There are two main options for breast augmentation surgery - implants or fat transfer. With implants, silicone or saline implants are placed through incisions to enlarge breast size and shape. Fat transfer involves harvesting fat via liposuction and injecting it into the breasts. While fat transfer provides a more natural enlargement and body contouring, implants allow for more control over the final size and shape. A consultation can help determine the best option based on goals, anatomy, and desired results.