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Breast Augmentation

With A Warm, Caring Staff and Stunningly Natural Results,
Our Approach to Breast Augmentations is Anything but Plastic

Breast augmentation is a very personal decision, so it’s not surprising that our patients come to us in Cary, NC with a variety of desired results. Some of the goals we hear most often are:

  • “I’d like to look better in my clothes.”
  • “I want to feel more feminine.”
  • “I’d love my breasts to look like they did before I had kids.”
  • “I’d like better proportion so that my breasts match my hips.”

Whatever your personal reasons, we’re here to help you explore the possibilities and achieve the results that are best for you and your body. Whether you wish to increase the size of your breasts or improve their shape, breast augmentation is an enormously satisfying procedure for most patients. Our team is committed to your understanding of what a breast augmentation involves and the options that are available to you. CARE Plastic Surgery in Cary, NC is a state-of-the-art facility and Dr. Coan is a national expert in breast surgery. You have found the right surgeon!  Let’s learn more on the subject.

Related Videos

Our Team is committed to your understanding what a breast augmentation involves and the options that are available to you. CARE Plastic Surgery in Cary, NC is a state-of-the-art facility and Dr. Coan is a national expert in breast surgery. You have found the right surgeon! Let’s learn more on the subject.


Patient Testimonial


" I went in a little worried about an interest I had for at least 15 years. Once I met Dr. Coan and his staff, I realized the time was now right. I was interested in breast augmentation. CARE made me feel more than a patient. I felt as if I was talking to friends/family. I could not be happier with my outcome. Dr. Coan and I talked several times, as he wanted to make sure he had a clear understanding of the results I was hoping for. I would HIGHLY recommend him to anyone! I'm so excited for the upcoming summer. For once in my life, I am ready for bathing suit season!! I'm one happy lady ... and can't speak highly enough for the CARE staff!! They are all just amazing people! " - A True Expert in his Field

Patient Stories



Breast Augmentation with Lift



Breast Augmentation



Complicated Breast Revision

What Are the Choices Available to You for Your Breast Augmentation?

In the past, surgeons often made all the choices for their patients. This led to a high revision rate and many women wishing they had more control over the process and the end result.  At CARE, we believe the best choices are those made together – surgeon and patient. Most women are aware that they can help choose the size of their implants as well as the type of implant (silicone or saline). But there are other decisions that must be made as well, including:

  • The shape of the implant
  • Profile of the implant (the amount that the breast projects outward from the chest in profile)
  • The texture of the implant
  • Location of the ultimate scar

With all the available choices, no wonder people get confused!  Dr. Coan is an expert and will help guide you through the process.

3D procedure video



Are breast implants under warranty?

Breast implant warranties vary from company to company. In general, there is a 10 year warranty against leaking or implant rupture. This is a fairly low occurring event at approximately 6% at 10 years. If it should occur, the implants are replaced and the company covers at least a portion of the costs of surgery. If the implants ever leak or fail after 10 years, although the surgical costs are not covered, the implants are covered for life and replacement with a new set is covered. With regard to capsular contracture (essentially a formation of excess scar tissue around the implant), surgical costs are not covered but implant replacement is covered in the first 3 years.

Are silicone or saline implants better?

Silicone implants provide a more natural appearance, less chance of visible rippling, and have a lower implant rupture rate. With a rupture in saline implants, there is a subsequent abrupt deflation, which results in a noticeable change in appearance and requires implant replacement.

Do you use saline or silicone implants?

At CARE, we offer all types of implants but recommend Allergans Natrelle silicone gel implants. The Natrelle breast implants are considered to be the gold standard for many reasons, including a lifetime replacement warranty and a ten-year implant replacement warranty on capsular contracture. Most patients appreciate the substantial advantages of these implants over the small cost differential associated with the less expensive saline implants.

How painful is breast augmentation recovery?

While every patient is unique, many patients commonly describe the post-operative experience as sore rather than painful. The majority of patients find comfort after surgery when following the recommended pain management and medication regimen. Many patients at CARE Plastic Surgery report feeling back to their “normal selves” within a week. Most patients only take pain medicine for 2-3 days. The vast majority of our patients only take non-steroidal anti-inflammatories after the first day.

How do I know if my breast implant is leaking?

It is fairly easy to detect a leak in saline implants. Patients will notice a physical change in the appearance of the implant as it subsequently deflates. Although the leak rate is relatively low, the only way to detect a leak in a silicone implant is with an MRI.

