Enhance volume and shape with premium implants.
Breast augmentation adds volume and shape with implants chosen for your frame and goals. Whether you desire a subtle increase in volume or a more dramatic transformation, we utilize the latest generation of cohesive gel implants to ensure a soft, natural feel.
InquireBreast augmentation is done under general anesthesia through an inframammary, periareolar, or transaxillary incision based on patient anatomy and surgeon preference. The dual-plane technique - in which the implant is positioned partially beneath the pectoralis major superiorly and directly behind the gland inferiorly - is used most often, optimizing upper pole coverage while allowing natural ptosis correction over time. The pocket is created using careful hemostasis and irrigation with triple-antibiotic solution. Implant selection (profile, size, and shape) is determined through detailed measurements and 3D imaging during the consultation.
Breast augmentation is a good fit for healthy women who want more size, better shape, or better symmetry. Candidates include women who have experienced volume loss following pregnancy or weight fluctuation, those with natural breast hypoplasia, and those seeking improved symmetry. Patients should be at a stable weight for at least six months and not planning pregnancy in the near future to ensure durable results.
Recovery from breast augmentation is typically straightforward. A supportive surgical bra is worn continuously for three to four weeks. The first three to five days involve the most significant tightness and soreness, particularly with submuscular placement. Most patients are comfortable returning to desk work within five to seven days. Light activity resumes at two weeks, while high-impact exercise and heavy lifting are restricted for six weeks. Implants soften and settle into their final position over three to six months.
Rest with limited arm movement. Surgical bra worn. Pain and tightness managed with medication, especially with submuscular placement.
Return to desk work and daily activities. Swelling diminishes. Implants begin to drop and settle.
Light lower body cardio may resume. Upper body restrictions begin to lift under surgeon guidance.
Full activity resumed. Implants reach final position. Upper pole softens to natural appearance over 3–6 months.
Risks include capsular contracture - the most common long-term complication - in which scar tissue hardens around the implant. Other risks include implant rupture, malposition, rotation, rippling, and changes in nipple sensation. FDA guidance recommends periodic MRI screening for silent silicone rupture beginning at five to six years post-implantation. All risks are discussed in detail during the preoperative consultation.
Patients with breast ptosis in addition to volume deficiency typically require a concurrent mastopexy for optimal results; implants alone cannot correct true sagging. Natural fat grafting to the breast provides a modest, organic volume enhancement without implants but offers less predictable projection. For patients averse to implants, fat transfer is the most viable surgical alternative.
Performed by Dr. Ruben Castro in Newport Beach, California