Once you’ve decided to have breast augmentation, there are still a number of decisions to make regarding your breast implants. At our practice serving Washington, DC; Chevy Chase and Bethesda, MD; Arlington and Fairfax, VA; and other nearby areas, your plastic surgeon will review how choices such as implant size and fill material will impact the look and feel of your final results. What works for one woman may not work for your body type and desired outcome.
We’ve created this page to help you understand your options and how they contribute to the look of your breasts after surgery.
Breast Implant Material
Breast Implant Shape
Breast Implant Sizing
Augmentiation without implants
Are Silicone or Saline Breast Implants Better?
Breast augmentation patients have a choice between silicone gel and saline breast implants. Breast implants filled with cohesive silicone gel are the most popular, but the decision basically comes down to personal preference.
Saline Breast Implants
Saline implants are comprised of a silicone rubber shell that is filled with saline solution during surgery. Because saline implants are filled after being inserted, surgeons can make slightly smaller incisions. If a saline breast implant ruptures, the body safely absorbs the fluid.
Silicone Breast Implants
Most patients and surgeons believe cohesive silicone gel implants look and feel more like natural breast tissue than saline implants. In fact, they are now much more popular than saline. According to The Aesthetic Society, in 2019, 88% of the 280,692 breast augmentation procedures in the U.S. used silicone implants, while 12% used saline.
IDEAL IMPLANT®
The latest implant to gain FDA approval is unlike your other options. Available only through a network of board-certified plastic surgeons, the IDEAL IMPLANT was designed with beautiful results and patient safety in mind.
Unlike traditional saline and silicone implants, the IDEAL IMPLANT is designed with a series of implant shells nested together. The implant has two separate chambers that hold saline filler. This unique structure controls the movement of the saline filler and reduces the likelihood of wrinkling, folding, and rupture.
The IDEAL IMPLANT offers the natural look and feel of silicone, without the associated risks of undetected rupture and leakage, by using the same time-tested and safe saline solution patients have been enjoying for years. Behaving like a silicone gel implant, the IDEAL IMPLANT does not collapse when upright and does not bounce excessively—the internal structure of the implant and separated chambers of saline allow for movement that more closely resembles natural breast tissue.
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Are Silicone Breast Implants Safe?
A new generation of silicone gel implants, approved by the FDA in 2006, is available to women over the age of 22. Mentor and Allergan, 2 U.S. companies that manufacture silicone implants, have both concluded through long-term clinical trials in cooperation with the FDA that silicone implants are safe and effective.
For the first time in 20 years, Sientra has had a successful breakthrough in the implant market that has long been vested in just these two producers. Also, FDA approved, Sientra provides safety, quality, and reliability in addition to offering a cutting-edge portfolio of implants for patients and surgeons to choose from. If you’re interested in learning more about the safety of silicone breast implants, visit breastimplantsafety.org.
Breast Implant Shape: Round or Teardrop
Breast implants also come in different shapes. While round implants have long been a popular option, new textured, teardrop-shaped implants are gaining traction as a great option for natural-looking and feeling results.
Round Implants
Round implants are available in both saline and silicone. They are circular and flat, allowing them to conform to the natural anatomy of your existing breast tissue and chest wall. On many patients, they project farther out from the body, making them a great option if you desire greater fullness in the upper part of the breast (upper pole).
Shaped or Teardrop Implants
These implants are anatomically shaped and resemble the teardrop contour of a natural breast. They are available in highly cohesive silicone and are often recommended to patients who want more fullness in the lower breast and a natural appearance.
