Breast Augmentation

Expertise + Experience = Excellence

The goal of breast augmentation is to enhance and improve breast contours. Breast augmentation at Plastic Surgery Specialists in Marin County is highly individualized to complement your unique body type and augmentation goals. Our specialists bring to the procedure the artistry required to help you choose the right size and shape implants for your body. Plastic Surgery Specialists was one of the first practices to offer Allergan Natrelle® 410 and Sientra® breast implants in Marin County. Also known as "gummy bear" implants, these implants feature a teardrop shape and form-stable cohesive silicone gel. Dr. Stanley G. Poulos and Dr. Yngvar A. Hvistendahl are proud to offer the latest options for patients seeking beautiful, natural-looking breasts at our center of excellence.

Discover why patients visit our specialists for breast augmentation from San Francisco, Sonoma, Napa, Santa Rosa, and beyond. We invite you to request a consultation online, or call us at (415) 925-2880 to schedule an appointment.

Good Candidates for Breast Augmentation

Healthy women wishing to enhance the size and shape of their breasts are potential candidates for breast augmentation. The procedure is ideal for women who have lost breast volume due to pregnancy or weight loss. Candidates should be healthy enough to have surgery and understand that there is always a risk of complications that could require additional surgery in the future, potentially to remove or replace implants in a revisionary procedure.

Candidates for natural breast augmentation using their own fat rather than implants should understand that this process, while carrying lower risk, is generally best for women who want to increase their breast volume by only a cup size or 2.

Plastic Surgery Specialists offers all breast augmentation patients the advantage of our state-of-the-art VECTRA® 3D imaging system, which allows women to see images of how they will look with implants even before they decide to have the surgery.


                BEFORE                                       AFTER

Breast Augmentation Procedure

Traditional breast augmentation is a relatively simple plastic surgery procedure with only a few steps. It does, however, call for preparation. First, it is important to decide which breast implants are right for you. There are 2 main types of breast implants: saline and silicone. After choosing your breast implant, you and your surgeon can determine the best incision placement for you. Choices include inframammary, transaxillary, or periareolar incisions. Each incision type is made in an inconspicuous area that can be easily hidden. During the procedure, you surgeon inserts your implant through the incision and closes it with sutures.

Natural breast augmentation collects fat for the augmentation from your body via liposuction. This procedure offers the added benefit of improving contours in the area of the body (stomach, hips, or thighs) from which the fat is removed. The fat cells are enriched and then injected into the breasts. This procedure takes longer, but many appreciate the natural look and feel that results, as well as the slimming effects of liposuction.

After Your Procedure

At our Marin County surgical center, breast augmentation using implants usually requires general anesthesia and takes 1 to 2 hours to complete. After you go home, you'll need to take it easy for a few days.

The natural breast augmentation procedure is generally an all-day affair, because it includes liposuction and fat cell enrichment before the fat injection can begin. Breast enlargement via fat injection is virtually pain free and requires no general anesthesia, nor is there any hospital recovery time.

You can see results of both implants and fat transfer right away. Costs can vary for each individual, but we are proud to offer affordable plastic surgery for all our patients from Greenbrae, Larkspur, Corte Madera, Mill Valley, Santa Rosa, San Rafael, and other nearby communities.

For more information on how breast augmentation is performed, please visit our Education Center. You can also learn about common complementary procedures, including breast lift and Mommy Makeover surgeries. 

Breast Augmentation FAQs

What is recovery like?

After having breast implants inserted, which takes about 1½ hours, patients are taken to a recovery room. Most patients can leave the surgical facility within an hour. Due to the meticulous way in which we perform the surgery, it is usually possible to resume routine daily activities the day after surgery. Most patients can resume work in 2 to 5 days. Exercising is OK after a week to 10 days, although you should avoid push-ups or other pectoral workouts for a bit longer. We generally recommend follow-up appointments at 1 week, 1 month, and 1 year.

What size of implant should I have?

Choosing the size of implants is probably the most personal choice you'll make when considering breast augmentation. At the same time, our surgeons' expertise and experience is a valuable asset in helping guide your choice. Choosing an implant suitable for your tissue characteristics is the most important factor. A patient with paper-thin skin and no soft tissue coverage cannot tolerate the same sized implants as someone with a C-cup breast and elastic skin. We'll discuss your preferred cup size and explain how it's converted to an implant volume. Before-and-after pictures of real patients are a great way to narrow your choices and help us understand your expectations. We'll take the time to help you choose what is right for you.

For more information on breast augmentation, please visit our 3D Education Center.

Breast Study

Black Diamond


Is there any relationship between implants and breast cancer or breast masses?

There is no relationship between implants and cancer. Rarely, a leaking silicone implant can result in a lump which could be confused for breast mass. Studies have shown that patients who developed breast cancer with implants usually present at an earlier stage because they are used to frequent examinations and mammograms.

What is recovery like?

Breast augmentation itself takes about 1½ hours. Most patients can leave the surgical facility within an hour. Due to meticulous way in which we perform the surgery, it is usually possible to resume normal activities of daily living the day following surgery. Most patients can resume work in 2-5 days with gradual resumption of exercise at 7-10 days. We generally recommend follow up at 1 week, 1 month, and 1 year.

Is there a way to see what I would actually look like with a given implant?

Yes we are one of the few practices with 3-D imaging technology that allows us to show you what your body would look like with different sizes and shapes of implants.

What size of implant should I have?

Obviously, there is a lot of room for subjective variations in implant size. The most important thing is to choose an implant in a size range that can be tolerated by your tissue characteristics. A patient with paper-thin skin and no soft tissue coverage cannot tolerate the same-size implants as someone with a C-cup breast and elastic skin. In general, we ask you to consider your preferred cup size and we will discuss how this is converted to an implant volume. Often perusing multiple breast augmentation before and after pictures is a good way to be sure we have the same expectations. It is not unusual for patients to say, “I wish I had gone a little larger” and later be glad they did not. We will take the time to help you choose what is right for you.

What is the most common potential problem after breast implant?

Every elective procedure has one major “trade off” that must be considered. With the breast implants, this is the tendency of the body to form scar tissue around the implant, which it recognizes as a foreign material. We call this scar tissue a capsule, and the process by which it may thicken, a capsular contracture. There is no way to predict the exact potential for this problem in a given individual. Statistics with modern implants indicate that greater than 90% of patients maintain softness following implantation. Even those who develop some capsular contracture do not require re-operation in most cases. However, somewhere around 3-5% of patients will develop significant firmness. The vast majority of these can be corrected by secondary operation, which removes the scar tissue and replaces the implants.

What is the Cost of Breast Augmentation?

There is no set price for breast augmentation in San Francisco because it can vary based on the patient's experience and what all they need. We offer very cheap breast augmentation in Marin County. To learn more about our affordable breast augmentation in Marin County and surrounding areas, please contact us for pricing information. We also provide breast augmentation in Sonoma and Napa Valley. If you are looking for breast augmentation in Napa Valley or Sonoma, please contact our office for a free consultation.

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