Breast augmentation has been one of the most popular cosmetic surgeries for decades, consistently ranking among the top choices for individuals seeking enhancements in body contour. According to the American Society of Plastic Surgeons (ASPS), nearly 300,000 procedures were performed in 2022 alone, proving that breast augmentation continues to be one of the most popular procedures.
In recent years, innovations in surgical technique, implant materials, and patient safety have revolutionized breast augmentation, allowing for safer, more personalized procedures than ever before. In this article from New York Group for Plastic Surgery, we will explore how this field has evolved over the decades and what that means for those considering breast enhancement today.
A brief history of breast augmentation
The early years of breast augmentation
The roots of breast augmentation go back to the early 20th century, though the first modern silicone implants were introduced in the 1960s. In these early years, implants were typically placed above the chest muscle, and procedures often relied on a limited understanding of incision techniques, which sometimes led to complications and noticeable scarring. By the 1980s and 1990s, silicone and saline implants became more popular, and the demand for breast augmentation surged as cultural norms shifted to embrace body positivity and aesthetic enhancements.
The introduction of silicone and saline implants
Silicone implants gained FDA approval in 1962, marking the start of widespread use. The silicone gel provided a more natural feel, appealing to patients seeking subtle, realistic results. However, concerns over implant safety arose in the late 1980s, leading to restrictions on silicone implants in 1992. During this period, saline implants, which use a silicone shell filled with sterile saltwater, became a preferred alternative. After extensive studies confirmed their safety, silicone implants were reapproved for use in 2006.
Innovations in implant materials and types
Silicon versus saline implants
Modern implants are a significant improvement over early designs, offering more choices to suit individual needs. For example, silicone implants now include cohesive gel options—often called “gummy bear” implants—which hold their shape even if ruptured. This reduces the risk of leakage and provides a more durable, natural feel. Saline implants have also improved, with options like the structured saline implant, which provides a more natural appearance than traditional saline implant types that were more rigid.
Textured versus smooth implants
Patients can also choose between smooth and textured implants. Textured implants, introduced in the 1980s, were designed to stay in place and reduce the risk of capsular contracture (scar tissue formation around the implant). However, recent findings and FDA warnings have linked textured implants to a rare form of cancer known as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). This has significantly reduced textured implant use, with most surgeons opting for smooth alternatives to ensure safety.
Advances in surgical techniques
Inframammary incision as a preferred option
Innovations in incision placement have significantly reduced visible scarring. One trend has been the shift towards the inframammary incision in the crease beneath the breast. According to ASPS, inframammary incisions were used in 80% of recent breast augmentations, up from 68% in earlier years. This approach offers surgeons better access to the chest muscle and minimizes visible scarring, contributing to a more natural look and feel for the implants.
Submuscular implant placement for natural results
Another significant trend is the increased use of submuscular implant placement, where the implant is positioned beneath the pectoral muscle. This technique, favored by 56% of plastic surgeons today (up from just 22% in earlier years), provides a more natural slope to the breast and reduces the risk of capsular contracture. Additionally, placing the implant under the muscle can help prevent the implant from interfering with future mammograms.
Modern-day breast augmentation at New York Group for Plastic Surgery
Breast augmentation today is safer and more customizable than ever before. Thanks to innovations in implant materials, incision placement, and patient safety protocols, this procedure can be tailored to meet individual needs precisely. At New York Group for Plastic Surgery, we’re committed to staying at the forefront of these advancements, and we offer each patient a customized approach that aligns with their aesthetic goals and lifestyle.
Whether you are considering breast augmentation for the first time or revisiting your options after previous procedures, you can expect a level of care rooted in the latest techniques and evidence-based practices. Our team is here to answer all your questions, provide a thorough consultation, and ensure you have the knowledge and support to make informed decisions. Please schedule a consultation with our board-certified plastic surgeons at the New York Group for Plastic Surgery to explore your personalized breast augmentation options.
