Breast augmentation, also known as augmentation mammaplasty, is a breast enhancement procedure that uses implants to improve the size, shape, volume, and symmetry of the breasts. Often included in a ‘Mommy Makeover‘, many women who undergo this procedure do so to feel more comfortable and confident in their own bodies. Whether it’s due to a smaller than desired bust size, breast asymmetry, or volume loss due to pregnancy or weight fluctuations, this surgery is one of the most popular and growing cosmetic procedures in the U.S.
Dr. Kendall Roehl and Dr. Patrick Hsu have over 20 years of combined experience in providing beautiful results to women in Houston and Clear Lake, TX as well as all surrounding cities and states. Our team of top board-certified plastic surgeons performs over 500 breast augmentation surgeries of varying techniques each year.
During your consultation, you will get a formal evaluation by one of our breast augmentation surgeons to determine if this procedure is right for you. Common augmentation candidates are:
- Of age (Over 18 years old for saline implants and over 22 years old for silicone implants) with fully developed breasts.
- Healthy women at their ideal body weight and Body Mass Index (BMI).
- Not pregnant or currently breastfeeding.
Check out our gallery page to view the before and after photos of our breast augmentation patients.
Breast Augmentation Before and After Photos
The photos in this section contain nudity. You may continue if you are 18 years of age or older and are not offended by such material.
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Types of Breast Implants
- Saline Implants – It comes in empty elastomer shells and is filled with saltwater. Women may prefer saline due to the lower cost, smaller incision sites, and easy leak detection. Some disadvantages include a stiffer feel, and an increase in rippling, compared to silicone implants.
- Silicone Implants – It comes pre-filled with a viscous silicone gel. Many patients opt for this type of breast implant due to the softer look and feel, which mimics real breast tissue. The latest silicone shells are designed to stay in place after a rupture, often making it harder to detect a leak. We recommend getting a periodic MRI evaluation to ensure the implants remain intact.
- Gummy Bear Implants – A term used to describe a cohesive silicone gel that retains its shape when cut in half, or if a rupture occurs. Due to the additional firmness, there’s less rippling. These types of breast implants are textured and often used in breast reconstruction, due to their anatomical shape to enhance the natural slope of the breast.
- Round Implants have a symmetrical sphere shape with the exact amount of fullness in the upper and lower parts of the breasts.
- Teardrop Implants (anatomical implants) provide more volume at the base, mirroring the natural slope of the breast. These contoured implants are better suited for patients who have very little breast tissue.
Smooth vs Textured Implants
Smooth Implants are commonly used in this procedure due to its thinner shell, which allows for a wider range of options for different profiles and firmness. Textured Implants have a rough shell that adheres to the breast tissue better, preventing them from rotating around the breast pocket.
- Submuscular (under the muscle) – putting the implants underneath the pectoral muscle for a more “natural” look and contour. This is ideal for women who do not have enough breast tissue. However, patients should expect more discomfort and a longer recovery period.
- Subglandular (over the muscle) – positioning the implant above the muscle, just underneath the breast tissue. This method is usually less painful and has a shorter recovery time since only the skin and fat are operated on during the procedure. Subglandular placement increases the risk of capsular contracture and there is a higher likelihood that the implants themselves will be noticeable.
The method of insertion and placement of implants can be determined by your anatomy, the type of implant, and other varying factors. Our surgeons are highly skilled with all incision techniques and will discuss which is most suitable for you during your consultation.
The three most common incisions:
- Inframammary (IMF) incisions are made along the natural crease of the breast, where the base of the breast meets the chest. This incision is the most commonly used in breast augmentation procedures because it allows for precise implant placement.
- Periareolar Incisions create a semi-circle around the outer border of the areola. Scars are usually well camouflaged by the natural lines and ridges once healed.
- Transaxillary Incisions are made in the armpit where it can easily blend into the natural creases of the skin. Patients can expect a longer surgical time due to the precision needed to perform this technique.
How is a Breast Augmentation Procedure Performed?
The surgery is typically performed by one board-certified plastic surgeon, under general anesthesia, and takes between 1 – 3 hours.
To lower the risk of infection and minimize capsular contracture, our doctors employ the No-Touch technique. Silicone implants are first soaked in a triple antibiotic solution before being inserted into the breast pocket through a Keller Funnel. Once the surgery is complete, your breasts will be wrapped in bandages and skin adhesives, and then covered with a surgical support bra to prevent strain on your breasts. Learn how to prepare for your surgery here.
