Cosmetic breast surgery

What you need to know about breast augmentation: step-by-step

What you need to know about breast augmentation: step-by-step
Cosmetic breast surgery · Girona
What you want to know about breast augmentation, step by step

Before having surgery it is worth understanding each step well: choosing an experienced plastic surgeon, assessing the technique and the type of implant (anatomical, round, ergonomic…), doing a volume test in front of the mirror and knowing key aspects such as the incision, capsular contracture or the non-surgical option with your own fat. It is a decision made with complete information and an individual medical assessment.



Author Medical team of Medics Integral Salut



Reviewed by the Breast Aesthetic Surgery Unit

Updated: 20 May 2026

Lectura: 4 min

Before undergoing a breast augmentation procedure there are several important things you should know. Breast augmentation in Girona must be performed by an expert plastic surgeon, because there are different surgical techniques for breast augmentation and not all patients are the same: the starting shape and size of the breast must be carefully assessed in order to choose the right technique. Below we gather, step by step, the most important points to be clear about before deciding.

Choosing the implant and its size

It is essential to listen to the patient and how she wants the result: whether she is looking for a natural breast augmentation or a rounder breast appearance. This is where the choice of breast implants and implant type comes into play. The implants can be:

  • Anatomical, for a more natural-looking result.
  • Round, when more projection and cleavage are wanted.
  • Teardrop-shaped, with volume concentrated in the lower part.
  • Ergonomic, designed to adapt to the movement of the breast.

In breast augmentation the size must also be decided. Carrying out volume tests with the patient is very important: in front of the mirror it becomes clear which breast size she feels most comfortable with, so as to select the breast implant that suits her taste while also taking her breast tissue into account.

The surgical technique

A small incision is made to insert the implant. The location of the incision depends on the anatomical plane in which it is placed:

Placement plane

The implant can be placed behind the pectoral muscle, in front of it, or in an intermediate area that we call dual plane. The choice depends on each patient's tissue and the result sought.

Scar location

The breast augmentation scar can be placed in the areola, the armpit or the breast fold. Whenever possible, this decision is made jointly with the patient, taking her preferences into account.

La contractura capsular

It is a complication the patient should know about. With the introduction of silicone implants, the body generates a capsule (scar tissue) that, in a low percentage of cases, can contract (tighten) and give the breast a hardened appearance. This complication must be detected in time to apply the appropriate treatment and resolve it.

Another frequent question is whether silicone implants can cause breast cancer. To date, it has not been shown that this is a possibility. It is important to keep up gynaecological check-ups, always accompanied by diagnostic imaging tests, to make sure everything is perfectly fine.

Breast augmentation without surgery

It is possible to give the breasts more volume without surgery through fat transfer (breast augmentation with your own fat): fat is extracted from one part of the body and injected into the breasts. Bear in mind that the size achieved cannot match that provided by a silicone implant. We use this technique successfully as a complement to mastopexies or in patients who do not want breast implants but wish to round out their neckline.

Types of implants depending on what you are looking for

Each type of implant responds to a different aesthetic goal. This table summarises the most common options:

Tipo de prótesisIndicative result
Anatómica / lágrimaA more natural shape, with the volume concentrated in the lower part of the breast.
RedondaGreater projection and cleavage, a fuller look in the upper pole.
ErgonómicaIt adapts to the body's movement, aiming for a more natural feel and behaviour.
Own fat (lipotransfer)Moderate augmentation without an implant; ideal as a complement or to round out the cleavage.

The steps if you want to have surgery at Medics Integral Salut

If you are interested in having your breast augmentation with us, the process is:

  • Request your free consultation for an assessment with our specialist surgeons.
  • Our surgeons carry out a volume test for you: you will be able to see an approximate result of what your surgery will look like.
  • We carry out the necessary preoperative tests.
  • We support you throughout the entire process of your plastic surgery in Girona.

Tip: look for a breast augmentation clinic in your city. You will need to attend check-ups and see your surgeon several times throughout the year to assess the results and deal with any complications, if they arise. Discover what real changes breast augmentation brings →

Get all your questions answered by the medical team

Consultation with sizing test, no obligation, in Girona.

Related video

Breast augmentation testimonials in Girona · Watch on our YouTube channel

Frequently asked questions

What types of breast implants are there?
Implants can be anatomical, round, teardrop-shaped or ergonomic. The choice depends on the result you are looking for (more natural or rounder), your breast tissue and the surgeon's assessment after the volume sizing test.
Where is the scar from breast augmentation?
The incision can be made in the areola, the armpit or the breast fold. The location depends on the anatomical plane in which the implant is placed and, whenever possible, it is agreed with the patient.
What is capsular contracture?
When the implant is placed, the body generates a capsule of scar tissue which, in a low percentage of cases, can contract and harden the breast. If detected in time, the appropriate treatment can be applied to resolve it.
Can silicone implants cause breast cancer?
To date, it has not been shown that silicone implants cause breast cancer. It is important to keep up gynecological check-ups, accompanied by diagnostic imaging tests, to verify that everything is fine.
Can breasts be enlarged without surgery?
Yes, through lipotransfer or augmentation with your own fat: fat is removed from the body and injected into the breasts. The volume achieved is more moderate than with an implant; it works well as a complement to a mastopexy or to round out the cleavage.
What does the price of breast augmentation depend on?
It depends on several factors, above all the type of implant and the hospital where the surgery is performed. It is worth discussing with your surgeon whether each option is worthwhile in your case and choosing a nearby clinic, since you will have several follow-up visits throughout the year.

Treatments and related units

Explore the treatments for the Breast Aesthetic Surgery Unit and other areas of the clinic. Filter by area:

Breast augmentation

Breast augmentation with implants or your own fat and a natural result.

More information

Breast lift (mastopexy)

Mastopexy to correct sagging, alone or combined with implants.

More information

Breast augmentation, AMI technique

Minimal-incision approach for a discreet scar.

More information

Breast reduction

Surgery to relieve discomfort and balance breast volume.

More information

Breast implant replacement

Replacement of old implants or a change of preference.

More information

Vaser liposuction

Body remodelling by ultrasound for localised areas.

More information

Buttock augmentation

Improved buttock contour with techniques adapted to each case.

More information

Facelift

Facial rejuvenation for sagging and signs of ageing.

More information

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Our clinic is located in the centre of Girona (Plaça Poeta Marquina, 3) and we regularly see patients from the city and the entire surrounding area and the Costa Brava. If you are coming from further afield, we coordinate appointments to group assessments and tests on the same day.

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Notice: this content is informative and does not replace a medical consultation nor constitute a diagnosis or personalised recommendation. Breast augmentation (augmentation mammoplasty) is a surgery with indications, contraindications and possible complications that the plastic surgeon will assess in each case. The emotional benefits described are common experiences, not guaranteed results. The decision must be made in an informed way and with realistic expectations. Information prepared in accordance with healthcare advertising regulations.
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