Breast Augmentation Houston

Breast augmentation, also called augmentation mammaplasty, is a breast enhancement procedure that uses implants to improve breast size, shape, volume, and symmetry. Often as part of a ‘Mommy Makeover,’ many women undergo this procedure to increase their self-esteem and gain new confidence in their own bodies. Due to smaller than desired breast 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 United States.

Dr. Patrick Hsu, Dr. Kendall Roehl, Dr. Shayan Izaddoost, and Dr. Vasileios Vasilakis* have over 20 years of combined experience providing beautiful results to women in Houston and Clear Lake, Texas, as well as all surrounding cities and states. Our team of Houston breast augmentation surgeons performs over 500 breast augmentation surgeries each year using a variety of techniques.


During your consultation, you will receive a formal evaluation by one of our breast augmentation surgeons to determine if you are a suitable candidate for this procedure and to identify the best implant option for you.

The ideal candidate for breast augmentation is:

  • 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 the before and after photos of our breast augmentation patients on our gallery page.


One of the most important decisions is choosing an implant type. Gummy bear, silicone, and saline are three different kinds of implants, all of which have different benefits.

  1. Saline Implants
    They come in empty elastomeric shells and are filled with a saltwater solution. Women prefer saline because of the lower cost, smaller incisions, and easy leak detection. A saline implant has an outer silicone shell, but its disadvantages are a stiffer feel and increased rippling compared to silicone gel breast implants. Saline breast implants are FDA approved for augmentation in women 18 years of age and older and for reconstruction in women of all ages.
  2. Silicone Implants
    Many patients choose silicone gel implants because of the softer look and feel that mimics real breast tissue. A silicone shell filled with silicone gel instead of a saline solution is designed to stay in place after a rupture, often making it more difficult to detect a leak. We recommend regular MRI exams to ensure that the implants remain intact. Silicone breast implants are FDA approved for augmentation in women 22 and older and for breast reconstruction in women of all ages.
  3. Gummy Bear Implants
    These breast implants are textured and, because of their anatomical shape, are often used in breast reconstructions to enhance the breast to their anatomical shape. Gummy bear implants are used to describe a cohesive silicone gel that maintains its shape when cut in half or when a tear occurs. The added firmness results in less rippling.


Many women are presented with two different shape options for breast implants: round implants or a more anatomical teardrop shape. Each has its own advantages for each patient, depending on what they desire to achieve.

  • Round implants
    Round implants can be filled with either silicone or saline and are the most popular choice for breast augmentation. They are characterized by their symmetrical, spherical shape with the exact amount of fullness in the top and bottom of the breasts
  • Teardrop implants
    Teardrop implants feature a shape that is designed to mimic the appearance of a natural breast. Also referred to as anatomical implants, they provide more volume at the base and mirror the natural slope of the breast. A patient with very little breast tissue is the ideal candidate for teardrop implants.


If you decide to get a silicone gel implant, you’ll work with our team in choosing between implants with a smooth surface and those with a textured surface.

  • Smooth Implants
    Smooth implants are commonly used in this procedure because of their thinner shell, which allows for a wider range of options for different profiles and firmness. Smooth breast implants do not attach to the surrounding body tissue, so they are usually freely moveable within a tissue membrane that forms around the implant.
  • Textured Implants
    Textured implants have a rough shell that adheres better to breast tissue and are less likely to move.


The location selected for placement of breast implants is determined by several factors. They can be placed either partially under the pectoralis muscle (submuscular) or over the pectoralis muscle on the chest and under the breast tissue (subglandular).

  • Submuscular (under the muscle)
    Submuscular placement is ideal for women who do not have enough breast tissue. The process involves putting the implants underneath the pectoral muscle for a more “natural” look and contour. Despite its more natural-looking result, patients should expect more discomfort and a longer recovery period.
  • Subglandular (over the muscle)
    Subglandular placement is a less painful method that positions the implant above the muscle, just underneath the breast tissue. With this kind of placement, only the skin and fat are operated on, which makes the overall procedure less painful and the recovery time shorter. Subglandular placement of breast implants under the breast tissue is generally not advised for women with thin tissues, as the implant edges may become more visible and increases the risk of capsular contracture.


There are three common incision techniques used in breast augmentation to insert breast implants, and each produces different results depending on the patient’s anatomy.

Our surgeons are well-versed in all breast augmentation techniques and will discuss which is best for you during your consultation.

  1. Inframammary (IMF) incisions are made along the breast crease. This incision is most commonly used for breast augmentation because it allows for precise placement of the implants. It is a good choice for patients with deep folds or slightly sagging breasts, as the scar usually blends well into the breast crease well and is not visible when viewed directly.
  2. Periareolar incisions form a semicircle around the outer edge of the areola. After healing, the scars are usually well camouflaged by the natural lines and ridges.
  3. Transaxillary Incisions are made in the armpit, where they blend in well with the natural folds of the skin. Due to the precision required for this technique, patients should expect a longer surgical time.



