Breast Implant Options in Williamsburg, VA

Like women (and breasts!), implants come in all shapes and sizes. During your personalized consultation, we will work closely with you to recommend the best options for your natural anatomy and desired outcome for your breast augmentation. While size is an important aspect, there are many factors that will impact your final results.

Implant Material: Silicone vs. Saline


Breast implants come in either silicone or saline. While both types of implants can produce beautiful, natural results, silicone has become the most popular option within recent years. Both saline and silicone implants are very safe. Though rare, should an implant rupture, the implant material will be safely reabsorbed by the body.

NEW! IDEAL Breast Implants

We are now offering some of the latest technology in breast implants. IDEAL Implants combine the incredible safety of saline with the natural look and feel of silicone.

Saline Implants Pros & Cons:

Saline implants are made of a strong, flexible silicone outer shell filled with saline (sterile saltwater solution).

  • Filled during surgery, allowing for easy placement, adjustment, and small incision
  • Less expensive than silicone implants
  • Slightly heavier and firmer than silicone gel implants
  • Can be prone to rippling, especially on slimmer patients without much natural breast tissue

Silicone Implants Pros & Cons:

Silicone implants have a silicone rubber outer shell that is filled with cohesive silicone gel.

  • Generally softer, smoother, and lighter than saline implants
  • Closely mimic look and feel of natural breasts
  • Pre-filled prior to surgery, so may require larger incision

Implant Shape: Round vs. Teardrop


The shape of your breast implant will also affect the end results.

Round implants are flat and circular, and often project farther from the body. They are a good option if you are wanting more upper pole fullness (upper breast).

Shaped or teardrop implants are often referred to as “anatomical” implants because the teardrop shape resembles the natural shape of most breasts. Shaped implants are good for patients wanting more fullness in the lower breast.

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Incision Options


After examining your natural breasts and discussing your other options, your surgeon will make recommendations for incision and implant placement.

  • Inframammary incision is placed in the natural fold beneath the breast, where it is naturally concealed.
  • Peri-areolar incision is placed halfway around the edge of the areola, where it is hidden by the naturally darker pigmentation of the areola.
  • Transaxillary incision is inconspicuously in the armpit.

Implant Placement


Your implants will either be placed under your breast tissue and above the pectoralis muscle (subglandularly) or under the muscle (submuscularly).

Over the muscle implant placement pros & cons:

  • Generally quicker recovery
  • Implants don’t move during chest exercises
  • Can produce good results for women with a decent amount of natural breast tissue

Under the muscle implant placement pros & cons:

  • Covers the implant better
  • Risk of visible rippling or ability to feel implant edges is reduced
  • Keeps breast tissue fully visible during mammogram
  • Requires a slightly longer recovery
  • Implants will need to “settle” and fill out, which can take up to six months

Dr. Vonu discusses breast implant options

If you’d like to learn more about your breast augmentation and implant options, contact us today to schedule a personalized consultation!