A Reputation Built on Results
I came to Dr. Albino from another local surgeon, hoping to get a more encouraging second opinion after a double mastectomy and breast cancer treatment. Not only did I get an encouraging second opinion, my results are far greater than anything I expected. My reconstruction journey started with expanders, and for months I heard "you won't love your results but you'll be ok with them one day," and this was hard to grasp. I couldn't imagine looking in the mirror and seeing the remnants of cancer for the rest of my life. Dr. Albino gave me so much hope and optimism that I could be happy with my results. I had an implant and fat grafting revision with Dr. Albino almost 3 weeks ago, and I am thrilled with everything! Not only am I ok, I love the way I look. I feel like me again. I have recommended him to everyone I know, and cannot sing his praises enough. He is meticulous and professional, but has amazing bedside manner and true compassion for this difficult journey. The office staff is pleasant, and Heather has responded to about 80 emails from me without a single complaint. I am so grateful for this practice that gave me my confidence and my body back. If you have the opportunity to work with Dr. Albino I highly recommend him!
LLindsey Shaver
Got my breast augmentation done - Dr Rao uses preserve minimally invasive technique, With shorten of recovery time and you don't have to go under general anesthesia. It's done under Ivy sedation Excuse me....oh my God This technique is a game changer... I am only two weeks postop surgery, but I am Healed very well with no complications. I started going back to work four days After the procedure and my results are perfect.
RR M
Choosing Dr. Christopher Fleury as my plastic surgeon was one of the best decisions I made after my breast cancer diagnosis.
From the very first appointment, he made me feel comfortable, and honestly, that mattered more than I could have imagined given everything else I was dealing with. He listens. Really listens. He took the time to understand what I wanted my reconstruction to look like instead of assuming he knew what was best for me. I wanted a natural result that stayed close to my original size, and every decision along the way reflected those conversations. Although I'm still in the middle of reconstruction, I already feel completely confident in where we're headed together.
None of that would matter if he weren't exceptionally gifted technically, but he is. He performed my reconstruction after my double mastectomy, including tissue expander placement, ADM placement, and a nerve allograft. One of the biggest surprises was learning he could perform the nerve allograft. I hadn't even known that preserving the possibility of sensation was an option, and he took the time to explain both the potential benefits and the limitations honestly. Knowing I have a real chance of regaining sensation down the road is something I'll always be grateful for.
What stood out just as much was how well he understood the cancer side of this, not just the plastic surgery side. When I asked about direct-to-implant reconstruction, he walked me through why it wasn't the right fit for me and why he recommended the expander approach instead. Rather than giving me a one-size-fits-all answer, he explained the reasoning behind every recommendation. That told me he was thinking about my long-term outcome, not just what was easiest.
He also worked seamlessly with my breast surgeon, Dr. Bonnie Sun, and I can't overstate how reassuring it was to know they approached my treatment as a team. When you're facing cancer, that kind of collaboration matters.
What really sets Dr. Fleury apart, though, is who he is as a person. He's warm, approachable, and has a calm confidence that puts you at ease even when you're overwhelmed. He greets me at every appointment with genuine enthusiasm and makes me feel like we're tackling this together. Those may seem like small things, but during one of the most difficult times of your life, they're anything but. You'll feel heard, respected, and genuinely cared for.
There are many talented plastic surgeons. What makes Dr. Fleury exceptional is the rare combination of elite surgical skill, cutting-edge expertise, deep understanding of breast cancer reconstruction, genuine respect for his patients' goals, and extraordinary compassion. Those qualities don't always exist in the same physician, but they do in him.
If you're facing breast reconstruction after a breast cancer diagnosis, I cannot recommend Dr. Fleury highly enough. I am incredibly grateful he's part of my team.
TTori
Dr Albino is great ! He readily stated he could fix my problem when three other ones could not. I plan to have an unwanted breast implants removed and a lift to get back to my desired size. . He is attentive, kind, smart . Office staff is the same .
Bbrenda kline
I had breast lift with Motiva, mini implant and flank Lipo with Dr. Rao- He’s done a great job. I’m postop and feel the results have been really well done. It’ll take a while for me to see the final results, but I feel confident that they will look great. Bedside manner and expertise have all been top-notch.