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 procedure is complete, your breasts will be wrapped in bandages and skin adhesives and then covered with a surgical support bra to prevent straining.



Possible risks and complications associated with breast augmentations 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. Still, it is important to choose an experienced board-certified plastic surgeon to decrease your risks and chance of complications.


The cost of breast augmentation in Houston may vary between $7,450 – $9,990+. This amount includes the cost of the breast implants, anesthesia and operating room (OR) fees, and follow-up visits with your doctor after surgery. It also includes the professional fees of your surgeon, which vary per doctor. The final cost of the surgery will depend on other factors:

  • Type of breast implant
  • Incision technique
  • Duration of the surgery

Breast augmentation is not covered under health insurance unless deemed medically necessary, such as breast reconstruction cases 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.

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Breast augmentation is an outpatient procedure. You may return home on the same day of your breast surgery once your surgeon has cleared you. Your breasts will settle to their final position over the course of 3 months. Review the chart below for an estimated breakdown of the healing process:

Physical discomfort (bruising & swelling)2 – 4 weeks
Surgical bra use4 – 6 weeks
Loss of nipple sensation6 – 12 months
Full body showers2 days
Work1 week
Driving & household chores1 – 2 weeks
Regular exercise & strenuous activities4 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 with our office staff to allow your doctor to observe your progress.


During the consultation, our patients come with a number of frequently asked questions about breast augmentation surgery. Below, our team has compiled a list of answers:

  1. Can weight loss affect my final results?
    Our doctors recommend losing weight prior to scheduled surgery. Post-operative weight loss can affect the outcome of the procedure.
  2. How long will it take for my implants to “drop” into place?
    After the procedure, your breasts may look high for the first few weeks. It usually takes about three months for the implants to “drop” into their natural position. During this period, your breast augmentation surgeon may advise you to massage your implants to help them sink down faster.
  3. How do I know which type of implant is appropriate for me?
    Choosing the right breast implant type should be based on your aesthetic goals and preferences. Some factors include your age, breast anatomy, and desired breast shape. It is best to consult with your board-certified plastic surgeon to weigh your breast augmentation options and determine the best in terms of breast implant type, size, and shape.
  4. Can I still breastfeed after the procedure?
    Most patients can breastfeed after surgery, but it cannot be guaranteed. It is important to discuss this with your surgeon during your initial consultation, as certain implant placements and incisions may slightly decrease or increase your risk of being able to breastfeed.
  5. How long do I have to wait after pregnancy or breastfeeding to have this procedure done?
    It is recommended to wait at least 3-6 months after pregnancy before undergoing breast surgery to ensure that breastfeeding is complete. Women who are currently breastfeeding are also advised to wait at least 3-6 months to reduce the risk of infection and to ensure a more accurate result.
  6. When is the best time to have this surgery?
    The ideal candidate for this procedure is an adult woman who is at least 18 years old if saline implants are involved, and 22 years old if silicone implants are involved. Your breasts should also be fully developed, as some women continue to develop until their late teens to early 20s, which can affect the result if done too early.
  7. Will the sensitivity of my nipples change?
    Loss of nipple sensitivity is one of the most common complications after surgery. It can be a partial or complete loss of sensation, depending on the surgical technique. Temporary loss of nipple sensitivity can take about three to six months to return.
  8. Will I have noticeable scars as a result?
    Our patients begin scar therapy as early as two to three weeks after surgery. However, depending on your ethnicity and the placement of the incisions, the scars may be more noticeable in some patients. The incisions are strategically placed so that they are well hidden and will not be noticeable over time.
  9. What is the most common breast implant size?
    When choosing your breast implant size, you need to select the volume and shape that best fits your unique body and goals. Other factors besides your actual breast measurements and desired size include your body weight, your exercise or fitness routine, current breast size and shape, and the characteristics of your breast tissue and chest wall.
  10. Can I get a breast lift with breast augmentation?
    A breast lift is a surgical procedure that creates a more youthful aesthetic by removing stretched skin, reshaping breast tissue, and moving the areola to a higher position. Because a breast lift does not address decreased breast volume, many women also opt for breast augmentation to increase the fullness of their breasts. A breast lift and breast augmentation may be performed at the same time through the same incisions.
Request Your ConsultationYou can request a consultation online or if you have any questions please call the office 713-633-4411.

*The content and images on this page are provided with the sole intention of educating potential patients on the procedure discussed above. Results vary per individual and are dependent on our doctor’s consultation prior to the procedure. We strongly recommend undergoing a formal consultation with a board-certified plastic and reconstructive surgeon prior to scheduling and undergoing any surgical or non-surgical treatment.