Is there an alternative to breast implants?

Yes, an alternative way to enlarge the breasts would be through liposuction and fat transfer. This is a great option for patients wanting a more natural appearance.

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

Breast augmentation is any procedure that serves to increase the size of the breast. A breast can be enlarged by means of fat transfer or a breast implant device.

Can you prevent capsular contracture?

There are certain measures that can be taken to ensure the lowest risk of capsular contracture. Some factors are patient-dependent and can increase the risk, such as frequent UTIs, sinus infections, and recurrent dental problems. At CARE, we implement all the best practices to minimize your overall risk of capsular contracture. Dr. Coan uses silicone implants placed below the muscle using an incision at the infra-mammary fold unless otherwise indicated.

What is capsular contracture?

Capsular contracture is a rare but serious risk associated with breast augmentation surgery. After surgery, a thin layer of internal scar tissue forms around the implant. In capsular contracture, the scar tissue thickens and hardens, leading to a conformational change of the breast. In addition to a shape change, the breast can feel tight and/or painful. Treatment involves implant removal and/or exchange, and the procedure may require a capsulectomy.

Do you have to replace breast implants every 10 years?

Some people may mistakenly compare medical breast implants to car tires, and believe they need to be “rotated” or changed periodically. Many breast implant manufacturers offer a breast implant warranty and the Natrelle brand breast implants for silicone gel offer a lifetime replacement warranty and a 10-year warranty on capsular contracture. Silicone gel breast implants that are FDA approved are designed to serve as lifetime medical devices. It is common for many patients to enjoy their implants for 15-20 years or more with proper maintenance. Patients may decide to replace their implants for many reasons, including ruptures, after breastfeeding or changes in aesthetic desires. Because implants are not an “anti-gravity” device, a patient’s breasts may change due to weight fluctuations, pregnancy, or hormonal changes.

What is the risk of capsular contracture?

The national average risk of developing capsular contracture after a breast augmentation is around 10-12%. At CARE Plastic Surgery, our rate is around 3-4%. Dr. Coan performs every measure possible to mitigate this incidental risk including often placing the implant under the muscle and often using a Keller Funnell to mitigate implant contamination.

Can breast implants last 30 years?

Yes, breast implants can be considered “lifetime devices”, meaning, today’s silicone implant technology allows implants to last decades. Here at CARE Plastic Surgery, we offer Allergan Natrelle silicone implants that include a lifetime warranty. Although leak and rupture rates are considerably low risks, we recommend patients receive routine MRIs to check implant integrity.

Can fat be transferred to breasts?

Yes, here at CARE Plastic Surgery, we offer a variety of surgical procedures, including fat transfer to the breasts. Depending on your desired aesthetic goals, our double-board certified plastic surgeon may recommend utilizing a breast implant or fat grafting to the breasts. Oftentimes, fat transfer can achieve a more natural aesthetic and maybe a good option for patients seeking minimal volume increase.

Do breasts sag after breast augmentation?

Breast implants serve to solely make a breast larger and does not address nipple position or shape. Implants are not anti-gravity devices, and implant position can be influenced by weight fluctuation, pregnancy, etc. Our double-board certified surgeon will help you decide if a breast lift is right for you prior to surgery.

Can breast implants cause pain years later?

One risk of breast implants is the development of capsular contracture. In more severe cases, capsular contracture can cause a tight and/or painful feeling of the breast. Treatment options for capsular contracture include medical management with medications and possible implant removal and/or exchange. At CARE, we take every measure to reduce the overall risk of developing capsular contracture. We are proud to say our rate is about one-third of the national average.

Can I move my arms after breast augmentation?

You will be able to move your arms after breast augmentation surgery. Depending on the patient, we may recommend you avoid certain movements to have a limited range of motion for a short period of time after your procedure. We discourage patients from lifting anything exceeding 20 pounds or participating in any activity causing an increase of heart rate and blood pressure for approximately 6 weeks throughout your early recovery.

Can you breast feed after breast augmentation

There is no evidence indicating an implant would significantly impact a woman’s ability to breastfeed. Pertinent factors include a woman’s existing breast tissue, chosen breast implant size, and incision size.

Do breast implants cause autoimmune disease?

There is no direct evidence supporting that silicone implants are a causal factor for autoimmune disorders. While patients may develop autoimmune disorders over the course of their lifetime, along with other disorders or conditions, there is no clinical data indicating silicone implants are a cause of this. The breast implant is the most clinically studied medical device on the market.

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