Breast Augmentation


Breast augmentation surgery (or enlargement) is generally performed on women with underdeveloped breasts or on women who have experienced a decrease in breast size or shape due to pregnancy or weight loss.

The surgery consists of lifting the breast tissue and placing an envelope containing a soft, natural-feeling implant material underneath the pectoral muscle.


Mentor and Allergan the type of natural-feeling durable implants of the highest quality. These implants carry a 10year warranty for the implant on any possible rupture or defect (with purchase of the extended warranty program from the manufacturer). They have the lowest defect statistics on the market. Replacement within the warranty period is covered by the company guarantee in the event of leakage or encapsulation.

Saline solution is the safest material used in implants as it is similar to natural body fluids.  Leaks are easily detectable, as the affected side will deflate much like a hole in your tire would be easily noticed.  The saline (saltwater) is then absorbed slowly by the body as it leaks out.

Breast AugmentationsSilicone implants have a much more natural feel and have been demonstrated to have a very low leak rate (1% leak rate noted per year – 10% risk at 10 years). Despite previous litigation against breast implant manufacturers and concerns over an association between silicone implants and cancer, as of November 2006, the FDA has again approved silicone implants for use in breast augmentation.



the cut in the areola of the breast. The scar is imperceptible, and yet, the access to molding and shaping of the breast is greatest through this approach.

The more traditional approaches of making a cut in the inframammary fold (under the breast) produces noticeable scars, especially in darker-pigmented people. The axillary approach (cutting from the armpit) touted by some physicians, can cause an unwarranted nerve injury affecting nerves that supply sensation to the arm with the resulting possibility of partial or complete numbness. Scar contracture may also result from that approach. When the contracture happens in the armpit, it may cause a mild to serious weakness in the arm.


Before an implant can be inserted, a pocket under the pectoralis muscle must be made. This involves separating tender breast tissues to create an opening. Most surgeons opt to use sharp scissors when creating a pocket, because it saves them time. However, sharp instruments can produce bleeding, possible hematomas and subsequent delayed healing. Dr. Chugay only uses blunt instruments when creating a pocket. Even though this approach takes more time, the benefits to the patients are incomparable, including less operative risk, fewer complications, less bleeding and lower risks of hematoma and delayed healing.

By opening the pocket more fully,  secures a more youthful appearance of the breast and increased upward elevation of the nipple. This technique, presented at seminars worldwide.


The implant is inserted inflated and slightly overfilled to give a bigger cleavage and to avoid rippling of the implant shell (most surgeons do not overfill despite the fact that overfilling is recommended by the implant manufacturers).


This type of process decreases bleeding, chances of hematoma and prevents delayed healing.


The tissues are closed in layers, starting from the very deep to superficial tissues. This process assures strong closure and will prevent large scars.