Breast Augmentation

Breast augmentation is one of the most commonly performed cosmetic procedures in the country. Simply stated, it is the placement of breast implants just above or below the pectoralis muscles to change the size or shape of the breasts. Women visit Freeman Plastic Surgery for breast augmentation at our Idaho Falls office from Jackson Hole, Twin Falls, Boise, and Pocatello, Idaho, as well as throughout Wyoming and the Rockies.

Why Choose Breast Augmentation

Our patients choose breast augmentation surgery for different reasons. The vast majority of breast augmentation patients are seeking natural-looking results to match their body proportions. Other patients have noticed a significant loss of breast volume over time and would like to return to a more youthful appearance.

Breast Augmentation
 Before & After Photos


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Breast Implant Options

Breast implants come in a variety of shapes, profiles, fills, sizes, and surface textures that will be discussed during your consultation. We will spend a good deal of time discussing the different implant options that you have and the goals you are hoping to achieve. I have access to hundreds of breast implants and together we will determine which implant is right for your breast augmentation surgery.

  • Shapes: Most breast implants are either round or anatomic in shape. The implant shape that is right for you usually depends on the breast shape that you prefer. While I allow all of my patients to choose the shape of the implant they prefer, some patients have a breast or chest wall contour that would be best suited for a particular implant shape.
  • Profiles: Round implants have different profiles or diameters for the same volume of implant. Therefore an implant that contains 350cc of saline can be either broader or more narrow at the base. As a rule, the more narrow the implant, the more it projects or “sticks out.” A high-profile implant is narrow at the base and projects higher, while a low-profile implant is more broad and flat. Again, the best profile for you will depend on what breast shape you are looking for.
  • Fill: All breast implants currently available contain an outer shell made of silicone. This shell may be filled with either a saline solution (saltwater) or a silicone gel. Most implants placed in the U.S. in the 90s and early 2000s were filled with saline. However, in 2006 the FDA reapproved the use of silicone implants for breast augmentation patients over the age of 22. Both have their advantages and disadvantages, although most patients do prefer silicone. We will review the benefits of each together.
  • Size: The size of your implants is one of the most important decisions that you will make, therefore you shouldn’t feel rushed. We will have a separate appointment set aside and dedicated entirely to finding the perfect size breast implants for you. I developed specific techniques that will assist you in choosing the perfect sized implant. The sizing process does take a little time and preparation, but your great result will be worth it.

VECTRA® 3-D Imaging

The VECTRA 3-D imaging system is an excellent resource available to help you decide about your breast augmentation options. Many women try to imagine how they would look with different sized implants. The VECTRA system removes much of the guesswork, providing a realistic, 3-D simulation of what your results might look like. VECTRA uses advanced software to combine your image with medical data to provide potential results that can be viewed from different angles.

Vectra® 3-D

Visualize the results of your facial, body, or breast procedure before surgery. The VECTRA system combines your image with medical data to create a highly realistic 3-D simulation.

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What to Expect

Breast augmentation is one of the most common procedures that I perform. If done in the correct setting, it is a very safe and satisfying surgery. I meet my patients before surgery to review all of the choices made and look over the implants that are to be used. The surgery takes about 90 minutes from the time that you drift off to sleep until you awaken in our comfortable recovery suite with a nurse by your side. While in recovery, you will be encouraged to rest and allow the “sleepy” feeling to clear. Once fully awake, we will talk with you and your caregiver about what to expect over the next few days. I am always available to you and your caregivers by phone and will meet with you the day following surgery.


The evening of your surgery you should be walking comfortably and eating a light meal. You will be encouraged to stretch your muscles and to be active from the time you get home from your breast augmentation procedure. Many women even feel like going out for dinner the night of their surgery. While you will need to wait several days to get into a bathtub, a shower often feels great right after surgery. You can expect several days of sore, stiff muscles which can be made more comfortable with medication. Depending on the level of activity required for your job, you should be able to return to work within a few days to a week.

