I do most of my cosmetic surgery at Forest Park Hospital in Frisco, Texas and some procedures at Baylor Surgicare in Lewisville, Texas. I do not use a nurse anesthetist to put you asleep, I only use board certified anesthesiologists and therefore I virtually have no anesthetic problems. This is something many people aren't aware of and it should be one of the first questions asked to the plastic surgeon.
All of my breast augmentation procedures are done "under the muscle". I use either Mentor saline or memory gel (silicone gel) implants depending on the wishes of the patient and my recommendations due to anatomical factors. Usually the incision is in the fold or crease below the breast. For saline implants the incision is less than 2 inches and for silicone gel implants is slightly longer. I use other approaches to place the implants such as around the areola (around the nipple region) or in the armpit (axilla area), but these incisions are much more visible. I don't use drains. Complications are rare. It's a great procedure with almost instant satisfaction!