4701 Bee Cave Rd #202
West Lake Hills, TX 78746

Breast Augmentation – (Breast Enhancement Surgery) – Greater Austin, TX *

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The board-certified plastic surgeons at Austin Plastic Surgery Institute have performed more breast augmentation surgeries than any other surgeons in Austin, TX. Women decide to have breast augmentation for many reasons, such as when weight loss has drastically reduced the size and altered the shape of the breasts, when the breasts have become smaller and lost firmness after having children and breastfeeding, when one of the breasts is significantly smaller than the other, or if you simply feel self-conscious and wish for larger breasts, then breast augmentation might be the right choice for you. This purely cosmetic procedure uses breast implants to enlarge and reshape the breasts. Patients who undergo breast augmentation surgery can improve their self-image and often their self-confidence, as well.

You may be a good candidate for breast implants if you desire larger or fuller breasts or if one breast is noticeably smaller than the other. Candidates for breast augmentation may also have the following traits:

  • You are in good physical health
  • Your expectations are realistic
  • Your breasts have already fully developed
  • Your breast or breasts have not developed normally
  • You feel your breasts are too small
  • Your breasts have varying shapes or sizes
  • You are dissatisfied with the shape of your breasts after pregnancy, aging, or weight loss

Please keep in mind that breast augmentation surgery is your choice, and we will make sure that the surgery is your decision and we won’t let anyone else pressure you into deciding what is right for you.

Implant Selection

If you have decided to undergo a breast augmentation with Austin Plastic Surgery Institute, the next step will be to select the type of breast implant that best suits you. If you are not familiar with the different types and sizes of breast implants, here is some information that we hope will be helpful during the breast implant selection process.

  • Breast implants come in many shapes and sizes, including:
  • Implant Shape: round or shaped
  • Implant Surface: smooth or textured
  • Implant Size: between 120 cc and 850 cc
  • Implant Filler: saline or silicone
  • Implant Profile: amount of protrusion (high, medium, low profile)

Saline VS. Silicone

Most breast augmentation patients hope to restore their breasts to a pre-pregnancy or pre-weight loss size and shape. If this is the case, the patient may need a breast lift to treat sagging.

Another key aspect of breast augmentation is the surface of the implants. Implants with textured surfaces can minimize the chance of capsular contraction. Depending on the placement of the implant, textured breast implants may appear more visible through the skin.

The shape, volume and profile of the breast implant placement are all important factors to acknowledge because each can significantly alter the appearance and results. Austin PSI’s highly skilled plastic surgeons will make the proper surgical decisions regarding placement and incision. In turn, patients will achieve their desired results.

Saline Breast Implants

Saline breast implants are filled with a sterile saltwater solution and offer no risk to the patient in terms of extracapsular spread or silicone leakage. Saline implants are appealing to many because they generally cost less than silicone implants. In some patients, silicone may be a better option due to the rippling that may occur along the edges of the saline implant that can be visible in thin-chested women. Patients considering saline implants must be at least 18 years of age.

Silicone Breast Implants

Silicone breast implants are filled with a gel substance that looks and feels similar to natural breast tissue. They are ideal for women who are thin-chested. Silicone implants are specially engineered so that if the shell should become compromised (a surface crack), the silicone will remain intact within the implant (known as cohesive gel implants). Silicone implant defects are rare and can only be found through an MRI, unlike saline implants which will deflate. Patients must be at least 22 years of age to receive silicone implants.

Product Information


  • Saline: MENTOR® or Allergan (branded as Natrelle®)
  • Silicone:  Allergan (branded as Natrelle® Gel), Mentor (branded as MemoryGel®) and Sientra, known simply as Silicone Gel Breast Implants


An implant profile depicts the distance the breast will project forward from the chest wall. Implants are made in low, moderate, high and extra high profiles.


Breast implants come in two shapes. Round implants tend to offer more fullness on the top of the breast, while teardrop implants are touted to mimic the shape and look of natural breasts.


Breast implants are made with a smooth or textured surface. Round implants can be chosen with either surface, while teardrop implants are made with a textured surface only.  

Implant Placement

  • Submammary (Subglandular):  Under the mammary gland, over the muscle      
  • Subfascial (Retrofacial):  Under the fascia of the muscle       
  • Dual Plane:  Along two planes/layers
  • Submuscular (Retromuscular):  Mostly under the muscle
  • Complete Submuscular (Full retromuscular):  Completely under the muscle

Incision Type

  • Inframammary:  The incision is made in the breast crease where the breast meets the torso
  • Periareolar:  The incision is made just under and along the areola
  • Transaxillary:  The incision is made in the armpit
  • Transumbilical:  The incision is made in the belly button

During/After Surgery

Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes between 1-2 hours to complete. It is considered an outpatient procedure. After surgery, patients will need to rest for a couple of days, but will be encouraged to move around in order to promote circulation. As the skin adjusts to the new breast size, it is normal to feel tightness in the chest area. Patients may resume their normal exercise routines within 4-6 weeks. It typically takes around 6 months for the breasts to fall into their final position. The result is a softer, natural looking breast appearance.

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Average Cost  
From $4,900
Recovery Time  
2-3 days
Post-op Follow-up  
3 weeks
Procedure Recovery Location  
In & Out-Patient
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Breast Augmentation FAQs

Is Silicone Safe?

Patients sometimes have concerns about the safety of silicone breast implants because of the attention they received in the media years ago. However, the FDA did approve their safety. In addition, no evidence has ever been found to link silicone breast implants to cancer, auto-immune deficiency disease, or any other illness. Ultimately, 62% of today’s breast augmentation patients choose silicone over saline. For reconstruction cases, they choose them 3 times more often. 

Breast Aug or Lift?

Breast augmentation will help with size, but it will not correct sagging. If you are happy with the shape and laxity of your breasts, then implants alone may meet your cosmetic goals. If sagging is what is most bothersome to you, then you may be considered for a breast lift. During your consult, we will determine if you are better suited for breast augmentation, a lift, or a combination of the two.

Risk of Rupture?

Modern engineering creates strong and durable implants. With proper care and regular check-ups, the risks for rupture are rare. If a saline implant does rupture, the solution will be absorbed by the body and the implant will deflate, becoming visibly noticeable. If a silicone implant ruptures, the cohesive gel will stay intact and will not leak into the body. An MRI will be necessary to detect a silicone defect. 

How Long do They Last?

Most implants will last about 10 to 15 years. Some can last even longer. If there is no rupture, leakage, deflation, or any other visible defects (such as rippling), then there is no need to change the implant or have any type of secondary surgery.  

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.