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What is a Breast Augmentation?

A breast augmentation can be defined as a cosmetic procedure to the enlarge the breasts by surgically inserting a silicone bag filled with saline or silicone gel under the chest muscle (subpectoral) or under the breast (submammary). Breast implants expand the breast area to give the appearance of a larger cup size and fuller, more projecting breasts. Also known as an augmentation mammaplasty, breast augmentation is the most popular cosmetic surgery in the nation, with 300,378 procedures performed in a recent year, according to the American Society of Plastic Surgeons (ASPS). The average cost of a breast augmentation in Portland, Oregon is typically $4,000, however for accurate pricing, it's best to schedule a consultation with your plastic surgeon.

Read on more to find out how you can get arguably the best breast augmentation Portland has to offer.

What Are My Breast Augmentation Choices?

Women today have more options for breast augmentation with implants. After a one-on-one consultation and careful evaluation of your anatomy, our Board-certified Portland plastic surgeon, Dr. Matthew Lewis, can advise you about your best options as to implant type, size, and position to achieve fuller, beautifully-shaped breasts that look and feel natural.

Implant Type

Patients today can choose between three basic types of breast implants, each with its own pros and cons:

  • Saline-filled implants: As they can be filled after they are placed in the breasts, saline implants require smaller incisions, allow for minor adjustments in volume after implant placement, and allow for a wider range of incision placement options. MRIs are not needed to detect a possible leak or rupture, as saline implants collapse when a rupture occurs, and the sterile saline solution can be safely absorbed by the body. The main disadvantage of saline implants is they tend to look and feel less natural than silicone implants, are slightly heavier, and may not be the best choice for women with less breast tissue.
  • Silicone gel-filled implants: The main advantages of silicone implants are aesthetic – they look and feel soft and natural. They also have a lower rate of rippling or wrinkling and downward displacement than can occur with saline implants. On the downside, silicone gel implants are costlier and require larger incisions than saline implants, and they also require periodic MRIs to detect a possible rupture.
  • Gummy bear implants: Named for their consistency resembling gummy bear candy, gummy bear implants are the latest advancement and the thickest type of silicone gel implant. This thick, cohesive silicone-gel filled implant will not leak if the capsule ruptures and is less prone to rippling and wrinkling. The primary disadvantages of gummy bear implants are that they feel stiffer than regular silicone gel implants and require larger incisions than saline or standard silicone implants.

Implant Size

Breast implant size is one the most important factors affecting results achieved in a breast augmentation procedure. Many women want to enhance the appearance of their breasts without looking false or unnaturally large. Taking all factors into consideration, including your body shape and size and the quantity of natural breast tissue, Dr. Lewis can advise on the best choice of implant size for your breast augmentation in Portland Oregon.

Incision Placement

Our Board-certified Portland plastic surgeon, Dr. Matthew Lewis, offers patients two incision placement options:

  • Inframammary (in the crease under the breast) is the most versatile and common incision placement.
  • Transaxillary is a less common placement, in which the pocket for the implant is created endoscopically through an incision well-hidden within the armpit.

Using either incision placement, breast implants can be placed above or below the chest muscle. Dr. Lewis recommends submuscular placement for women who want the most natural-looking appearance.

Other Breast Implant Options

In addition to implant type, size, and placement, patients also have choices as to implant texture and shape. Smooth implants have a slightly lower rate of rupture, while textured implants are less prone to implant displacement (moving within the breast implant pocket).

Women have a choice between round implants with a symmetrical shape or contoured, anatomical breast implants, shaped to more closely resemble natural breasts. Both implant shapes have pros and cons. When you come to Dr. Matthew Lewis, he can custom-tailor a surgical plan specifically for you in order to give you the best breast augmentation Portland has to offer.


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Sculpting your ideal chest

Size matters – but it’s not the only factor to consider when preparing for your breast augmentation in Portland, Oregon. Dr. Lewis considers every variable that can affect your results, and will compose a tailored surgical plan to achieve your ideal:

  • Symmetry
  • Size
  • Feel
  • Shape
  • Bust-to-waist ratio

What can breast implants do for you?

  • Improved self-esteem
  • Enhanced body contours
  • Full and feminine bust
  • Elevate sagging breasts
  • Reshaped bust-line
  • A balanced and beautiful figure

Bespoke Breast augmentation

Board-certified plastic surgeon, Dr. Matthew Lewis, can enhance the size and shape of your chest - and dramatically improve your body confidence.

100% Custom Breast surgery that's as unique as you are.

