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Breast augmentation, also called “augmentation mammaplasty,” is a procedure designed to enhance the size and improve the shape of a woman’s breasts. Many women report an increased sense of confidence as a result of the added volume and youthful contours that result from this procedure. Breast Augmentation surgery is ranked amongst the top most popular plastic surgery procedures. Breast implants today, even in the conservative Washington, DC metropolitan area, are bigger than ever. Dreaming big, refers also to well proportioned but larger breasts!

How do I know if a breast augmentation is right for me?

Women have many different reasons for choosing breast augmentation surgery, but most of our patients who seek Dr. Rondi Walker for a breast augmentation, patients fall into one of these four categories:

Naturally Small Breasts

Women who have small or asymmetrical breasts due to genetics can achieve enhanced volume and natural-looking results with breast augmentation.

Change in Breast Size After Pregnancy

Pregnancy and breastfeeding often lead to a reduced breast size and cause a deflated breast appearance. Breast augmentation can restore your original breast volume or enhance them to an even larger size.

Breast Revision

If a previous breast surgery was unsatisfactory or resulted in complications, a secondary breast augmentation can be performed to correct any concerns.

Sagging Breasts

Aging, pregnancy, and significant weight loss can cause the breasts to sag and have a poor shape. A breast augmentation (often performed with a breast lift) can improve the shape of the breasts and provide a more youthful appearance.

Silicone vs. Saline

Silicone Implants

  • FDA-approved for women 22 years or older
  • Pre-filled with silicone gel
  • Lower rate of rupture than saline implants
  • Said to feel more natural than saline implants

Saline Implants

  • FDA-approved for women 18 years or older
  • Filled with sterile saltwater solution after insertion
  • If a rupture occurs, it will be noticeable immediately
  • Size can be adjusted during surgery


The Breast Augmentation Process


Once you fill out the form above, you will be contacted to confirm an appointment for a one-on-one consultation with Dr. Walker. Your appointment with her includes an analysis of your health history, any medications you are taking, and what you desire to achieve with the procedure. You should have all of this information with you when you come to your appointment. Dr. Walker will discuss the techniques that will best provide you with the results you desire and answer any questions you may have. As a female plastic surgeon, Dr. Walker finds that most of her patients feel a level of comfort discussing their breast augmentation procedure that they may not feel elsewhere. Dr. Walker has helped countless patients seeking a breast augmentation by a female plastic surgeon to help them enhance their breast size and improve their self-esteem.

Preoperative Instructions

Dr. Walker will review in detail all of the information you need to know prior to your surgery. Generally, patients should avoid smoking and taking anti-inflammatory medication (e.g., aspirin and ibuprofen) for at least two weeks before surgery. Some vitamins and supplements may also cause problems during or after surgery, so it is best to avoid them or to talk to your surgeon about potential side effects. Be sure to arrange for someone to drive you home and care for you for the first 48 hours after your procedure.

During the Procedure

Breast augmentation is typically performed with general anesthesia and takes about two hours to complete. Based on the techniques agreed upon during your consultation, Dr. Walker will place the implants either above or below the pectoral muscle. Her incisions are most commonly made either around the areolas or beneath the breasts at the crease and are closed with sutures.


After surgery, you will likely be advised to wear a compression garment to aid with swelling and to keep you comfortable. Swelling will typically subside after about three weeks but may last as long as a few months. For the first few days after surgery you will need to get plenty of rest and avoid bending or lifting. Most patients are able to return to work in one week and resume regular exercise after about six weeks. At Walker Plastic Surgery, you will be given more detailed information about what you can expect during your recovery.

Breast Augmentation FAQs

Q. Who are the best candidates for breast augmentation?

A. The best candidates for breast augmentation wish to increase the size of their breasts. Most were either born with naturally small breasts or suffered deflation due to pregnancy, weight loss, or aging. Patients who have excessively sagging breasts may be better candidates for a breast lift or a breast lift with an augmentation, both of which can be performed in one operative session. Ideal patients are also in good physical health and do not smoke.

Q. What type of implant should I choose?

A. There are many implant choices available. You have the opportunity to choose between textured or round, silicone or saline, high or moderate profile, and a range of sizes. Dr. Walker devotes an entire additional appointment to discuss your choice of implant, as this is a most important part of your decision making. She will then recommend the best implant for you based on your physical anatomy and desires for the procedure.

Q. Where are the incisions made?

A. The two most common incision locations, and Dr. Walker’s preferred approach to breast augmentation surgery, are under the breast along the crease (inframammary) and around the nipple (periareolar). Other incision locations include in the underarm (transaxillary) and through the umbilicus (transumbilical, or TUBA). She will discuss the pros and cons of each to help determine the best incision location for you.

Q. How long will my breast implants last?

A. Breast implants are not considered lifetime devices and may need to be replaced at some point after the original surgery. However, most surgeons agree that replacement is not necessary unless an issue arises. On average, most women have their implants replaced between ten and fifteen years after they are first inserted.

Q. What complications can occur?

A. As with any surgery, there is a risk of developing complications after breast augmentation. Although rare, the most common complication is capsular contracture. Other complications include implant rupture, symmastia, double-bubble deformity, asymmetry, and implant rippling. Breast revision surgery can correct any complication that may occur.

Q. Is there scarring with breast augmentation?

A. As a board certified plastic surgeon, and with over two decades of expertise in performing breast augmentation surgery,, Dr. Walker’s incisions are placed in locations that are as inconspicuous as possible, and the resulting scars will fade significantly over time. Protecting your scars from the sun will help prevent them from darkening.

Have any additional questions about breast augmentation?