks & Monitoring

Common risks include infection, bleeding, delayed wound healing, altered sensation, implant malposition, and the need for revision.

Medical terms you may hear: capsular contracture (tight or thickened scar capsule), seroma (fluid collection), hematoma (blood collection), rippling (visible implant folds), and rupture (implant shell failure). For silicone implants, rupture can be “silent,” so periodic imaging (ultrasound or MRI) may be advised. A rare but important consideration with textured implants is BIA-ALCL (breast implant-associated anaplastic large cell lymphoma); Dr. Herman will review current guidance if relevant.

Questions, Answered

Breast Implant FAQ

How do I choose the right size?

Size selection is based on chest base width, soft-tissue pinch thickness, and implant volume (cc’s). These measurements help prevent over-filling the skin envelope, which can lead to long-term ptosis.

What is capsular contracture?

Your body forms a scar capsule around any implant. If that capsule thickens and tightens, it can feel firm or distort shape. Treatment ranges from observation to capsulectomy (capsule removal) and implant exchange in more advanced cases.

Will implants look natural?

Natural appearance depends on matching implant base diameter and profile to your breast footprint, tissue coverage, and pocket location. A proportional plan avoids excessive upper-pole fullness.

How long do implants last?

Implants are durable but not lifetime devices. Many patients keep implants 10–20+ years. Follow-up exams and imaging help monitor integrity over time.

Can I breastfeed later?

Most patients can. Incision choice and glandular anatomy play a role, and we plan to preserve ductal structures and nipple function whenever possible.

Schedule Your Consultation

Meet with Dr. Herman to review implant types, surgical pockets, and a plan custom-built for your anatomy and goals.

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Breast Aesthetic Expertise

Why Choose
Dr. Herman

Dr. Herman approaches breast augmentation with a sculptor’s eye and a surgeon’s precision — emphasizing safe volume, symmetry, and long-term tissue support.