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Individualized Silhouette

Breast augmentation at Tri Valley Plastic Surgery can be performed with implants or, for a more subtle enhancement, via fat transfer. The procedure can also be paired with a breast lift or areola reduction to achieve your ideal shape.

Our practice is led by two accomplished Bay Area plastic surgeons: Dr. Steven Williams, a board-certified plastic surgeon, founder of Tri Valley Plastic Surgery, and Past President of the American Society of Plastic Surgeons (ASPS), and Dr. Philip Wasicek, a double board-certified plastic surgeon. Together, they provide personalized consultations to design the optimal surgical plan for your body and goals.

Gallery Benefits Ideal Candidates Implant Size Fat Grafting Procedure Recovery Side Effects & Risks FAQS

Breast Augmentation Before & After

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What Is Breast Augmentation Surgery?

Breast augmentation is the surgical enhancement of breast volume via the use of implants or fat grafting and may also be combined with other procedures to adjust the breasts’ or areolas’ size, shape, or placement. Breast augmentation is often performed in conjunction with a breast lift or an areola reduction.

Enhancing Confidence With Personalized Breast Augmentation

Varying augmentation methods and related procedures mean that breast augmentation is a versatile and customizable plastic surgery option for patients who have a clear vision of their ideal breast shape, size, and overall look. At Tri Valley Plastic Surgery in the Bay Area, breast augmentation is seen as an investment in yourself. While luxury items like shoes and handbags may excite you for a while and then wind up in the closet, an investment in your body is one that augments your self-confidence and your look, no matter what you wear. Breast augmentation involves inserting a saline- (salt-water) filled or silicone gel-filled breast implant underneath the breast and pectoralis muscle via a hidden short scar underneath each breast.

The smooth, round saline or silicone gel-filled breast implant permanently resides under your pectoralis major muscle. This operation does not weaken your chest muscles; future breastfeeding is still possible, and nipple sensation is preserved. The incisions can be hidden in the fold between your breasts and chest, around the areola, or in the armpit. Once faded, the scars are well concealed. The procedure is performed as an outpatient surgery, meaning you will go home the same day of your operation. No drains are required, and only absorbable sutures are used, making recovery easier. After a breast augmentation, Dublin and Bay Area patients are typically able to return to work within a week or less.

Great Results. Minimal Downtime.

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breast augmentation patient results

Real Patient | View Details

Procedure: Breast augmentation with implants

Implants: 465cc Mentor MemoryGel Smooth Moderate Plus Profile Xtra

Height: 5'3"

Benefits of Breast Augmentation

Breast augmentation can offer different benefits for different people. For some, an increase in cup size can mean the realization of a goal that they have had for years. For others, the decision to undergo breast augmentation surgery can be derived from changes in breast size or shape due to age, weight loss, the removal of breast tissue due to breast cancer, or pregnancy.

Depending on your reasons for pursuing breast enhancement, this procedure can boost self-esteem, increase feelings of youthfulness and sexiness, or even offer professional and social benefits. Our practice features the Bay Area’s premier team for breast augmentation: Dr. Steven Williams, a board-certified plastic surgeon, founder of Tri Valley Plastic Surgery, and Past President of the American Society of Plastic Surgeons (ASPS), and Dr. Philip Wasicek, a double board-certified plastic surgeon. Together with their expert team of medical professionals, they understand that an investment in self-improvement pays dividends every day and are dedicated to delivering the best breast augmentation Dublin and the surrounding Bay Area can offer through exquisite results and exceptional care.

Is Breast Augmentation Right for You?

Breast augmentation, or augmentation mammoplasty, is a cosmetic surgical enhancement procedure to increase the size and improve the shape of a woman's breasts. Breast augmentation can be done with implants (most common) or, for patients wanting a smaller change, with fat transfer. For many of our patients in the Bay Area and Dublin, breast augmentation can also be coupled with a breast lift and areola reduction if that is desired. During the procedure, your physician will place a saline or a silicone implant behind the natural breast tissue and usually under the muscle to enhance breast size and shape.

Am I a Candidate for Breast Augmentation?

In general, a good candidate for breast augmentation in Dublin at Tri Valley Plastic Surgery is as follows:

  • 18 years of age or older
  • Not currently pregnant or nursing, and with no immediate plans to become pregnant
  • In good physical health
  • Psychologically stable
  • Wanting to improve their appearance
  • Realistic in their expectations

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Diverse Reasons for Breast Augmentation

Some of our patients seeking breast augmentation are young women who have been unhappy with their figures all of their lives, women who feel that their breasts are no longer attractive following changes in weight, changes associated with aging, or changes due to childbearing. This means a relatively wide age range of women seek this procedure for a variety of reasons.

At Tri Valley Plastic Surgery, Dr. Williams and Dr. Wasicek spend the time to ensure that each patient receives all the information needed when considering a breast augmentation. The best candidates for breast augmentation are women with little or no sagging and who have a reasonable amount of breast tissue with which to cover the lower part of the implant. Women who are less than ideal candidates can still get excellent results, as our board-certified plastic surgeons utilize advanced techniques to help you customize and improve your appearance.

Preparing for Breast Augmentation Surgery

Our surgical team will carefully explain your breast augmentation operation during your initial consultation. Prior to the procedure, you will receive specific guidelines and information to help you prepare. This typically includes:

  • Factors to assess before surgery, medications, and diagnostic tests
  • Day of surgery guidelines and medication
  • Details regarding the administration of anesthesia
  • Recovery instructions and aftercare follow-up

In addition, you will be asked to sign consent forms stating that you fully understand the procedure you are undergoing, as well as any potential risks, complications, and side effects associated with breast augmentation surgery. Once your consultation is complete and all surgical decisions are finalized, your procedure will be scheduled. To prepare, you may need to temporarily adjust or pause certain medications, supplements, or lifestyle habits, such as smoking. Our providers will walk you through all of these necessary steps.

