Introduction Breast augmentation is the trendiest plastic surgery procedure in the US. According to the statistics provided by the American Society of Plastic Surgeons, 279,143 breast augmentation procedures were performed in the US in 2015 alone. The procedure involves the use of breast implants or your own body fat to add projection and fullness to smaller or flatter breasts. There are a number of factors that can lead to decrease in the size or volume of your breasts. These factors include genetics, pregnancy and breastfeeding, and weight loss. No matter what has caused your breasts to shrink, breast augmentation is an effective and reliable way to restore the fullness and shapeliness of your breasts. There are two major options when it comes to augmenting your breasts through plastic surgery: breast implant surgery and autologous fat transfer. In this article, we’ll discuss both of these options in detail. Breast implant surgery Breast implant surgery involves the use of either silicone or saline implants to make the breasts fuller, voluminous, and shapelier. If your breasts are smaller, flatter, mildly saggy, or poorly shaped, you may qualify for this intervention. Breast implants are prosthetic devices. Silicone breast implants are the most used implants in breast augmentation. The silicone implant is made of a silicone shell that is pre-filled with silicone gel. On the other hand, saline implants are less used. A saline implant is made of a silicone shell that is filled with saline solution after inserting the implant inside the breasts. The breast implant surgery is an outpatient procedure that is performed under general anesthesia. If your health remains stable after the procedure, you may be allowed to go home. The surgery starts with the placement of incision on the breast. There are different incision techniques that can be used. Each type of incision comes with its own pros and cons. During the initial consultation, you should be sure to discuss with the surgeon the incision technique he plans to use. Secondly, there are two options when it comes to placing the implants in your breasts. These options are under the pectoral muscle and above the pectoral muscle. The latter option is less preferred because it comes with more risks and disadvantages. It is always judicious to prefer placing the implant under the pectoral muscle where it can get sufficient tissue coverage. After placing the breast implants in the intended place, the incisions will be closed and sutured. You will then be kept in a recovery area where your health will be monitored. If your health remains stable, you may be allowed to go home. Make sure to have someone drive you home because you will not be allowed to drive. The recovery period after breast implant surgery can range from 2-4 weeks. During this period, you must follow your surgeon’s instructions so you can have a safe and smooth recovery. Like all other surgeries, there are a number of risks and potential complications associated with breast implant surgery. Make sure to discuss them with the surgeon during the initial consultation. Autologous fat transfer to the breasts The second option of breast augmentation is the use of your own body fat to enhance your breasts. As compared to breast implants, the fat transfer surgery provides safer and natural outcomes. The use of your own body fat will provide a natural projection, contour, and movements to your breasts. Unlike implants, there is no risk of an immune reaction when your own body fat is used to augment your breasts. The bad news is that autologous fat transfer procedure is not for everyone. The surgery uses your excess, unwanted body fat as donor fat to enhance your breasts. If you lack extra fat in your body, you will not qualify for the procedure. Instead, you should go for the breast implant procedure or gain weight to qualify for fat transfer. The autologous fat transfer procedure starts with the removal of fat from fat donor sites in the body. Liposuction is used to remove the fat. The common fat donor sites include the abdomen, sides, flanks, back, and thighs. The liposuction involves placing tiny incisions in each donor site. To make the process easier and painless, a tumescent solution will first be introduced into the fat donor site. A hollow tube called a cannula is then inserted into the site through the incision. The cannula is moved back and forth to dislodge the fat, which is then removed with the help of a suction pump connected to the cannula. The fat removed from different areas of the body is then processed and purified. During the purification process, only the healthy and best qualify fat cells are selected for transfer. The fat cells are injected inside the breasts through special needles. During the fat injection process, your surgeon will work carefully to make sure your desired breast contour is achieved. The good news is that unlike breast implant surgery, fat transfer does not involve the placing of incisions on your breasts. This means you will not get scars. After the procedure, you will be allowed to go home. You can resume work after a few days with your surgeon’s approval; however, you must be very careful during the recovery period. Conclusion Breast augmentation is an effective and reliable way to increase the size of your breasts and make them appear shapelier. There are two options for breast augmentation: fat transfer and breast implants. Breast implant surgery uses prosthetic devices to add fullness and projection to your breasts. These devices are placed inside the breasts through small incisions. On the other hand, fat transfer uses your own body fat to deliver the desired aesthetic results. Both surgeries provide good results; however, fat transfer provides more natural and safer outcomes than breast implants. The bad news is that you will not qualify for fat transfer if you lack excess, unwanted body fat.