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Washington DC plastic surgeon

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Northern Virginia

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Christopher Chang MD

Breast augmentation has become the most popular cosmetic surgery performed in the nation. Shapely, full breasts can balance a feminine figure, slim the waistline, and provide balance for an hourglass silhouette. Many women today want to improve on what nature gave them, or recover what pregnancy, weight loss, or aging has taken away.

Dr. Christopher C. Chang has extensive training in cosmetic breast augmentation. He uses a “no touch” technique to place implants, which reduces scarring, lowers the risk of infection, and improves overall success of the procedure. He combines technical skill with attention to detail and symmetry to deliver natural results.

What is Breast Augmentation?

Breast augmentation is a method of increasing the size and volume of the breast. This is done most commonly with implants but there are other ways to achieve this also. With the method of fat transfer, you are taking fat from other parts of the body and injecting it into the breast. This does not always have lasting results because the fat may assimilate and the breasts shrink. Breast Implants are most commonly used because of the lasting results and the risks from the surgery have become very minimal in recent years. Dr. Chang's experience has maybe him one of the most desired for breast augmentation Washington D.C. has to offer.

Options With Breast Augmentation Surgery

Breast augmentation is not a one-size-fits-all procedure. Patients and surgeons have options in breast enhancement surgery, including:

  • Size of implant
  • Type of implant
  • Implant shape
  • Incision placement
  • Implant position

As one of the top providers of breast augmentation in Washington DC, Dr. Chang combines technical skill and a commitment to surgical excellence with an artistic eye and attention to symmetry and balance. After carefully evaluating your unique anatomy and discussing your treatment goals, he can design the breast augmentation surgery that will bring about attractive, natural-looking results.

Size of Implants

What size should I be? This is the most common question that will come up during your breast augmentation consultation. Dr. Chang provides patients with many different options to choose from to fit the goals you have for your breasts. During your consultation, Dr. Chang will take a series of measurements to determine your body structure, breast anatomy, and tissue quality. Using a series of anatomic measurements, he will help you decide on an ideal range of size, and profile of implant that will fit your specific body type and cosmetic goals. Using this customized approach, Dr. Chang will ensure your results are tailored to your body, and are as natural as possible, providing some of the top breast implants Washington DC has to offer.

Breast Augmentation Washington DC

Types of Implants

The most popular material for breast implants shells is medical grade silicone. There are three basic types of silicone shell breast implants – saline-filled, silicone gel-filled, and form-stable silicone gummy bear implants. Within the basic types, various configurations are available to match and enhance the patient’s anatomy and treatment goals.

Saline Filled Implants

The silicone shell is filled with sterile saline (salt water) solution. One advantage of this type of implant is that leaks do not pose a danger. The implant collapses and the saline is absorbed by the body and naturally expelled. Another advantage is that the shell is filled with saline after the implant is placed in the body, so smaller incisions are needed than with silicone implants. Saline implants also have a slightly firmer feel, and the volume can be adjusted during surgery.

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Silicone Gel Filled Implants

Silicone gel-filled implants have some important advantages. They feel more like real breast tissue than saline implants, with softness that feels natural. Because of their consistency, silicone implants are also less likely to wrinkle or ripple with movement.

Slightly larger incisions are required for placement, as silicone implants are prefilled. However, to minimize the incision length and manipulation of the implant, Dr. Chang uses the Keller Funnel to deliver the implant in a “no-touch” technique, using as small of an incision as possible. The current generation of silicone implants have improved upon the technology of the past and are safer than ever. As with any implant, there is a minor risk of rupture, but the modern silicone implants are not only safer, they come in a wide range of shapes and sizes for a more natural result.

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Gummy Bear Implants

Gummy Bear implants are filled with a thicker type of silicone gel. They are form stable, retaining their shape. They are firmer than traditional implants and shaped rather than round, tapering toward the top with more projection at the bottom, similar to natural breast tissue.

Perhaps the biggest advantage of gummy bear implants is their exceptionally natural look and reduced risk of leakage. The teardrop shape mimics the shape of natural breasts and the firmer gel has a similar feel. They also resist the effects of aging and gravity better than other types of implants. As the filler material does not shift within the shell, the risk of leakage is reduced with gummy bear implants.

Gummy bear implants require larger incisions for insertion, because they cannot be compressed to fit through a smaller incision. The final result of breast augmentation surgery is very natural in appearance and feel, and many women are interested in discussing this recent development prior to deciding about the type of implant to use.

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Dr. Chang
Dr. Chang

Incision Placement

Offering arguably the top breast augmentation Washington DC has to offer, Dr. Chang can delicately place implants using several different surgical techniques. During your consultation, he will recommend the best incision site for your procedure based on the type of implants, your unique anatomy, and your treatment goals. He's breast implant incision placements include:


The incision is placed in the crease at the bottom of the breast. This site is ideal for precise, symmetrical placement, and the incision is concealed in the natural crease of the breast.


The incision is made around the outline of the areola. This incision site allows a high degree of control in positioning the implant, and the incision is hidden in the pigment variation of the areola.


The implant is placed through an incision made in the natural fold of the armpit. There is no scarring on the breast, and the proximity to the chest muscles provides access for implant positioning and symmetry.


Transumbilical breast augmentation can be performed with saline implants. The incision is made at the rim of the navel, underneath the skin, through a fatty tissue tunnel to the breast. A rolled saline implant is delivered to the chest through this incision, and then positioned and inflated with sterile saline. This technique leaves no visible scarring on the breasts or arms. A highly-skilled plastic surgeon should only perform this technique.

Implant Position

The final choice to make in designing your breast augmentation surgery is implant position. Dr. Chang will recommend one of three possible implant positions:

Breast Augmentation Washington D.C.

Subpectoral: The implant is placed directly under the pectoral muscle. The implant is covered with a strong muscle layer as well as breast tissue and skin. This position reduces the risk of capsular contracture.

Subglandular: Implants are placed behind the breasts and over the muscle. This position allows a high degree of control over implant positioning. There is also less possibility of implant movement with muscle contraction.

Dual plane: This position is used in select cases. It is a submuscular (under the muscle) placement that contributes a subglandular component to more closely approximate nipple and implant positions.

When Dr. Christopher C. Chang performs your breast augmentation surgery, the procedure is custom-tailored to achieve the breast size, shape and appearance you envision. Dr. Chang is committed to surgical excellence and to comprehensive, personalized care for his patients. If you are ready for one of the most tasteful breast augmentation Washington, D.C. has to offer, make an appointment to come and discuss the possibilities with Dr. Chang.

Learn More About Our Washington DC Breast Augmentation:

Nipple reduction Washington DC

Nipple and Areola Reduction

Learn how Dr. Christopher Chang performs nipple and areola reduction surgery to restore a more proportionate and aesthetically pleasing appearance to the breasts.

Breast Surgery Revision Washington DC

Breast Surgery Revision

Breast surgery revision is a procedure performed to correct unsatisfactory results from a previous breast surgery. It may involve replacement or removal of breast implants, or may be performed to address complications or improve the symmetry, size, or projection of the breasts.

Breast Implants Washington DC

Chosing The Right Implant

Women today have options when it comes to breast augmentation. Breast implants are available in different types, shapes, textures, and sizes, with varying degrees of projection.

Breast Implants Washington DC

Frequently AskedQuestions

If you are unhappy with your bust size and are considering breast augmentation surgery, you have questions. Some of the most common questions are answered here.

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