How Can Breast Augmentation Help?

For many women, breast augmentation in Nashville is about finally feeling proportionate, balanced, and comfortable in their own skin. Here's what this transformative procedure can do for you:

  • Restore Volume Lost Over Time
  • Create Better Balance and Symmetry
  • Enhance Your Natural Shape
  • Expand Your Wardrobe Options
  • Boost Your Self-Confidence
  • Natural-Looking Results

Before & After Breast Augmentation

Content Medically Reviewed by Dr. Michael Burgdorf 

Michael R. Burgdorf, MD, MPH, Music City Plastic Surgery Owner and Medical Director 

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Incision Placement Where Will the Scars Be?

One of the most common questions women ask is, "Where will the incisions be?" Dr. Burgdorf offers several incision options, each with its own advantages. Those include:

  • Inframammary Incision (Under the Breast): This is the most common approach. The incision is made in the natural fold beneath the breast, where scars are easily concealed by the breast itself or a bra. It offers excellent visibility during surgery and tends to heal well.
  • Periareolar Incision (Around the Nipple): This incision is placed along the border of the areola, where the color transition helps camouflage the scar. It's a good option for women who want their scars to be as inconspicuous as possible.
  • Transaxillary Incision (Through the Armpit): With this technique, the incision is made in the armpit, leaving no visible scars on the breast itself. It's ideal for women who want to avoid any marks on the breasts, though it offers slightly less direct access during surgery.
  • Transumbilical Incision (Through the Belly Button): This less common approach involves creating an incision near the navel and tunneling up to place the implants. It's typically used only for saline implants and requires specialized expertise.

Dr. Burgdorf will walk you through each option and help you choose the incision placement that aligns with your preferences and lifestyle.

Implant Placement: Above or Below the Muscle?

Where your implants are positioned can significantly impact your final results, recovery experience, and long-term satisfaction. There are two primary placement options:

Submuscular (Under the Muscle)

In this approach, the implant is placed beneath the pectoralis major muscle. This placement:

  • Provides more natural-looking results, especially for women with minimal natural breast tissue
  • Reduces the risk of visible rippling
  • May offer better mammogram imaging
  • Typically involves a slightly longer recovery due to muscle involvement

Subglandular (Above the Muscle)

Here, the implant is positioned between the breast tissue and the chest muscle. This placement:

  • Often results in less post-operative discomfort
  • Allows for a shorter recovery period
  • May be ideal for women with more natural breast tissue
  • Can create excellent cleavage and upper pole fullness

Dr. Burgdorf will assess your anatomy, tissue thickness, lifestyle, and aesthetic goals to determine which placement will give you the most beautiful, natural-looking outcome.

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How to Choose the Right Size Implant  

Choosing the right implant size is one of the most exciting and sometimes overwhelming parts of the breast augmentation journey. Dr. Burgdorf has developed an innovative system to take the guesswork out of sizing.

The 5-Star Assessment

Dr. Burgdorf uses a comprehensive evaluation system that considers five critical factors:

  1. Your chest width and measurements
  2. Your existing breast tissue characteristics
  3. Your skin elasticity and quality
  4. Your body frame and proportions
  5. Your personal aesthetic preferences

By combining objective measurements with your subjective desires, Dr. Burgdorf creates a personalized plan that matches the vision in your head with the results you'll see in the mirror.

Common Size Considerations

  • Going Too Small: Some patients worry about choosing implants that are too conservative. Dr. Burgdorf can help you find the sweet spot between subtle and satisfying.
  • Going Too Large:Extremely large implants can look disproportionate on smaller frames and may lead to discomfort or complications over time.
  • The Nashville Natural™ Result: Many of Dr. Burgdorf's patients request a look that's enhanced but not overdone, breasts that can be "dressed up" or "dressed down" depending on the occasion.
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Silicone vs. Saline: Which Implant Is Right for You?

Both silicone and saline implants are FDA-approved, safe, and effective options for breast augmentation. Each has unique characteristics that may make one more suitable for your needs.

Silicone Implants

Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. Many women prefer silicone because:

  • They feel softer and more natural to the touch
  • They're less likely to ripple or show visible edges
  • They tend to maintain their shape over time
  • They come pre-filled, requiring a slightly larger incision

Silicone implants are available in a variety of shapes, including round and anatomical (teardrop) options. Regular monitoring with MRI or ultrasound may be recommended to ensure implant integrity over time.

Saline Implants

Saline implants are filled with sterile saltwater solution. They offer several advantages:

  • They can be inserted empty and filled during surgery, allowing for a smaller incision
  • If a rupture occurs, the saline is harmlessly absorbed by the body
  • They tend to be slightly more affordable than silicone
  • They may feel slightly firmer than silicone

Saline implants are a great option for women who prefer a more budget-friendly choice or who want the reassurance of knowing a rupture will be immediately noticeable.

Which One Should You Choose?

The best implant type depends on your body, your budget, and your personal preferences. Many of our patients lean toward silicone for the most natural feel, but saline can be an excellent choice depending on your circumstances.