BBad Art with a Psychologist
Dr Rao is a miracle worker. After being told by another plastic surgeon that reconstruction with implants after double mastectomy was impossible, I was fortunate to find Dr Rao. He gave me new breasts similar to the originals.
Dr Rao is a really wonderful doctor.
PPatricia Lazarides
Best doctor ever! I had my breast augmentation with Dr. Rao and the entire experience was great!
AAriana Carter
I first saw Dr. Rao for a ruptured breast implant (original implants placed in 2013). He not only cleared the leaking silicone and replaced the implants, he did some kind of surgical mesh magic, lifting my aging chest and bringing a symmetry that I honestly don’t think I had even before I sacrificed my breasts on the alter of breastfeeding 4 children. Dr. Rao is that talented! Additionally, the office is not only efficient but so soothing, so relaxing that I am actually tempted to slip in with a book and a cup of tea just to experience again the ambiance, the kindness and beautiful smiles of his staff, not to mention Dr. Rao himself who breezes in and out in cheerful, sartorial splendor. Many thanks to the whole team!!
Five stars all the way!!
AAnn Betoni
Dr. Rao and staff have been fabulous. From working with the team through my double mastectomy tissue expander insertion/fill to final implant swap surgery; they have been professional, patient, caring, and responsive – answering all my questions and providing sometimes-needed emotional support. I’m very happy with the results. I highly recommend this team and practice. :-)
MMary Lee Keen
Dr Fleury did a great job doing a breast revision using fat grafting from liposuction from my legs and torso. One of my breast implants ruptured in February ( 20 years old ) and Dr. Fleury and his staff made sure I had the orders in place for a mammogram which I was due for and making the surgery date as soon as possible. Erin, coordinator, was in great writing up the detailed surgery options. Alisa and Alexandra, nurses, were excellent in assisting at my office visits. Sherry, a long time Coordinator of CPS greeted us on day of surgery, Diane was a fantastic surgical nurse as was the anesthesiologist. Dr. Fleury, who is very positive and professional with a good sense of humor was clear about explaining the procedure did an excellent job with the surgery. Breasts are perfectly symmetrical and great job on using the slimming liposuction. 5 stars for CPS!!!
HHolly Morgan
A month ago, I had breast implants removal. I had an excellent experience with Dr. Kanuri on all the appointments before and after surgery. He is very kind and has great bedside manners. Doctor Kanuri, was very nice to reach out to me the same day after surgery and ask how I was feeling and if I had any concerns. Also, after appointments he always contacted me by e-mail to be sure if I don't have any more question. My surgery went very well and I am happy to recommended Dr. Kanuri to anyone who is looking to get a cosmetic procedure. You truly won't find a better surgeon and kind-hearted person.
AAnna T
Dr. Albino and his team were fantastic! I was referred to him by my best friend who underwent reconstructive surgery after breast cancer. He did a phenomenal job with her so when I decided that I wanted my silicone breast implants removed I knew I needed someone that could help me look my best and keep the surgery itself as minimal and non invasive as possible. My case was special because I had the implants since I was in my early 20's (I'm in my late 50's) and every doctor I consulted with told me to just leave them in! Even though I could feel the scar tissue, they felt like rocks. I had a significant weight loss last year which made the scar tissue even more pronounced.
From the consultation to the day of surgery, I was well informed during the entire process. Dr. Albino and his team were upfront about cost, procedure and the results? My results are mind blowing, if I weren't for the incisions, you would never even know I had surgery! My downtime was nearly non existent (I was up and around the week after surgery) and I had zero issues....the majority of the swelling even went down in a few days! I cannot recommend him enough.
LLianne Farbes
I swear Dr. Rao is the best! I have no regrets going with him twice on my breast implants and a mini tummy tuck to remove excess skin. He is caring, attentive, and understanding.
