This is one of the most commonly performed plastic surgery procedures. There are many choices and decisions to be made in this type of surgery. It's about more than the size of your breasts. It's about your body size and shape, symmetry, and achieving an appearance that fits your expectations and your lifestyle. We help you decide the size and type of implant, its placement, and the location of the incision. We take the time to fully understand the outcome you want, and explain the options in detail to help you make the choices that are right for you.

Size and shape
There are many different options to choose from in the implant, with different sizes, shapes, and textures. We take into consideration the size and shape of your existing breast tissue, and then explain the likely outcomes with various options.

Placement
Implants can be placed directly beneath the breast, or inserted deeper under the pectoralis muscle that lies under the breast. We often recommend the under-the-muscle placement for patients who are thin and have little breast tissue. While this method may lengthen the recovery time, it also provides more tissue covering for the implant, resulting in a more natural appearance.

Placement directly under the breast on top of the muscle usually involves a shorter recovery time and is a good choice for patients with adequate breast tissue to cover the implant. Many patients can choose either placement option. We will thoroughly discuss these options with you in detail so that you can make the choice that's right for you.

Keller FunnelTM
Dr. Yearsley is Keller FunnelTM certified which offers many advantages for breast implant patients. It's a single-use cone that guides the implant into position. Dr. Yearsley first prepares a pocket in the breast where the implant will be placed. Then the sterile, double-pouched packaging of the FunnelTM is opened and its special interior coating is activated by submerging or wetting it with saline or an antibacterial solution. This process makes the interior of the FunnelTM extremely slippery. The implant is poured directly into the FunnelTM, which is sized to accommodate the volume of the implant.

Dr. Yearsley inserts the small end of the FunnelTM into the prepared breast pocket, and then propels the implant into place with a squeezing motion. Through this "no-touch" technique, the implant doesn't come into contact with the skin, minimizing the chance of contamination or infection. It also assists Dr. Yearsley in delivering the implant to its optimum position. This technique also offers the advantage of providing more options for the site of the incision through which the implant will be inserted.

Advantages of the Keller FunnelTM include:
  • No-touch delivery technique
  • Decreased surgery time
  • Less stress on the shell of the implant
  • Reduced incision lengths
  • More options for incision placement
  • Less tissue trauma
Incisions
The incision can be made in the fold under the breast, in the armpit, or around the areola, which is the dark tissue around the nipple. The most common choice is to place the incision in the fold under the breast, where it is generally hidden and inconspicuous. However, there are pros and cons for each option, and we will explain them all in detail to help you make the best choice for you. Dr. Yearsley is well versed in each approach.
Before and After Images

Ask Dr. Yearsley

Begin a conversation with Steven Yearsley, MD, board-certified plastic surgeon, even before your free consultation. It's private, secure, and easy.

Ask Dr. Yearsley