Meet Our Surgeons

Mark E. Freeman, MD Board-Certified Plastic Surgeon

Mark E. Freeman, MD Meet Dr. Freeman

Matthew Hagan, MD Board-Certified Plastic Surgeon

Matthew Hagan, MD Meet Dr. Hagan

Credentials You Can Trust

Dr. Freeman's and Dr. Hagan's credentials Dr. Freeman's and Dr. Hagan's credentials

My Personal Philosophy on Breast Augmentation

Because breast augmentation is one of my favorite procedures, I invested a great deal of time and effort into refining my skills while in Los Angeles and Florida. Unfortunately, some see breast augmentation as a “one size fits all” operation, where the same techniques are applied to every patient. While this type of typical “boob job” is easily picked out, I take a completely different, personalized approach.

I see each patient as a unique individual, thus it is vital to customize the surgery to best suit her personal desires to ensure a more natural outcome. Individual factors such as height, weight, size and shape of the ribcage, elasticity of the skin, breast shape, nipple position and amount of existing breast tissue are all used to formulate a unique and customized plan for each patient.

While some women want a large round implant, others desire a smaller augmentation resulting in a natural, shapely breast. There is no one correct size or approach to your ideal breast. I believe it is important to understand your wishes and expectations so that we can meet your goals together. Vast amounts of beneficial and false information abound online and in the media concerning breast implants – information that can be confusing. I view my role as a guide through this puzzling process and will use my experience to help you understand the numerous options available. Using my surgical skill, together with your honest objectives, we will discuss how best to achieve your goals during a consultation.

Breast Augmentation FAQ

Are silicone implants safe?

The FDA has found no link between silicone breast implants and disease. Numerous studies have verified the safety of silicone breast implants, which have been used safely throughout the world for decades. Many people have seen disgusting pictures of older liquid silicone implants that could form a “gooey” puddle. The good news is that these liquid implants are a thing of the past. Newer silicone gel implants are made of thick gels which are more cohesive. These more cohesive implants actually maintain their shape even when cut in half, similar to a jelly bean or gummy bear. Should you decide to remove your implants, we can safely do so with breast implant removal, or “explant” surgery.

Where do you put the scar?

We will discuss the different incision choices that you have and the benefits of each. I have experience using each type of incision and I am happy to leave that decision up to you. In most cases, the approach or incision does not affect the creation of the ideal pocket for the implant. I use delicate, advanced techniques to shape the pocket and breast to obtain your ideal shape and contour.

What’s the difference between breast augmentation and breast lift surgery?

Breast augmentation adds volume to the breasts with an implant. A breast lift removes lax, stretched out skin, and raises and reshapes the breasts. If you have mild sagging, the implant might provide a slight lift to the breasts. Women who want fuller, more shapely breasts usually need a combination of the 2 procedures.

Can my breast augmentation procedure be combined with other procedures?

Breast augmentation surgery can usually be combined with other procedures for a complete enhancement. I often combine a breast lift with breast augmentation for a comprehensive breast rejuvenation. Breast augmentation can also be combined with body contouring procedures such as liposuction or tummy tuck for a mommy makeover.

How long will I need to take off work?

The time needed away from work depends completely on the type of work that you do. Usually, 3 to 5 days is needed for most professions; however, those who have more active jobs and use their arms more may need additional time following their breast augmentation. Most (80%) of your strength should return after 2 weeks. Those who need to lift infants over 20 pounds can do so after a week and small children after 2 weeks.

When can I expect to see the final result?

In general, I tell most of my patients that they can expect to look great in a bikini or bra at 2 to 3 weeks. However, the implants take weeks to “settle” into position, so you won’t reach your ideal shape until around 2 months. Because of differences in the size of the muscle and implants, some breast augmentation patients may take more time to obtain their final result.

Will my implants need to be replaced at some point in the future?

If you are not experiencing any problems and are happy with the way you look and feel, you don’t need to have your implants replaced. Breast implants aren’t lifetime devices and most patients need to have them replaced eventually.

What if I get pregnant, will I still be able to breastfeed?

Breast implants should not interfere with milk production or breastfeeding. Steps can be taken to optimize your chances such as placing the implants under the chest muscles and avoiding incisions near the nipples. During your consultation, I recommend letting your surgeon know about your desire to become pregnant and breastfeed in the future.

If you’re ready to start your breast augmentation journey, please request a consultation online or call (208) 881-5351.

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