Choosing the right implant is essential to achieving a result that feels natural and balanced. Dr. Wilson offers silicone breast implants and saline breast implants—two common types of breast implants—in a variety of profiles and sizes. Saline implants are filled with sterile salt water, while silicone implants contain a semi-solid cohesive gel and often offer a more natural feel. If a saline implant shell leaks it typically collapses, while silicone gel implants may not collapse and can have a silent rupture, which is why regular monitoring is discussed. He works closely with each patient to determine the ideal combination based on chest width, tissue characteristics, aesthetic preferences, and FDA age approvals—saline breast implants for women 18 and older, silicone implants for women 22 and older. The goal is always to enhance—not overpower—your natural proportions. Some patients may also discuss breast enhancement with fat transfer as an alternative approach, if appropriate.
The incision location and implant placement are carefully planned as part of each patient’s surgical plan based on anatomy, goals, and chosen implant type.
Common incision options for implants include the inframammary fold, periareolar, and transaxillary.
Dr. Wilson will discuss these options with you in detail during your consultation to determine which approach will place incisions in inconspicuous areas to minimize visible scarring while supporting your personal goals.
Subfascial breast augmentation is a specialized implant placement technique in which the implant is positioned beneath the thin layer of fascia that covers the chest muscle, but above the muscle itself. This approach provides more soft-tissue support than placement directly over the muscle, while avoiding the animation deformity sometimes associated with submuscular placement.
For carefully selected patients (particularly those with adequate natural breast tissue), subfascial placement can provide a smooth, natural contour with less postoperative discomfort and a shorter recovery period. During your consultation, Dr. Wilson will determine whether this technique aligns with your anatomy and aesthetic goals, ensuring a result that looks balanced and feels natural.