LLisa English
My experience at CPS and Dr. Kanuri was wonderful!! He is extremely caring and was very thorough with explaining everything about my breast lift and implant replacement. His surgical staff were so so nice and put me at ease the day of surgery. I love my results and definitely recommend Dr. Kanuri and his staff!!
DDonna Hafner
I had a really good experience with Dr Albino. He did chin liposuction and breast augmentation for me.
He is very professional and knowledgeable! Answered all my questions. It was easy to communicate with him.
After the consultation I felt like I was in a good hands.
His coordinator Shiloh was really nice and helpful .
I am happy with the results!
Nnatallia stephenson
The best plastic surgeon in the DMV. The attention and care he gives his patients is world-class. He is very attentive to what his patient wants and is looking to accomplish. Dr. Kanuri did my mommy makeover (breast augmentation w/lift, tummy tuck w/ ab reconstruction, and lipo 360). In my mid-40s and I finally have the body of my dreams! I highly recommend him to anyone looking to enhance - improve - revise!
VVeronica Clarke
Dr. Kanuri Did "Complicated"
"It was complicated"- that's what I heard from 6 doctors when I needed to have a revision after my radiation treatment to my DEIP flap mastectomy reconstruction (using my own abdominal tissue vs. implant).
Only one doctor had both the confidence and a plan that has led to success--Dr. Kanuri.
He has given me back hope that I can have a better quality of life (more like my old self) after cancer.
He listened to me. Explained all my options and related risks from least invasive to worst, from worst case to best case scenario. He involved me and my husband in decision making and checked in with me every step of the way.
I've been blessed with great doctors and Dr. Kanuri is at the top of the list.
I highly recommend him for your plastic surgery needs. Know that even if it's complicated, he's got you all the way!
NNicole C.
Ruptured Saline Breast Implant Removal with no Replacements. Dr. Kanuri did an amazing job. The little swelling I had was gone after 1-day, and no pain at all. He is very personable and made himself accessible both before and after surgery with follow up communication. If I have the need or desire for any other work, I will have Dr. Kanuri perform the procedure. -KJ 9/13/2021
KKelli Johnson
In the search for my plastic surgeon I came across quite a few plastic surgeons. Some made me feel uncomfortable and others weren’t able to do the technique that I wanted. Dr. Albino is the most charismatic, easy going, educated and passionate plastic surgeon in the area. He knew exactly what I wanted and provided beautiful results. He made me feel comfortable from day one and was able to explain every single detail to me in a way that it made it sense. His techniques prove his knowledge. I am very happy I chose Dr. Albino for my surgery. Recovery was quick and easy and I’m back in a normal bra and working out in less than 6 weeks. He even went above and beyond to come in on his day off when I was nervous a few days after surgery. If you’re looking for a someone to perform your sub-fascial -breast augmentation- Dr. Albino is the one.
TTiffany Carsten
I was very nervous during my first visit. I was in the process of switching plastic surgeons while in the middle of dealing with an upcoming breast surgery for breast cancer. I was told Dr. Albino didn't have space in his calendar for me, but they squeezed me in. He spent an hour with me explaining each option and each procedure. That was amazing to me because I had been fit into his already busy schedule. He was really caring and took the time to calm my nerves. Since day one, I've only had positive experiences with Dr. Albino, the nurses, and staff at both of his offices. I've had three reconstruction surgeries with Dr. Albino (breast reconstruction after breast cancer removal usually takes more than one surgery FYI) and the results are amazing! Dr. Albino was always understanding of my decisions and we discussed options to make me comfortable and to look my best. I look better than I did before being diagnosed with breast cancer! This doctor has great bedside manner and will take the time to give you the results you are looking for. I am really grateful I worked with Dr. Albino for this process. I highly recommend Dr. Albino for breast reconstruction/ augmentation surgeries.
