Breast Augmentation with Implants in Seattle, WA

There are many types of breast implants, but the most common type is saline. Saline breast implants are filled with a sterile salt water solution that is similar to normal human milk. Saline breast implants are generally considered to be more natural than silicone and saline-filled silicone implants because they mimic the appearance of a woman’s own breast tissue. They can also be smaller and easier to place than silicone breast implants. However, saline breast implants have some disadvantages. For example, they may leak more easily than silicone and saline-filled silicone implants, and they may degrade over time.

Silicone breast implants are made from silicone oil mixed with other softening agents like glycerin and dimethicone. Silicone breast implants can help restore a woman’s body’s shape after weight loss or surgery by providing support and creating a slightly rounder shape. Silicone implants are also more durable than saline and may last longer than silicone-filled saline implants. However, there is no consensus about whether silicone-filled saline implants are riskier than other types of breast implants because the long-term safety data for silicone-filled saline implants has yet to be gathered.

During your private consultation, Dr. Tony will spend time with you discussing your individual body goals, personal aesthetics, perform a physical examination and will address your questions and anatomic considerations. Your conversation will help determine the ideal breast augmentation procedure type and implant size that will give you the most natural results to meet your goals.

You can try on different implant sizes and profiles and you’re encouraged to bring clothing important to you during your consultation! This allows you to visualize the best fit for your goals.

When considering breast augmentation, it’s empowering to know there are options that can be tailored to your vision. Breast implants come in a variety of fillings, shapes & sizes.

Silicone implants are a popular choice for breast augmentation because they offer a soft, natural feel that closely mimics breast tissue. The latest silicone implants use a cohesive, semi-solid gel instead of the old liquid silicone, making them safer and more durable. With this improved technology, the gel stays intact even if the implant is cut in half—meaning no leakage or spilling. This design minimizes the risk of silicone migrating into surrounding tissue, which reduces the chances of lumps or inflammation.

The implant can be placed above or below the muscle, depending on anatomy and goals. In addition, the new improved breast implants are semi-solid; you can cut the implant and hold up the 2 halves intact! No liquid silicone making the new implant technology safer! There’s minimal chance of silicone spilling out into surrounding tissue, causing lumps or inflammation. If by chance a rupture happens, the cohesive gel makes it so easy to treat because it stays in one piece; easy clean up and replacement.

Saline implants are filled with a sterile saltwater solution. For patients having a bit more breast tissue, saline implants can create a natural look and feel, resembling the body’s own tissue. For patients wanting a silicone alternative, saline can provide great results for the the right candidate. The implants are easier to place with a shorter incision because they are inserted empty and inflated with sterile saline fluid after insertion. Saline implants are firmer feeling because water is not compressible.

Should a ruptured occur, it’s not dangerous and is more like taking a drink of water. But you’ll know immediately that the implant has sprung a leak and implant replacement is usually simple. The initial risk of saline implant failure is approximately 1% per year after surgery. But experience has taught us that saline implants have cosmetic shortcomings. If you’re a very thin patient with small breast, unsightly visible surface rippling can be obvious taking away from your new full size and shape.

A capsular contracture occurs when the scar tissue that normally forms around a breast implant begins to shrink and contract. This leads to firm breasts that are often misshapen. Treatment of capsular contracture usually requires removal of the implant and excision of at least a portion of the contracted capsule. Fortunately, most manufacturers offer implant warranties that can offset much of the cost for repair.

Dr. Tony often recommends Mentor smooth round GEL implants, which lower the risk of capsular contracture, provides a more natural shape (tear drop shaped when standing and round shape when laying down), and is the most undetectable implant available on the market today. Other implant manufacturers have implant shells that are thicker and more detectable both visually and when feeling them.

While research on all implant types is ongoing, choosing the best option for you will involve discussing your goals, lifestyle, and any questions during your consultation. Your trusted surgeon can guide you toward an option that aligns best with your body and aspirations.

The implant can be placed above or below the muscle, depending on anatomy and goals. In addition, the new improved breast implants are semi-solid; you can cut the implant and hold up the 2 halves intact! No liquid silicone making the new implant technology safer! There’s minimal chance of silicone spilling out into surrounding tissue, causing lumps or inflammation. If by chance a rupture happens, the cohesive gel makes it so easy to treat because it stays in one piece; easy clean up and replacement.

That’s why Dr. Tony takes great care to place implants through a small incision in the natural crease of the armpit for breast augmentation. This discreet approach keeps any scarring hidden. With the incision healing almost imperceptibly, no one will be looking at your armpit and guessing you had any work done!

Dr. Tony’s “scarless” breast augmentation has been his specialty and signature for decades! He even designed and manufactured his own specific surgical instruments to allow him to achieve the natural, beautiful results that his patients love!

• Infra mammary

  A small incision is made in beneath the breast fold that is hidden by breast that normally sag a little.

• Peri-Areolar

  Incision is made through the edge of the areola, blending with natural pigmentation.

• Trans-Axillary “No Scar Boob Job”

  Incision is made in the armpit, leaving the breast area free of visible scarring.

• Trans-umbilical

  if you are using saline implants, it’s possible to make the incision in the bellybutton. The implant is inserted EMPTY AND inflated after placement. It requires special tools, but in the right candidate, THE TRANSUMBILICAL APPROACH can be very satisfying.

Above or below the muscle depends on your anatomy. If you are a tiny person with thin pectoralis muscles, I’d place the implant under the muscle because it provides a smooth transition to the breast (instead of a round mound on a flat chest) and just looks better. This why it is my favortie placement.

Also, it supports the implant with active muscle supporting the weight of the implant and prevents implant sagging? On the other hand, if you’re a body builder with larger pectoralis muscles or a rock climber that relies on muscle strength for safety, above the muscle implants are preferred because it takes the muscle out of the implant equation. You can continue to develop larger and stronger pects without affecting the breast implant much.

This approach is often the best choice for a few reasons that are unique to the needs of MTF individuals:

• Many MTF patients already have a larger pectoral muscle, which can affect the look and feel of implants.
• MTF breast anatomy has some differences:
• The chest tends to be wider, so placing implants above the muscle helps position them closer together, creating a fuller cleavage.
• Achieving the right breast shape can sometimes be a challenge:
• It’s common to need a bit of extra help spreading the breast tissue to fit smoothly over the implant, which is more easily done with above-muscle placement.
• Additionally, some patients have a shorter distance between the nipple and the inframammary fold (the crease below the breast), which can lead to a “double bubble” effect if the implant is placed under the muscle.

Dr. Tony is committed to helping each patient achieve their unique goals. Whether we decide on under or above-the-muscle placement, we’ll take time to understand your body’s needs and what feels right for you before making a recommendation.

Dr. Tony performs breast augmentation under general anesthesia at his own state-licensed surgery center in Washington. Patient comfort and safety are hallmarks of his practice. His dedicated team is deeply familiar with your procedure and Dr. Tony’s precise care protocols ensure attentive, personalized support throughout—no guesswork, just compassionate, expert care.

This approach is often the best choice for a few reasons that are unique to the needs of MTF individuals:

Most patients can return home just a few hours after surgery with minimal restrictions. You’ll have a comfortable surgical bra to support healing, and many patients are ready to return to work within 5–7 days. Temporary swelling and firmness are normal, with the final results beautifully revealing themselves as the swelling eases and your breasts settle over the next few weeks.