Approximately 500,000 cosmetic breast operations will be done in 2006. The majority of these are for cosmetic reasons and include breast augmentations, mastopexies, and breast reductions. Augmentations are most commonly performed using saline implants in strictly cosmetic situations and occasionally silicon implants in select cases. Complications are unusual, breast feeding is usually possible and mammographic cancer detection is accurate provided that specific mammographic views are obtained. Most cosmetic breast surgery is not covered by insurance with the exception of breast reduction.