Breast augmentation is a term that has recently come into popular use, mostly when referring to breast enlargement (breast augmentation). Breast enhancement is probably more appropriate because breast augmentation procedures improve the aesthetics of the breasts, as well as enlarge them. The aesthetics of the breast include not only the size of the breast (the breast mound), but also the condition of the skin and the position of the nipple on the breast. Optimum outcomes in breast enhancement require a comprehensive evaluation of these qualities, as well as the patient’s body type, width and size of the chest wall, and of course the patient’s postoperative expectations. Since there is a wide variation in people’s proportions, body shape and size, and breast shape and size, breast enhancement is highly individualized. It certainly is not a “one size fits all” operation. A myriad of options is available, regarding: • placement of the incision (inframammary, peri-areolar, axillary, umbilical) • placement of the implant (submuscular, subglandular, biplanar) • type of implant (textured vs. smooth, round vs. anatomic, saline vs. silicone, high-profile vs. moderate-profile) All of these choices actually allow the surgeon to enhance the breast in a highly individualized way. During your consultation, a thorough evaluation of the characteristics of the breast and your body type will be performed. The questions on implant style, volume, placement of the implant, and incision placement will be discussed and an individualized operative plan will be formulated for each patient to yield the best result possible.