Breast Augmentation in Bend, Oregon: What to Know Before Your Consultation

Breast augmentation is one of the most frequently performed cosmetic surgical procedures in the country, with more than 304,000 procedures completed in the most recent year tracked by the American Society of Plastic Surgeons. The reasons women seek augmentation are personal and varied -- some want to restore volume lost after pregnancy or weight changes, others wish to correct asymmetry, and many simply want to feel more proportionate and confident in their own frame.

What has changed in recent years is not the popularity of the procedure but the philosophy behind it. The trend toward smaller, more proportionate implants reflects a broader shift in aesthetic surgery: results that look natural, complement the patient's body, and age gracefully over time.

Dr. Emily Borsting is a board-certified plastic surgeon in Bend, Oregon, whose approach to breast augmentation is grounded in the principle of "refresh, not remake." Rather than pursuing a one-size-fits-all outcome, she works with each patient to identify the size, shape, and implant type that best suits their anatomy, lifestyle, and goals.

Understanding Breast Augmentation

Breast augmentation involves placing an implant -- either behind the breast tissue or beneath the chest muscle -- to increase breast size, improve symmetry, or restore fullness. The procedure is one of the most studied in all of plastic surgery, with decades of safety data and ongoing refinements in implant technology and surgical technique.

The decision to pursue augmentation is deeply personal. Common motivations include:

• Volume loss after pregnancy or breastfeeding. Hormonal changes and nursing can deflate breast tissue, leaving a shape that no longer feels like one's own.
• Asymmetry. Some degree of breast asymmetry is normal, but when the difference is noticeable, it can affect clothing fit and self-confidence.
• Proportional balance. Some women feel their breast size is not proportionate to their hips, shoulders, or overall frame.
• Congenital underdevelopment. Conditions like tuberous breast deformity or Poland syndrome can result in breasts that did not fully develop during puberty.
• Post-weight-loss changes. Significant weight loss can reduce breast volume and alter shape.

A 2024 meta-analysis of 39 studies encompassing more than 18,000 patients, published using the validated BREAST-Q measurement tool, found significant improvements in satisfaction with breasts, psychosocial well-being, and sexual well-being following augmentation. These findings confirm what most patients describe anecdotally: breast augmentation, when performed thoughtfully, can meaningfully improve how a person feels about their body.

Implant Options: Silicone vs. Saline

One of the first decisions in breast augmentation is the choice between silicone and saline implants. Both have extensive safety records, and each offers distinct advantages.

Silicone Gel Implants

Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. They are the most popular choice among augmentation patients and are available in a range of profiles, projections, and textures.

The 2019 Coroneos study (PMID 28953716) evaluated more than 55,000 patients and found that silicone and saline implants have broadly comparable but not identical complication profiles. Implant-specific reoperation rates are comparable between the two types, and the Breast Implant Follow-Up Study (55,279 women) found no significantly increased risk of targeted systemic adverse events for silicone versus saline. However, capsular contracture rates are significantly higher with silicone implants (5.0% vs 2.8% in FDA postapproval data), while saline implants have higher short-term rupture rates. The study also identified elevated signals for certain rare autoimmune conditions, though the clinical significance remains under investigation. Dr. Borsting discusses the full risk profile of each implant type during consultation.

More recent data from a 2024 clinical study published in the Aesthetic Surgery Journal demonstrated low complication rates and high patient and surgeon satisfaction at three years with modern silicone gel implants. The FDA requires patients to be at least 22 years old for silicone implants.

Saline Implants

Saline implants are filled with sterile saltwater solution after placement, which allows for a smaller incision and adjustable volume. If a saline implant ruptures, the body safely absorbs the saline solution, making a rupture immediately noticeable.

A multicenter review published in Plastic and Reconstructive Surgery confirmed that saline implants remain a safe and effective option. Multiple published studies report high overall patient satisfaction rates with saline implants. The FDA approves saline implants for patients 18 and older.

Which Is Right for You?

There is no universally "better" implant. The right choice depends on a patient's body type, tissue coverage, aesthetic preferences, and comfort level. During a consultation, Dr. Borsting discusses the advantages and trade-offs of each type in the context of each patient's individual anatomy. She takes time to review sizing options, implant shapes, and placement strategies so that patients feel informed and confident in their decision.

Surgical Technique and Implant Placement

The technical details of breast augmentation matter as much as the implant itself. Two key decisions -- incision location and implant placement plane -- influence the final appearance, feel, and long-term outcomes.

Incision Options

Dr. Borsting discusses several incision approaches with patients:

• Inframammary fold (under the breast). The most common approach, offering direct access and excellent control over implant positioning. The incision is concealed in the natural crease beneath the breast.
• Periareolar (around the areola). Placed along the lower border of the areola, this incision heals discreetly due to the natural color transition.
• Other approaches may be appropriate depending on individual anatomy and implant type.

