Breast Augmentation (implants). One of the most popular types of cosmetic surgery, breast augmentation with either saline or silicone implants provides a very natural look. Saline implants allow minimal incision breast augmentation; the scars are virtually invisible. Certain implants are adjustable following insertion, enabling fine-tuning of the look and feel. Implants can be placed either under the muscle or under the breast, and through incisions placed in the armpit, around the areola, in the breast fold, or even through the belly button. As with all cosmetic surgery, Dr. Copeland works closely with you to determine the ideal size, shape, placement, and location of the implant.