How Is Breast Augmentation Performed?

Dr. Burgdorf's approach to breast augmentation in Nashville combines advanced surgical techniques with an artist's eye for proportion and symmetry. Here's what you can expect on the day of your procedure.

Before Surgery

You'll arrive at Music City Plastic Surgery, where you'll be greeted by Dr. Burgdorf's warm, caring team. After changing into a comfortable gown, Dr. Burgdorf will mark your chest to guide precise implant placement. You'll then meet with the anesthesiologist to discuss your anesthesia plan.

During Surgery

The procedure is performed under general anesthesia, so you’ll be comfortably asleep throughout.

  • Incision: A discreet incision is made beneath the breast, around the areola, or in the armpit, as planned together.
  • Pocket Creation: A pocket is created above or below the pectoral muscle based on your chosen placement.
  • Implant Placement: Your selected implants are inserted and positioned for natural shape and symmetry.
  • Fine-Tuning: Dr. Burgdorf carefully ensures balanced, proportionate results.
  • Closure: Incisions are closed with precise suturing to minimize scarring.
  • Support: A surgical bra is placed to support healing and reduce swelling.

The procedure typically takes one to two hours. Dr. Burgdorf’s thoughtful approach helps minimize discomfort and support a smooth recovery.

After Surgery

You'll spend a short time in our comfortable recovery area before being discharged to the care of a friend or family member. Dr. Burgdorf will provide detailed post-operative instructions and prescribe pain medication to keep you comfortable during the first few days.

Hear From One of Our Happy Patients

Learn More About Breast Implants from Dr. Burgdorf

Breast Augmentation Patient Testimonial

I had a wonderful experience going to Music City Plastic Surgery. All of the staff are super friendly, and nice and make you feel very comfortable. Dr. Burgdorf did an amazing job on my breast augmentation and I wish I would have done it many years ago! They are exactly what I wanted and couldn’t be happier with my results and the ease of the entire process. Super thankful!

Chelsea Inman

Nashville Natural™ Results

Many of our patients choose to create a look that can be pleasing in a variety of situations. Dr. Burgdorf considers a breast augmentation in Nashville a success when people view his patients and question, “Did she or didn’t she?” At Music City Plastic Surgery, we provide our patented Nashville Natural Breast Augmentation™ to help achieve authentic beauty. While Nashville is commonly called Nash-Vegas, this nickname does NOT reflect the results you can expect at Music City Plastic Surgery. Dr. Burgdorf has heard countless patients describe their desired look as perky and enhanced, but still natural-looking.

The kind that can be “dressed up” or “dressed down” depending upon the occasion. In the normal day-to-day, the appearance is not so obvious or in your face, that the person disappears behind the breast. But when that patient decides to further accentuate her appearance, she can do so by confidently unbuttoning her blouse slightly to expose a bit of her cleavage. In this scenario, the clothes can either dress up or dress down the Nashville Natural™ result of her expert breast augmentation performed by Dr. Burgdorf.

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Post-Procedure Recovery: What to Expect

Recovery from breast augmentation is a gradual process, but most women find it easier than they anticipated. Here's a realistic timeline of what to expect as you heal.

  • The First 24-48 Hours: You'll experience some swelling, tightness, and soreness in your chest. This is completely normal. Take your prescribed pain medication as directed, rest as much as possible, and avoid lifting your arms overhead. 
  • Week One: Swelling and bruising will begin to subside. You'll still need to take it easy, but many women feel well enough to return to light activities like working from home or taking short walks. Avoid strenuous exercise, heavy lifting, or anything that raises your heart rate significantly.
  • Weeks Two to Four: You'll start to see your new shape emerging as swelling continues to decrease. Most patients can return to non-strenuous work and resume driving (once off prescription pain medication). Your breasts may still feel tight and sit higher on your chest. this is normal.
  • Weeks Four to Six: By now, you'll be feeling much more like yourself. Light exercise, such as walking and gentle yoga, is usually fine. Avoid high-impact activities, heavy lifting, and chest-focused exercises until Dr. Burgdorf gives you the green light.
  • Three Months and Beyond: Your breasts will have settled into their final position, and any residual swelling will have resolved. You can resume all normal activities, including vigorous exercise and strength training. 

Tips for a Smooth Recovery

  • Wear your surgical bra as directed to support healing
  • Sleep on your back with your upper body elevated for the first few weeks
  • Avoid smoking and alcohol, which can slow healing
  • Stay hydrated and eat a nutritious diet rich in protein
  • Follow all of Dr. Burgdorf's post-operative instructions carefully
  • Be patient with your body—final results take time

Breast Augmentation Patient Reviews

I had absolutely the best experience with Dr B!!

Sara S

He is caring, has great bed side manners, he made me feel very comfortable before I had my breast augmentation done and Post Op. I had a very smooth recovery process. I highly highly recommend Dr B!!!! Best plastic surgeon I could have asked for. Everybody at Music City Plastic Surgery is amazing, kind, down to earth, respectful, did not make me uncomfortable at all and were very informative before I had my procedure done. I am amazed with the results as well. I feel amazing. Thanks Dr B!!!!!

