What is breast augmentation?
Breast augmentation (augmentation mammoplasty) is the most commonly performed cosmetic surgery in the United States. It uses implants or fat transfer to increase breast size, improve shape, or restore volume lost after weight loss or pregnancy.
The procedure typically takes 1–2 hours under general anesthesia and is performed in an outpatient surgical facility. Results are immediate, though final shape develops over 3–6 months as swelling subsides.
How much does breast augmentation cost?
Breast augmentation is entirely elective and not covered by health insurance (except reconstruction after mastectomy). This calculator provides AI-powered estimates based on current market rates.
Major cost components: - Implant cost: The implants themselves — silicone costs more than saline - Surgeon's fee: The largest variable, based on experience and reputation - Anesthesia fee: Anesthesiologist or CRNA for general anesthesia - Facility fee: Accredited surgical center or hospital operating room - Follow-up care: Post-operative appointments, medications, compression garments, and potential imaging
Silicone vs saline vs gummy bear implants
Saline implants are filled with sterile salt water after insertion. They are FDA-approved for patients 18+, cost less, and have a smaller incision. If they rupture, the body safely absorbs the saline. However, they may feel less natural and are more prone to rippling.
Silicone implants are pre-filled with silicone gel and feel more like natural breast tissue. They are FDA-approved for patients 22+. Silent ruptures can occur without symptoms, so periodic MRI screening (every 2–3 years) is recommended.
Gummy bear (form-stable) implants are silicone implants with a thicker, cohesive gel that maintains shape even if the shell breaks. They are the most expensive option but tend to have the lowest rupture rates.
How to use this calculator
1. Choose your implant type: saline (most affordable), silicone (most popular), or gummy bear (premium) 2. Select your surgeon experience level: more experienced surgeons charge higher fees but often deliver better results 3. Pick your location: coastal metros (NYC, LA, Miami) run significantly higher than smaller markets 4. Click Get Current Cost Estimate to receive AI-powered pricing based on current market data 5. Review the full cost breakdown including follow-up care estimates
FAQs
Q: Does insurance cover breast augmentation? A: No. Cosmetic breast augmentation is not covered by health insurance. However, breast reconstruction after mastectomy is covered by law under the Women's Health and Cancer Rights Act. Some financing options (CareCredit, Alphaeon) offer low or no-interest payment plans.
Q: How long do breast implants last? A: Breast implants are not lifetime devices. Most last 10–20 years, but some women never need replacement. FDA recommends MRI screening every 2–3 years for silicone implants. Replacement surgery adds cost to the lifetime total.
Q: What is the recovery time for breast augmentation? A: Most patients return to non-physical work in 3–5 days. Avoid strenuous activity for 4–6 weeks. Final results appear at 3–6 months when swelling fully resolves.
Q: What are the risks of breast augmentation? A: Risks include capsular contracture (scar tissue hardening), implant rupture, changes in nipple/breast sensation, and implant position changes. A rare condition called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has been linked to textured implants.
Q: How do I choose a qualified surgeon? A: Look for board certification from the American Board of Plastic Surgery (ABPS). Verify the surgical facility is accredited (AAAHC, JCAHO, or AAAASF). Review before-and-after photos and read patient reviews on RealSelf or Google.
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