Black and White Photo of Woman's Chest with Black Bra Reads Breast Black and White Photo of Woman's Face with hand on chin reads Face Black and white photo of woman's lower body reads Body Black and white photo of man's muscular chest reads Male Black and White Photo of Woman's Pregnant Stomach Reads Mommy Makeover

Breast Augmentation

Breast Augmentation Richmond, VA - Breast Implants Richmond & Charlottesville VA
Board Certified Plastic Surgeon Matthew G. Stanwix, MD FACS

Breast augmentation with implants, also known as mammoplasty, is a surgical enhancement procedure of Board Certified (American Board of Plastic Surgery) Dr. Matthew G. Stanwix expertise which accentuates the size and shape of a woman's breasts. Breast augmentation with implants is a tremendous help to patients who desire a fuller profile, who have lost breast volume due to pregnancy or nursing, or who have undergone breast reconstruction and want to gain a more natural look again.  While breast augmentation will make the breasts larger, the surgery will not move the breasts closer together and only occasionally will lift sagging breasts.  For this reason, Dr. Stanwix combines breast augmentation (enhancement) with advanced breast lift (mastopexy) or other procedures if he feels that your body requires this for the best result.


Reasons for Considering Breast Augmentation:

  • Enhance body shape if breasts are too small.
  • Increase breast volume after pregnancy and nursing.
  • Equalize a difference in breast size (cup size) to gain breast symmetry.
  • Reconstruct breasts following a mastectomy or injury.

Choosing the Right Type of Breast Implant

There are many options on the market for breast implants, each of which was created to fit differing natural body size and meet specific patient goals. Dr. Stanwix can help you narrow down your options and choose the implants that are right for you. Available implant types provided at our office include:


These implants use an elastomer (silicone) casing to hold a sterile saltwater solution, which imitates the feeling of natural breasts. Saline implants are inserted through a small incision prior to filling. In this method, scarring appears minimal. In the event of accident or injury, these implants are safe; the salt-water solution is naturally absorbed and expelled by the body.


These implants use the same elastomer outer case as saline implants but are filled with a cohesive silicone gel that more accurately mimics the movement of natural breast tissue.  Silicone gel maintains structure despite rupture in the event of an accident, preventing the breast from reshaping. This option is available for women age 22 or older.  These implants are like gummy bears and do not leak fluid and keep their cohesive formed shapes.  Silicone implants come in:

  1. Textured and smooth
  2. Shaped, round, or oval.
  3. Low, high, ultra high, moderate, or moderate plus profile   

Dr. Stanwix will spend ample time going over the advantages of each characteristic of the implants during your consultation

                                   Before                                                                             After 

                                                       Patient of Dr. Stanwix with Silicone Implants 

Fitting Your Breast Implants

Once your desired type of implant is selected, you have the option of choosing how your implants will fit, how large in diameter they will be, and how far they will project. Dr. Stanwix completes a detailed analysis of your body type, discusses your goals with you, and generates a treatment plan to ensure a finished aesthetic that fits your natural body shape.  His experience of doing this all the time will bring a relief to you and make you feel at ease during the process.

Implants can also be either round or teardrop shaped, depending on the style of the implant and individual preference. Round implants provide an uplifted appearance and are easily customized to fit the proportions of each individual. Teardrop implants are known for their natural shape and maintain their form between lying and standing.

Women also have the option of choosing between smooth or textured implants. Smooth implants are made using a soft material that does not attach to the body and allows free-flowing movement of the implant. Textured implants are made using a rugged surface that stabilizes the implant’s shape and prevents the implant from flipping over.  

The size of the implants is up to you!  Have fun trying on different sizes with a novel sizing system.  Dr. Stanwix will give you an idea of what looks natural or unnatural depending on what your desires are and based on your measurements (and a ton of his experience and his artistic eye for beautiful breasts).  Overall it is best to try on various sizes in front of the mirror in his sizing room, with different sets of clothes or bras/bikinis.  Bring a friend, spouse, significant other to help enhance the experience!

General Procedure

Dr. Stanwix makes a small incision underneath the breast fold or around the aroela  to insert a breast implant. Dr. Stanwix then places the implant underneath the chest muscle, either parial (dual plane) or fully (submuscular), or above the muscle in the subfascial or sublandular plane in order to enlarge the breast. The surgery is commonly performed on an outpatient basis at a hospital or state-of-the-art surgical unit while the patient is under a general anesthesia and asleep. There are several possible locations for the small incision that will be used for inserting the breast implant. The most frequent technique utilizes an incision made in the lower portion of the breast. Another technique, involves making an incision in the armpit. A third technique makes an incision around the areola (the darker skin surrounding the nipple). A newer technique uses an incision in the belly button, thus reducing the chance of scarring in the breast area. The best technique will be decided together between the patient and Dr. Stanwix during the consultation.

During surgery, Dr. Stanwix creates an open pocket under the breast tissue or beneath the chest wall muscle. Inserting an implant behind each breast can increase a woman's breast size by one or more bra cup sizes. Implants typically contain a saline solution (similar to saltwater) although in special cases the implants can contain a silicone gel. In some circumstances, particularly those in which there is breast asymmetry (uneven breast size), an inflatable implant may be used to allow the Dr. Stanwix to adjust the level of inflation to attain breast symmetry and balance. Surgery typically lasts from 1 to 2 hours.

Recovery Process

Dr. Stanwix will go in detail over the postoperative care and activity level you may proceed with. Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. Dr. Stanwix applies bandages right after surgery to aid the healing process and to minimize movement of the breasts. Once the bandages are removed, a specialized surgical bra will need to be worn for several weeks. Patients sometimes report minor pain associated with the surgery. This pain can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the directions Dr. Stanwix provides you after surgery.