KKristy Lankford
Highly recommend Dr. Rao and his team, they are the utmost of professionals. I had a "mommy makeover" (drainless tummy tuck with muscle repair, lipo of hips and back, and 520 cc breast augmentation (no lift)). The whole process... from consultation, my 'second guessing' appt, pre-op, and post-op has been nothing short of wonderful. Dr. Rao is a combination of caring, patient, and skillful. Also worth mentioning, his office manager Laramie is THE sweetest and all the nurses I met are fabulous. Seriously, dream team. If you are doing your research looking for a great surgeon, great experience, and great price... book a consultation with Dr. Rao! He, and his techniques, have exceeded my expectations.
AAmanda Floro
I cannot begin to say enough wonderful things about Dr. Rao and the entire team at CPS! From my initial consultation to my surgery and then follow up, the experience was wonderful. Dr. Rao spent a good amount of time with me during my consultation to make sure he really understood what my goals were and making sure I was comfortable with what he was proposing. I never felt rushed, and he took the time really explain what my procedure would entail. I could not be happier with my results (breast lift with augmentation, and tummy tuck with lipo) , Dr. Rao is truly an artist and pays attention to the tiniest details, which have a huge impact. My recovery was great as well, with minimal swelling and zero complications. Additionally, my scars are beautiful and barely noticeable. I have a renewed sense of confidence and would recommend Dr. Rao to any of my friends or family who are looking to have cosmetic procedures done.
EErin Driscoll
Dr. Albino is amazing. After being diagnosed with Breast Cancer, I underwent a double mastectomy and reconstruction from spacers to implants. Not only do I love the outcome, I loved the support and understanding from Dr. Albino and his team during this difficult time. They listened to my concerns, checked in with me frequently and brought ease to this life event. Thank you so much! - Eli
EElizabeth Meadows
Dr. Albino is a fantastic surgeon and a wonderful human! Working with him was seamless. He is clinically grounded and took the time to talk through a surgery plan that fit my anatomy and my goals! This was also my first surgery which he took into consideration; making sure I felt 100% comfortable with the process and the post opp timeline.
Most importantly, I am ecstatic with the results of my breast aug! I feel better than ever! I cannot stop sending my friends and network his way! I Felt (Feel) like he was a true partner in this process. THANK YOU, Dr. Albino!
MMadeleine Sullivan
ESTABLISHED EXCELLENCE
Choose the experts that locals know and trust. Our multigenerational practice includes board-certified plastic surgeons who provide the best possible care with state-of-the-art technology.
Choosing the size of your breast implants is both exciting and a bit nerve-wracking because it can be difficult to make a decision. Most of our patients say they want their results to look natural, which is another way of saying they want breasts that appear in proportion to their body’s frame.
Even though patients often say they want to increase the size of their breasts by a certain bra cup size (i.e., from an A cup to a C cup) breast implants are measured in cc (cubic centimeters). Implants typically range between 100 to 800 cc. During your consultation, we will help you select the size of your implants by placing trial implants (known as “sizers”) in a bra for you to visualize the potential changes in your appearance. Depending on your natural breasts, your implants may be filled to different volumes to create a symmetrical appearance.
Breast Augmentation Without Implants
Women who want fuller breasts and are looking for an alternative to breast implants may consider breast augmentation with fat transfer. Our surgeons can increase the breast size by about 1 to 1.5 cup sizes using the patient’s excess fat that is harvested with liposuction, purified, and injected into the breasts.
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Discover Your Breast Implant Options
Ready to get started? Get in touch with us today to schedule your complimentary consultation and sizing session! One of our board-certified plastic surgeons will help you understand all your breast implant options at our Chevy Chase, MD, or Tysons Corner, VA, locations and how they will work together to create the perfect breasts for you. Women who want fuller breasts and are looking for an alternative to breast implants may consider breast augmentation with fat transfer. Our surgeons can increase the breast size by about 1 to 1.5 cup sizes using the patient’s excess fat that is harvested with liposuction, purified, and injected into the breasts.