Which Breast Procedure is Best for Me?

By: Karina Alexander, DO • Yekaterina Polyatskaya, MD
Topics: Cosmetic & Reconstructive Surgery, Women's Health


Each year, breast augmentation tops the list as one of the most popular plastic surgery procedures in the United States.

Whether you’re looking to enhance the size or symmetry of your breasts, improve sagginess or explore a reduction, your plastic surgeon will discuss the different types of procedures that are best suited to help you achieve your desired results.

To help prepare you for your consultation, our fellowship trained plastic surgeons, Drs. Karina Alexander, DO, and Kate Polyatskaya, MD, answer some of the most common FAQs on breast cosmetic surgery.

What are the types of breast cosmetic surgeries?


Augmentation enhances the size or shape of your breasts with an implant or fat transfer. Many people turn to augmentation to increase fullness and projection or to improve symmetry and contours. Breast implants or fat transfers are not typically recommended to correct drooping breasts. Your plastic surgeon will discuss what is best for your condition at your consultation.

Lifts (Mastopexy)

A breast lift, known as a mastopexy, will reduce sagginess by removing excess skin, tightening the surrounding tissue to support the new breast contour. Many women experience a loss in skin elasticity following pregnancy, breastfeeding or due to the natural aging process, which may cause your breasts to droop. In these cases, your plastic surgeon may recommend a mastopexy rather than an implant.


The goal of breast reconstruction is to recreate the breasts with the desired appearance, contour and volume with implants or excess skin. Reconstruction is most commonly done following a mastectomy, lumpectomy or if you have a congenital deformity. It will typically involve multiple procedures that are performed in stages depending on your surgeon and condition.


Breast reduction removes excess skin, fat and breast tissue to reduce breast size and weight. Reduction surgery is often performed to address medical issues associated with marcomastia (excessively large breasts) which can cause discomfort such as back and chest pain. However,

you can still pursue reduction even if you do not have marcomastia at the discretion of your plastic surgeon.

How do I determine the right size and shape for my breasts?

Your plastic surgeon will work with you to evaluate your body shape and frame, desired profile and lifestyle factors. Your height, weight and current breast volume will all factor into the final decision.

What questions should I ask when selecting a surgeon?

What type of training and certifications do you hold?

It is recommended for your plastic surgeon to be fellowship trained and/or board certified.

Where and how will you perform surgery?

This will help you evaluate surgery timing, preparation, down-time and whether or not you will need to have someone drive you to and from your procedure. It’s always important to plan ahead.

Can I see before and after pictures of your past procedures?

Don’t forget to ask for a B&A gallery. This is a great way to see examples of their previous work as well as gives you an idea of the outcome you should expect following breast cosmetic surgery.

What are my options if I am dissatisfied with the outcome of my surgery?

While we hope that you are not dissatisfied with your results, it is important to understand your options just in case. Discuss in full transparency with your surgeon what steps you should expect to take if you are not happy with your breasts following surgery.

Breast cosmetic surgery can help you achieve the body confidence and comfort you deserve. It is a positive and exciting step in life for many women. You can schedule a breast consultation with one of our plastic surgeons online, or by calling our Warrenville DMG Aesthetics location at 630-348-3000.