Your browser does not support JavaScript
  Call For Consult:   Cincinnati, OH  |  Edgewood, KY

Breast Augmentation
Silicone or Saline Breast Implants? 

In addition to saline or silicone breast implants, the FDA has also approved the use of cohesive gel breast implants in the U.S. Mangat - Holzapfel - Lied Plastic Surgery offers all three options.

Cohesive gel implants feel softer and more natural than saline implants and, unlike saline implants, they rarely wrinkle. If a cohesive gel implant were to ever rupture, it better maintains both its shape and integrity. Cohesive gel implants come in many models, offering plenty of options to balance the body’s proportions.

About the Procedure 

Breast augmentation is a surgical procedure used to enhance the size and shape of the breasts, correct a reduction in breast volume after pregnancy, to balance differing breast sizes, or reconstruct the breasts after breast surgery.

Breast augmentation is accomplished by inserting an implant behind each breast. This is usually performed under general anesthesia or twilight anesthesia.
The incision for breast augmentation can be made either in the breast fold, around the areola (dark skin around the nipple) or armpit. The incision is usually 1½ inches long and, in time, will become inconspicuous. The implants are placed either directly behind the breast tissue or underneath the chest wall muscle.

The patient will feel soreness for 24 to 72 hours after surgery. The swelling of the breasts will take several weeks to subside. Most patients return to work in a few days.

Women are often able to nurse a baby after breast augmentation.

Side Effects and Risks

It is important that women who have had breast augmentation to get mammograms regularly.

Breast augmentation is a relatively low-risk surgery. Some women choose to have ultrasound, mammogram or MRI examinations of their breast after such surgery to detect lumps or to evaluate the implant.

A rare problem associated with breast augmentation is capsular contracture. This occurs when the scar or capsule around the implant begins to tighten. That, in turn, can cause the implant to feel firm. Capsular contracture is a treatable condition. By choosing to place the implant behind the chest wall muscle, the potential of capsular contracture is greatly reduced.

Occasionally an infection can occur around the implant. This is most often seen the week after surgery, but can, in fact, happen at any time. In some cases, the implant has to be removed and re-inserted at a later time. Infection would be treated with antibiotics.

Nipples may become oversensitive, undersensitive, or in some cases numb as a result of surgery. This is usually a temporary condition and will improve with time. However, permanent numbness of the nipples has occurred in some patients.

Breast implants can break or leak. The fracturing of the implant can happen as a result of injury or even normal compression and movement of the breast over years.


Dr. Holzapfel has been selected for Top Doctors in Cincinnati, the prestigious list of peer-voted distinction, each year since 2013.



In her practice of plastic surgery, Dr. Lied is particularly interested in body contouring, facial rejuvenation and breast reconstruction.

Top-rated, board-certified facial plastic surgeons and board-certified plastic surgeons in Cincinnati and Northern Kentucky, offering eyelifts, browlifts, facelifts, breast implants and breast reductions, rhinoplasty, reconstruction after cancer or trauma, liposuction, CoolScultping, Fraxel, Botox, Dysport, peels and fillers such as Restylane, Radiesse and Juvederm, and other procedures to refresh and renew your appearance.   Voted Best Doctors 2015-2016