Breast Augmentation

Breast Augmentation

Breast Implants and Breast Lifts

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Duke plastic surgeons use advanced techniques to improve symmetry, and enhance the shape, size and volume of your breasts, which may have changed following pregnancy, breast-feeding, weight loss, the passage of time, and gravity. Breast implants and breast lifts can enhance your self-image and self-confidence. Scarring is minimal and healing is relatively quick. If your breasts are too small for your liking, asymmetrical, or sagging, our plastic surgeons help you achieve the results you want.

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Consultation and Tests

Consultation and Examination

We discuss your reasons for pursuing cosmetic breast surgery, desired outcome and expected results. We conduct a thorough medical history, including your family history, general health status, previous operations, and any medications you may be taking.  We examine your breasts and take measurements of their size, shape, the placement of your nipples and areolas. Photographs will be taken for your medical record. Finally, we recommend a course of treatment that meets your needs. We discuss the potential risks and complications, and your post-operation recovery.

Blood Tests

Pre-surgical testing requires several blood tests to test your liver and kidney function, and to determine if you have any infection, blood disorder, or anemia, that may have gone previously undetected.


High-quality, digital X-ray images may be recommended to detect any underlying breast abnormalities that can not be felt in women who have no signs or symptoms of the disease.

Our Locations
Duke Health offers locations throughout the Triangle. Find one near you.


Sometimes breast lifts are combined with breast implants to achieve the right look. Our treatment recommendations ensure you experience the outcome you seek.

Breast Lift (Mastopexy)

A breast lift re-contours your breast shape, and is typically recommended for drooping or sagging breasts. During surgery, excess skin is removed, the remaining skin is tightened, and the breast mound is reshaped. The nipple is then repositioned higher on the chest wall. This is typically an outpatient procedure performed under general anesthesia. 

Breast Implants (Mammoplasty)

Implants are medical devices with silicone shells. Saline implants are filled sterile salt water, while silicone implants are filled with an elastic gel. Your surgeon will make an incision either under your breasts, your arms, or around your nipple to insert the implant. It will be placed either under your chest muscle or directly behind your breast tissue and over your chest muscle. These decisions are dependent on your breast anatomy, body and skin type, and how much enlargement you want.  The incision is closed with sutures or surgical tape. This is typically an outpatient procedure performed under general anesthesia.

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Why Choose Duke

The Comforts of a Private Practice
Our surgeons combine the comforts you expect from a private practice with the advantages you gain from seeking experts at a large medical institution. Our clinics are conveniently located and offer free parking.

Size and Shape Matters
We work closely with you to understand your breast anatomy, skin elasticity and body type before recommending whether a breast lift, silicone or saline implants will give you the look you desire.

Personalized Treatment Recommendations
After an extensive consultation and careful evaluation, we recommend the implant, the approach, and the placement of the implant that meets your needs and also minimizes scarring, hastens recovery time, and does not interfere with routine breast imaging such as mammography.  

Other Body Contouring Options
If you are interesting in other body contouring procedures, we discuss your reasons, your desired outcome, and your expected results. 

Augmentation with Reconstruction
When appropriate, breast augmentation may be combined with breast reconstruction following mastectomy.

Respected Surgeons
Our plastic surgeons share their experience by teaching advanced breast surgical techniques to doctors across the country and around the world. 

Consistently Ranked Among the Nation’s Best Hospitals
In addition, Duke University Hospital is proud to be named the best hospital in North Carolina, and nationally ranked in 10 adult and 9 pediatric specialties by U.S. News & World Report for 2019–2020.