Associated Risks and Complications
Possible risks and complications associated with a breast augmentation procedure can include breast pain, bleeding, infection, poor scarring, capsular contracture, bottoming out, asymmetry, and nipple sensation changes. This is generally a quick and safe procedure for healthy patients, but it is important to choose an experienced board-certified plastic surgeon to decrease your risks and chance of complications.
" Very happy I found this Doctor. Doctor and all his staff are wonderful. "
" Staff was amazing! Hsu was very helpful. I would definitely recommend him. "
" I was extremely comfortable. He was very professional and gave great recommendations. I would defintely recommend him. "
" Dr. Hsu is easy to talk to and takes the time to listen to you and answer all your questions. The staff is also very friendly and helpful. "
" He is very professional, and thorough went over all that would take place during surgery and what to expect afterwards. I would definitely recommend him. "
How Much Does Surgery Cost?
The breast augmentation price in Houston may vary between $6,500 – $8,500, which includes the surgeon’s fee, breast implants, and anesthesia & operating room (OR) fees. The final cost of the surgery will depend on other factors:
- Type of breast implant
- Incision technique
- Duration of the surgery
The procedure is not covered under health insurance, unless deemed medically necessary, such as in cases for breast reconstruction following a mastectomy. We accept personal checks, credit cards, and cryptocurrency as payments. Likewise, we also provide various financing options to help patients cover their surgery costs.
What to Expect from the Recovery Period?
Breast augmentation is an outpatient procedure. You may return home on the same day of your surgery once you’ve been cleared by your doctors. Your breasts will settle to its final position over the course of 3 months. Review the chart below for an estimated breakdown of the recovery period:
|POST-OP OBSTACLES||ESTIMATED TIME|
|Physical discomfort (bruising & swelling)||2 – 4 weeks|
|Surgical bra use||4 – 6 weeks|
|Loss of nipple sensation||6 – 12 months|
|DAILY ACTIVITIES||ESTIMATED TIME|
|Full body showers||2 days|
|Driving & household chores||1 – 2 weeks|
|Regular exercise & strenuous activities||4 weeks|
We recommend following Memorial Plastic Surgery’s post-operative care instructions to ensure the best recovery. Additionally, it is important to schedule follow-up appointments for our doctors to observe your progress.
Frequently Asked Questions
During the consultation, our patients come in with a series of frequently asked questions about breast augmentation surgery. We have compiled a shortlist of answers below:
- Can weight loss affect my final results?
Our doctors recommend losing weight before your scheduled surgery. Post-operative weight loss can affect the outcome of the procedure.
- How long will my implants take to “drop” in place?
After the procedure, your breasts may look high during the first few weeks. Typically, it takes around three months before implants “drop” into their natural position. During this period, your surgeon may advise you to massage your implants to have them drop down sooner.
- How to know which type of implant is appropriate for me?
Choosing the right type of breast implant should be aligned with your aesthetic goals and preferences. Some factors include your age, breast anatomy, and desired look.
It is best to consult with your board-certified plastic surgeon to identify which implant size and shape is best for you.
- Can I still breastfeed after the procedure?
Most patients will be able to breastfeed after surgery, but it cannot be guaranteed. It is important to discuss this with your surgeon during your initial consultation, as specific implant placements and incisions may slightly lower or increase your risk of being able to breastfeed.
- How long do I have to wait after pregnancy, or breastfeeding, to have this procedure?
After pregnancy, it is recommended to wait at least 3-6 months before undergoing surgery, to ensure lactation is complete. Women who are currently breastfeeding are also advised to wait at least 3-6 months, to reduce the risk of infection and also produce a more accurate result.
- When is the best time to have this surgery?
Women who wish to undergo the procedure need to be an adult of at least 18 years of age for saline implants, and 22 years of age for silicone implants. Their breasts should also be done developing, as some women continue to develop until their late teens to early ’20s, which can affect their result if done too prematurely.
- Will there be changes in my nipple sensitivity?
Loss of nipple sensitivity is one of the complications common after surgery. It can be a partial or complete loss of sensation, depending on the technique used during the surgery. Temporary loss of nipples’ sensitivity may take about three to six months to return.
- Will this leave me with noticeable scars?
Our patients aggressively begin scar therapy at two to three weeks after surgery. Depending on your ethnicity and incision placement, however, scars may be more apparent in some patients. Incisions are strategically placed to be well hidden, and with time will eventually become unnoticeable.