Placement Plane

• Submuscular (under the muscle). The implant is placed beneath the pectoralis major muscle. This approach provides additional soft tissue coverage over the implant, which can create a more natural slope and reduce the visibility of implant edges, particularly in patients with limited native breast tissue. A 2025 systematic review and meta-analysis published in ASJ Open Forum found that subpectoral placement demonstrated significantly reduced capsular contracture rates compared to prepectoral placement.
• Subglandular (over the muscle). The implant sits between the breast tissue and the chest muscle. Recovery may be faster, and the procedure can be appropriate for patients with adequate natural tissue coverage.
• Dual-plane. A hybrid approach that positions the upper portion of the implant beneath the muscle and the lower portion beneath the breast tissue, combining the benefits of both planes.

Capsular Contracture: What Patients Should Know

Capsular contracture -- the formation of tight scar tissue around the implant -- is the most commonly discussed long-term consideration in breast augmentation. According to 10-year clinical study data (Calobrace et al., 2018, Sientra 10-year prospective study of 2,565 primary augmentation patients), the Kaplan-Meier estimated rate of capsular contracture was approximately 10.8% over 10 years -- a figure that falls within the range reported by systematic reviews (7.6%-25% over 10 years). Research has found that surgical technique significantly influences this rate: submuscular placement reduces capsular contracture rates compared to prepectoral positioning. While overall reoperation rates are comparable between silicone and saline implants, capsular contracture rates do differ -- FDA postapproval data (99,993 patients) shows significantly higher capsular contracture with silicone (5.0% vs 2.8%, P<0.001), and textured silicone implants carry higher rates than smooth implants.

Dr. Borsting discusses capsular contracture risk factors, prevention strategies, and management options during the consultation process.

Important Safety Information: BIA-ALCL

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare type of non-Hodgkin lymphoma that has been associated primarily with textured breast implants. The condition is extremely rare -- the FDA estimates the lifetime risk ranges from approximately 1 in 3,817 to 1 in 30,000 for patients with textured implants. Published case analyses have not identified BIA-ALCL in patients known to have received only smooth implants, but all implant patients should understand the symptoms to watch for. Symptoms typically include late-onset swelling or fluid collection around the implant, usually occurring years after placement. When detected early, BIA-ALCL is highly treatable. Dr. Borsting discusses BIA-ALCL risk factors, implant surface options, and monitoring recommendations during the consultation process.

Recovery: What to Expect

Recovery after breast augmentation is generally well tolerated, with most patients returning to daily routines faster than they initially expect. However, timelines vary based on implant placement, individual healing, and the physical demands of a patient's work and activities.

First 24-48 hours. Some soreness, swelling, and tightness are normal. Enhanced recovery protocols in breast augmentation surgery have shown promising results -- a 2024 study published in a peer-reviewed journal found that 95% of patients returned to normal daily activities within the first 24 hours when an optimized recovery pathway was followed. Dr. Borsting provides detailed postoperative instructions tailored to each patient's procedure.

First 1-2 weeks. Most patients return to desk work and light activities within 5-7 days. A supportive surgical bra is worn to minimize swelling and support the implants as they settle. Discomfort is managed with prescribed and over-the-counter medications.

Weeks 2-6. Gradual return to more physical activities. Lifting restrictions are typically maintained for 4-6 weeks, particularly for submuscular placement. An important randomized controlled trial published in Plastic and Reconstructive Surgery in 2022 found that exercise -- including bench press -- as early as one week after augmentation did not increase complication rates or affect scar quality at one year. Dr. Borsting provides individualized guidance on resuming exercise.

Weeks 6-12. Most restrictions are lifted. Implants continue to settle into their final position, a process often called "dropping and fluffing." Swelling resolves progressively.

3-6 months. Final results become apparent as implants reach their settled position and tissues fully adapt.

Individual results vary. Recovery timelines depend on the specific surgical approach, implant placement, and each patient's healing response.

Who Is a Good Candidate?

The American Society of Plastic Surgeons outlines several criteria for breast augmentation candidacy:

• Physically healthy and at a stable weight. Significant weight fluctuations after surgery can alter results.
• Realistic expectations. Augmentation enhances what is there -- it creates a natural improvement, not a transformation disconnected from one's body.
• Bothered by breast size, shape, or asymmetry. Whether after pregnancy, weight loss, aging, or simply because of how one is built.
• Non-smoker or willing to quit. Smoking compromises healing and increases complication risk. Patients must be nicotine-free before and after surgery.
• Done with or planning around pregnancy. While implants do not prevent breastfeeding in most cases, pregnancy and nursing can change breast shape and size, potentially affecting results.

Dr. Borsting evaluates each patient individually, considering anatomy, tissue quality, chest wall dimensions, and personal goals. The consultation is an opportunity to ask questions, review before-and-after examples, and develop a plan that feels right.

Why Choose Dr. Borsting for Breast Augmentation in Bend

Board-Certified Plastic Surgeon

Dr. Emily Borsting is certified by the American Board of Plastic Surgery, the only board recognized by the American Board of Medical Specialties for plastic surgery certification. This credential requires completion of an accredited plastic surgery residency, rigorous written and oral examinations, and ongoing maintenance of certification. Not all physicians performing breast augmentation hold this specific certification -- it is an important distinction when choosing a surgeon.

