Breast Augmentation San Francisco

Augmentation mammaplasty, or breast augmentation surgery, involves placing implants to increase the size, projection and/or volume of the breasts. Breast Augmentation can do wonders for women who are interested in increasing the size of their breasts in order to balance their figure or have experienced loss of breast volume or asymmetry due to pregnancy or aging. Many patients describe how breast augmentation has helped to enhance their self-confidence and self-image.


Who Can Get Breast Augmentation Done?

Augmentation mammaplasty offers an answer for women seeking to restore the fullness of breasts after pregnancy or weight loss. Those with asymmetrical breasts can also benefit from the procedure, with the help of a skilled plastic surgeon to improve the balance and aesthetics of their curves.

While the procedure is available to any adult female whose breasts have fully developed, you must be in generally good health, as this could impact the longevity and results of the procedure. Female patients requesting silicone implants must be age 22 or older.

The most important thing when choosing to have breast augmentation is making sure you have realistic expectations about what the procedure can and cannot achieve. Breast augmentation alone will not correct severely drooping breasts, nipple placement, or breast placement on the chest. To address concerns such as these, an additional procedure such as a breast lift may also be necessary to achieve your desired results.

What to Expect

Breast Augmentation is most commonly performed on an outpatient basis, meaning you can go home the same day. However, if breast augmentation is combined with other procedures such as a tummy tuck, liposuction and/or facelift you may be given the option to stay over night, this is something you will discuss with your surgeon at your pre-operative appointment. On the day of procedure you will arrive at our private surgery center about 2 hours prior to your surgery to complete your forms, meet the anesthesiologist, and meet with Dr. Miranda or Dr. Dudas again.

During the breast augmentation procedure, which is conducted under general anesthesia, Dr. Miranda or Dr. Dudas will make a small incision in a specific area. The location of this incision will depend on the kind of implant (silicone or saline) and extent of augmentation desired. You will discuss your incision options with Dr. Miranda or Dr. Dudas during your breast augmentation consultation and pre-operative appointments.

Incision options for your breast augmentation include the transaxillary incision, the periareolar incision, and the inframammary incision. The transaxillary incision is made in the armpit and, as it is farthest from the breast, it works best for small saline breast implants. The periareolar incision is made around the areola, and the inframammary incision is made in the breast fold.

Once the incision is made, breast pockets are created in the tissues. The implants are then carefully placed in the pocket, either beneath your pectoral muscle (i.e. under the muscle, submuscular) or over it but behind your breast tissue (i.e. above the muscle, subglandular). The positioning of the implant is another detail you will discuss and decide upon with Dr. Miranda or Dr. Dudas prior to surgery. The method for inserting and positioning implants varies from patient to patient and depends on the type of implant, degree of enlargement desired, body type, and Dr. Miranda’s or Dr. Dudas’ recommendation. The incisions are closed using either sutures or surgical tape.


View Before and After Pictures of real Breast Augmentation Patients.

Post-Operative Care

You will be sent home after surgery with specific instructions about what medications to take, garments to wear, and exercises to perform while you are healing. Limit activity for the first two days after breast augmentation surgery. Some mild pain, swelling, and bruising after surgery is normal; these will be temporary. The soreness should dissipate in a few weeks’ time. Typically we see you back in the office for a post-operative appointment about 5-7 days after surgery, if any sutures need to be removed that is done at this time.

You will need to wear an elastic bandage and/or a special post-surgical bra to support the breasts after surgery.

If you would like to learn more about breast augmentation, contact our office to schedule an informative consultation (415) 379-9015.

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