Dr. Lewis customizes his breast surgeries to meet the needs of each patient. His goal is to provide the best breast augmentation Portland OR has to offer. Here’s a glimpse into how he will begin planning for your procedure based on the aesthetic breast issues you’d like to address:

Too small

If your breasts are too small, Dr. Lewis will focus on sculpting larger, fuller breasts that fit your figure better. This will involve the placement of silicone or saline breast implants.


Heavy, sagging breasts are a common problem after childbirth and breastfeeding. If your formerly firm tissue has begun to droop, Portland breast augmentation surgeon, Dr. Lewis, will combine your breast augmentation with a lift to achieve an elevated bust.


Most women have some degree of asymmetry. However, if the difference is noticeable and impedes your ability to find clothes that fit well, a specialized breast augmentation approach may be necessary.

When fixing asymmetry, Dr. Lewis ensures a balanced result by operating on both breasts. For example, he will place an implant on both sides – one will just be slightly larger than the other to even out the proportions.

Breast Augmentation - Frequently Asked Questions

What is the Safest Type of Breast Implant to Use?

When deciding on which type of implant, there is little difference between the safety records of saline implants and silicone implants. There are pros and cons for each, but both types of breast implants are considered safe and are FDA-approved.

Can You Still Have Children After a Breast Augmentation?

There is nothing medically preventing you from having children after breast augmentation. However, pregnancy impacts the body, and your breasts in particular. If you choose to have children after your augmentation, it is possible you will need another surgery.

Are the Incisions Visible?

Each breast augmentation is different in where the incisions are placed, based upon the size and type of the implant. The skill and expertise of your plastic surgeon plays a significant role ensuring you avoid visible scars.

Will Insurance Cover a Breast Augmentation?

A breast augmentation is not be covered by insurance as it is an elective cosmetic surgery. Breast reconstruction with implants is typically covered.

Are There Risks Associated with Breast Augmentation Surgery?

As with any surgery, there are risks. Rare issues include risks associated with anesthesia, infection, or changes in nipple or breast sensation. It is important to discuss your medical history and any concerns with Dr. Lewis. Generally, this is a very safe procedure.

Will a Breast Augmentation Interfere with Regular Activities?

After surgery, there will be a time of recovery where you will need to limit physical activities, particularly lifting and stretching. After recovery, you will have the full range of motion and once given the okay, can resume your normal exercise routine or other more vigorous activities.

Do Breast Implants Need to be Replaced Every 10 Years?

There is no hard rule as to the replacement date of breast implants. Modern implants can last far beyond the 10-year mark. If there are no existing problems, there is no need to replace your implants. The FDA recommends an MRI three years breast augmentation.

How to ensure natural-looking breast implants

A common concern among our Portland, OR patients is ensuring that their breast implants look natural – not artificial. If you prioritize an organic appearance, Dr. Lewis suggests that you consider the following:

  • Size. If you want the most natural look possible, aim for an increase of one to two cup sizes.
  • Position. Implants can be placed above or below the chest muscle. In thin patients, an implant placed beneath the muscle leaves an extra layer of tissue covering the implant and provides a more natural look.
  • Type. In general, silicone implants are soft and tend to look the most natural, especially for women who are slender and have small breasts.

What to expect the day of your surgery

When you arrive at the hospital the day of your breast augmentation in Portland, Oregon, one of our anesthesiologists will administer general anesthesia to put you to sleep. When you wake up, you will be groggy and tired, so arrange in advance to have someone drive you home and take care of you until the effects of the anesthesia wear off. Once you are sedated, Dr. Lewis will make one of two incision options:


This versatile option is also the most common. It’s located under the breast, along the crease.


This option is made in the armpit and an endoscope is used to create the pocket for the implant.

Regardless of the incision option you choose, the cut will be placed discreetly to ensure a natural outcome. Through that opening, Dr. Lewis will carefully place the implant either above or beneath the chest muscle before closing the incisions to complete your procedure, resulting in arguably the best breast augmentation Portland has to offer.

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A Portland Plastic Surgeon

1200 NW Naito Pkwy, Ste 330Portland, OR 97209

Matthew Lewis,MD

Discover your true beauty. At the office of Dr. Matthew Lewis, we take everything into consideration, including your comfort, discretion, and of course your outcome. Please call us to schedule an appointment.

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Now Open, visit our new location!

Dear Patients,

Starting May 4th, we will be seeing patients in office and begin resuming elective surgeries. We are following all state and federal guidelines for protection and safety, including but not limited to: wearing gloves and masks, providing hand sanitizer, frequent cleaning, wiping down and sanitizing of all contact surfaces. As well as will maintain all standard Social Distancing protocols. Patients should not come in if achy, feverish or coughing or COVID positive test for active infection.

Our office is open as usual for any email, telephone, or video inquiries. Virtual Consultations are still available for patients that may still be restricted or prefer to conference in the comfort of their home.

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