Cosmetic breast surgery may involve lifting, reducing, or augmenting the breast. At times, asymmetry can be addressed as well. Breast augmentation involves placement of a saline or silicone implant beneath the breast to enhance the breast volume. The incisions and implant placement can vary depending on the breast shape and patient desires. A number of different types of implants are made and a decision on shape, size, and manufacturer will be decided after a discussion with Dr. Pownell.