One of the most commonly used techniques is where an incision is made in the lower portion of the breast near the chest wall or around the lower portion of the areola (the dark pink area circling the nipple). A location that is less frequently used is in the armpit. When the incision is made in the lower portion of the breast, breast tissue is raised to create a pocket either under the breast tissue or beneath the chest wall muscle. A breast implant containing a silicone gel, a saline solution, or a combination of the two is inserted into the pocket. In some cases, typically those in which there is breast asymmetry, inflatable breast implants may be used. With this procedure, the cosmetic surgeon can adjust the amount of inflation based upon body size, and the realistic needs and wants of the patient. After the breast implants are securely in place, small sutures are used to close the incisions. A breast augmentation can take around to two hours or more, depending upon the type of procedure, and extent of the surgery.