Research-Informed Practice

With more than 50 peer-reviewed publications, Dr. Borsting brings a depth of academic knowledge to her clinical work. Surgical decisions are informed by evidence, not trends. When new implant technologies or techniques emerge, she evaluates the data behind them before incorporating them into practice.

Natural Results: Refresh, Not Remake

Dr. Borsting's philosophy centers on creating results that look and feel natural. This means careful attention to implant sizing that complements the patient's frame, placement strategies that create a natural breast shape, and a commitment to avoiding the "overdone" look that many patients want to avoid. The goal is breasts that look like a naturally fuller version of what was already there.

Accredited Surgical Facilities

Breast augmentation procedures are performed at Bend Surgery Center, a fully accredited outpatient surgical facility, or at St. Charles Health System, depending on the specifics of each case. Both facilities maintain rigorous standards for patient safety, anesthesia care, and emergency preparedness.

ProNox Comfort Option

For preoperative appointments, postoperative follow-ups, and any in-office procedures, Dr. Borsting's practice offers ProNox -- a patient-controlled nitrous oxide system that provides immediate, short-acting comfort. It is an option that many patients appreciate for reducing anxiety during office visits.

Serving Central Oregon and Beyond

Located at 2239 NE Doctors Dr, Suite 100, in Bend, Dr. Borsting's practice draws patients from across Central Oregon -- Redmond, Sisters, Sunriver, La Pine, and Prineville -- as well as from Portland, Eugene, and other parts of the Pacific Northwest. For patients who travel for surgery, the practice team assists with planning to make the experience as seamless as possible.

Bend's active outdoor lifestyle is part of what makes natural-looking results so important. Patients here ski, hike, mountain bike, and paddle -- they want results that look great in athletic wear and swimwear, not just in a consultation room.

Frequently Asked Questions

How do I choose the right implant size?

Implant sizing is one of the most important decisions in breast augmentation, and it is not as simple as choosing a cup size. Cup sizes vary across bra manufacturers and are not a reliable measurement. During the consultation, Dr. Borsting uses dimensional planning -- measuring chest width, tissue stretch, and existing breast dimensions -- to recommend a range of implant volumes that will look proportionate and natural on your frame. Sizers and imaging tools can help visualize potential outcomes.

How long do breast implants last?

Breast implants are durable medical devices, but they are not considered lifetime devices. Many patients enjoy their implants for 10-20 years or longer without issues. Routine monitoring is recommended, and implants may eventually need to be replaced or removed if complications develop or if a patient's preferences change over time. Dr. Borsting discusses long-term implant maintenance during the consultation.

Will breast implants affect mammograms?

Breast implants can make mammography slightly more complex, but they do not prevent effective breast cancer screening. It is important to inform the mammography technician about implants so that additional views can be taken. Modern imaging techniques accommodate implants effectively, and implants do not increase breast cancer risk.

Can I breastfeed with implants?

Most women with breast implants can breastfeed successfully. Implant placement beneath the muscle and incisions in the inframammary fold or armpit are least likely to affect milk production. However, individual experiences vary, and this topic is worth discussing during the consultation for patients who may plan to breastfeed in the future.

What is the difference between breast augmentation and a breast lift?

Breast augmentation adds volume, while a breast lift (mastopexy) addresses sagging by repositioning the breast tissue and nipple on the chest wall. Some patients benefit from combining both procedures -- an augmentation-mastopexy -- to add volume and correct ptosis simultaneously. During the consultation, Dr. Borsting evaluates whether augmentation alone, a lift alone, or a combination will best achieve the desired outcome.

How soon can I return to exercise after breast augmentation?

Most patients can resume light activities within one to two weeks. Research published in Plastic and Reconstructive Surgery has shown that exercise as early as one week after surgery does not increase complication rates. However, Dr. Borsting provides individualized guidance based on the specific procedure performed. Submuscular placement may require a longer period before upper-body exercises, typically 4-6 weeks, while subglandular placement may allow earlier return. Individual results and timelines vary.

What does breast augmentation cost?

The cost of breast augmentation varies depending on implant type, surgical technique, anesthesia, and facility fees. Because each patient's plan is individualized, accurate pricing is provided during the consultation after a physical examination and discussion of goals. Dr. Borsting's practice offers financing options to help patients plan for their investment.

Take the Next Step

Breast augmentation is a personal decision, and the right surgeon makes all the difference. A consultation with Dr. Borsting is an opportunity to have your questions answered honestly, to understand what the procedure can and cannot achieve for your specific anatomy, and to develop a plan that reflects your goals.

There is no pressure and no obligation -- just the information you need to make a confident decision.

Schedule a consultation or call (541) 316-0627 to speak with the practice team.

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Emily Borsting, MD, is a board-certified plastic surgeon practicing in Bend, Oregon. She is affiliated with St. Charles Health System and Bend Surgery Center. Individual results vary, and all surgical decisions should be made in consultation with a qualified physician.