Sara S

Dr. Burgdorf is amazing!

Mary Payne

I am so pleased with my results and cannot express how happy I am to have found him as a surgeon. All of the staff is phenomenal and so informative. I had so many questions and they were very patient with me. I had a breast augmentation and liposuction. He is the best!

Mary Payne

Dr Burgdorf and his team are absolutely incredible!

Monica Jones

I saw him for a breast augmentation and could not be happier with the entire process and my results. I was honestly very scared initially, but if I could have known how easy and smooth everything would be I would have done it years ago! I feel as though Dr Burgdorf really listened to me and gave me the exact results I was wanting. Marina is also SO amazing and kind and I look forward to seeing her at my appointments! If you are considering surgery I cannot recommend them enough.

Monica Jones
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Dr. Burgdorf
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Why Choose Music City Plastic Surgery for Breast Augmentation in Nashville?

Choosing where to have breast augmentation is just as important as deciding to have the procedure itself. Here's what sets Dr. Burgdorf and his team apart:

Dr. Burgdorf's Exceptional Credentials

Dr. Michael R. Burgdorf is a board-certified plastic surgeon with a dual M.D./M.P.H. from Tulane University and former Chief Resident in surgery. His accolades include:

    • Board Certified by the American Board of Plastic Surgery
    • Author of two #1 Amazon bestsellers: The Mommy Makeover and The Daddy Do-Over
    • Named Top 10 Plastic Surgeon in Tennessee by the American Institute of Plastic Surgeons
    • Featured in major media outlets including The Wall Street Journal, Fox News, and Haute Living
    • Recognized as a RealSelf Top Doctor
    • Recipient of the Mom's Choice Award—Nashville's only plastic surgeon to receive this honor
    • Four-time winner of the Most Compassionate Doctors award from Vitals.com

A Patient-First Philosophy

Dr. Burgdorf believes that plastic surgery has a ripple effect throughout your life. When you feel confident in your appearance, it impacts your relationships, your career, and your overall happiness. That's why he's committed to creating a warm, supportive environment where you feel heard, respected, and empowered to make the best decision for yourself.

Advanced Techniques and Technology

Dr. Burgdorf stays at the forefront of the latest advancements in breast augmentation. His state-of-the-art techniques minimize discomfort, speed recovery, and deliver superior results. From his proprietary sizing systems to his meticulous surgical approach, every detail is designed to give you the best possible outcome.

Comprehensive Follow-Up Care

Dr. Burgdorf doesn't just perform your surgery and send you on your way. He's committed to your long-term satisfaction and will see you at regular intervals throughout your first year of recovery. His team is available by phone, text, or email anytime you need support or have questions.

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Breast Augmentation FAQ

How long do breast implants typically last?

Will breast augmentation affect my ability to breastfeed?

Are there options for implant texture and shape?

Is breast augmentation safe for older patients?

What if I change my mind about my implant size after surgery?

Do implants affect mammograms or breast cancer screening?

How long do breast implants typically last?

Breast implants are not lifetime devices, but they can last many years. On average, implants may need to be replaced after 10 to 20 years, though some last much longer. Factors like implant type, your body's response, lifestyle, and natural aging all play a role.

Will breast augmentation affect my ability to breastfeed?

In most cases, women can still breastfeed after breast augmentation. However, some may experience a slight decrease in milk production depending on the incision technique and implant placement. If breastfeeding is important to you, be sure to discuss this with Dr. Burgdorf during your consultation.

Are there options for implant texture and shape?

Yes. Implants come in smooth or textured surfaces, and shapes can be round or anatomical (teardrop). Round implants tend to create more upper pole fullness, while anatomical implants mimic the natural slope of the breast. Dr. Burgdorf will help you choose the best option based on your anatomy, lifestyle, and aesthetic goals.

Is breast augmentation safe for older patients?

Age alone isn't a barrier to breast augmentation. Many women in their 40s, 50s, and beyond choose to undergo this procedure with excellent results. As long as you're in good overall health and don't have any uncontrolled medical conditions, you're likely a candidate.

What if I change my mind about my implant size after surgery?

While implant exchange is possible if you later desire a different size, most of Dr. Burgdorf's patients feel fully satisfied with their outcome from the start.

Do implants affect mammograms or breast cancer screening?

Breast implants can slightly change how mammograms are performed, but they do not prevent cancer detection or increase your risk of breast cancer. Be sure to inform your imaging center that you have implants so the technician can use appropriate techniques (such as implant displacement views) to ensure accurate screening.

Don’t Miss Dr. Burgdorf’s #1 Amazon Best-Selling Books

Whether you’re a mom or a dad, Dr. Burgdorf is here to educate you on what extraordinary plastic surgery can do for your self‐confidence and overall quality of life. You deserve the best care and we are here whenever you are ready to get started!

✔The Mommy Makeover: Restoring Your Body After Childbirth
✔The Daddy Do‐Over: Boost Your Confidence in the Boardroom and the Bedroom

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