Breast implant surgery to enlarge or augment the breast is done by placing silicone breast implants. The exact procedure is tailored to meet a woman’s individual needs. The choices include intravenous sedation and general anesthesia. The filling type, shape, profile, and size of the implants are discussed thoroughly in the pre-operative consultation. The decision of placing the incision and implant will depend on the type of implant, degree of enlargement, and body type. A breast implant will be inserted into a pocket either under or directly over the muscle. Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive, or surgical tape to close the skin. Over time, breast implants can change shape, size, or overlying breast tissue. Patients notice that the appearance or feel of the breast is less desirable than the first result; therefore, many women will replace or update their breast implants after10-year.