<p>Dr. Forrest S. Roth offers five breast augmentation options at his River Oaks, Houston practice: saline implants, traditional silicone gel implants, form-stable (gummy bear) cohesive gel implants, fat transfer augmentation, and AlloClae. Silicone implants feel most natural and are the most commonly selected; saline are adjustable and any rupture is immediately visible; gummy bear implants maintain their shape most rigidly with a lower risk of rippling. Fat transfer uses the patient's own harvested fat — with no implant — to achieve a modest, natural increase for patients who prefer to avoid synthetic material. Dr. Roth reviews the characteristics of each option during consultation and makes a recommendation based on each patient's body type, goals, and anatomy.</p>

Most patients treated by Dr. Forrest S. Roth, MD, FACS return to light desk work within 5–7 days. Lifting the arms above shoulder level and engaging in strenuous upper-body activity are restricted for 4–6 weeks to allow the pocket to heal properly around the implant. A surgical or sports bra is worn during the initial recovery period. Most patients feel significantly more comfortable by the end of the first week.

Dr. Roth most commonly uses the inframammary incision — placed in the natural fold beneath the breast — which conceals the scar within the breast crease and minimizes disruption to breast gland tissue. The periareolar incision (at the lower edge of the areola) is an alternative for patients who prefer it and have sufficient areolar diameter. Incision choice is discussed during consultation and is influenced by implant type, size, and patient preference.

Yes — breast augmentation is an effective way to improve breast symmetry. Dr. Forrest S. Roth selects different implant sizes, profiles, or positions for each breast during the planning process to correct natural asymmetry. Detailed measurements, 3D imaging, and intraoperative implant sizers all contribute to achieving a balanced, proportional result. Minor residual asymmetry can persist, as it is present in virtually all women pre-operatively.

Breast implants are not lifetime devices, but modern silicone and saline implants are highly durable. Most patients can expect their implants to remain intact for 10–20 years. Saline implant rupture is immediately apparent (the breast deflates quickly); silicone ruptures may be "silent" and require an MRI to detect — the FDA recommends MRI screening beginning 5–6 years after silicone implant placement, then every 2–3 years. Dr. Forrest S. Roth discusses replacement timing and monitoring with each patient.

Submuscular (subpectoral) placement positions the implant beneath the pectoral muscle, while subglandular placement places it above the muscle but beneath the breast gland. Dr. Forrest S. Roth uses submuscular placement for most patients — it provides additional soft tissue coverage, produces a more natural upper-pole contour, reduces the visibility of implant edges in leaner patients, and slightly lowers the risk of capsular contracture. Subglandular placement results in less post-operative discomfort and a shorter recovery, and may be appropriate for patients with sufficient existing breast tissue to cover the implant naturally. Dr. Roth recommends the placement that best matches each patient's anatomy and goals.