Your breast augmentation will be performed in a fully accredited ambulatory surgical hospital. For your optimal safety and comfort, we exclusively work with board-certified anesthesiologists and a dedicated nursing and OR staff specifically trained in cosmetic surgery.

What to Expect From Your Breast Augmentation Procedure

- also called "boob job" or "aug"

Goal: Increase breast fullness, projection, and shape

  • Length of Surgery: 2-3 hours
  • Inpatient / Outpatient: Outpatient
  • Anesthesia: Usually, general anesthesia
  • Duration of Results: Long-lasting—weight loss/gain, pregnancy, and age may reduce surgical results over time
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Choosing an Implant Size

Bring in an Image

The best way to show your doctor what you want is by bringing in a photo. An even better way is to bring in a picture of one of your physician's past patients. To see Tri Valley Plastic Surgery previous patients, visit our Before & After gallery.

Keep Your Lifestyle in Mind

If you are an athlete, having larger breasts might make exercising more difficult for you. Make sure you keep your lifestyle in mind when conversing with your physician regarding size.

Doctors Speak in Volume

The first thing you should know when choosing an implant size is that doctors don't speak in cup size. They speak in volumes. You may imagine that you are interested in a "full C" size cup, but depending on the measurements of your chest and the skin available, you and your doctor will need to decide how many cc's of implant volume you see need to accomplish.

Surgical Excellence with Dr. Williams

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, Past President of the American Society of Plastic Surgeons (ASPS), and the founder of Tri Valley Plastic Surgery. He is an alumnus of Dartmouth College and the Yale School of Medicine, recognized globally for his contributions to clinical safety and aesthetic surgery.

For breast augmentation, patients select Dr. Williams for his sophisticated understanding of chest wall anatomy and implant dynamics. He employs a highly analytical approach to volume and profile selection, ensuring the final dimensions align precisely with the patient's existing musculoskeletal proportions.

Dr. Williams utilizes advanced operational protocols designed to optimize tissue pocket creation, minimize recovery times, and deliver predictable, structurally sound, and natural-appearing outcomes.

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Expert Care with Dr. Wasicek

Dr. Philip Wasicek is a double-board-certified plastic surgeon distinguished by his meticulous surgical technique, comprehensive preoperative planning, and commitment to structural harmony. While widely recognized for his expertise in facial aesthetic surgery, he applies that same standard of micro-precision to advanced breast surgery.

Patients value Dr. Wasicek’s rigorous attention to detail and data-driven approach to breast augmentation. Rather than employing standardized templates, he performs detailed anatomical measurements to guide the selection of implant placement, profile, and cohesive gel type.

His surgical methodology focuses on optimal pocket placement and precise incisional closure. This technique minimizes soft-tissue trauma, supports a stable recovery, and achieves a balanced, refined projection that respects the patient's individual anatomy.

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Types of Breast Implants

Silicone or Saline?

Silicone implants are filled with silicone gel, while saline implants are filled with sterile salt water. They feel slightly different and typically, patients have a preference for which one they prefer.

Smooth or Textured?

Smooth implants are designed to be slightly mobile in the breast pocket, allowing for more natural movement, while textured implants are designed to develop scar tissue, which keeps the implant in place.

Teardrop or Round?

Teardrop implants are designed to look more like a natural breast, while round implants can be made to look natural or less-natural depending on profile. It should be noted that teardrop implants aren't used as frequently due to their tendency to rotate in the breast pocket.

Which Profile?

By profile, we mean the projection of the implant. You might hear your physician talk about high-profile, moderate-profile, and low-profile implants. We have examples of all types in the office and are happy to help you make your decision.

Fat Grafting Is a Modern Technique

Breast augmentation using fat grafting is a modern technique in which a plastic surgeon harvests unwanted fat from a part of your body and then uses it to replenish fullness in the breasts.

This method can be used in cases where the patient is striving for a less dramatic change in the shape and size of the breasts. If a more dramatic change is preferred, breast augmentation with implants may be a more effective option. While fat transfer breast augmentation does not offer the same dramatic results as breast augmentation with implants, it does offer its own distinct set of benefits.

In addition to looking and feeling natural, breast augmentation with fat grafting is less invasive than implant surgery, presents a lower risk of complication, reduces body fat where it’s unwanted, and offers permanent results. It can also be combined with other procedures, such as a breast lift or areola reduction.

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What Steps Are Involved in Breast Augmentation Surgery?

Step 1: Pre-Op

The nursing staff will start an IV. Your surgeon will answer all last-minute questions and perform preoperative markings on your breasts and chest wall. These markings serve as an essential, precise guide for Dr. Williams or Dr. Wasicek once you are in the operating room.

Step 2: Anesthesia

Medications are administered for your comfort during surgical procedures. Most of our patients don’t remember going to sleep or most of their time in the post-op recovery area. Our anesthesiologists use special tools to ensure you are asleep and safe throughout the procedure.

Step 3: The Incision

The most commonly used incisions include the following:

  • Inframammary incision near the crease underneath the breast
  • Auxiliary incision, located in the underarm area
  • Periareolar incision around the edge of the areola

The specific incision pattern will vary based on which implant type is used, the desired amount of enhancement, and the individual patient’s anatomy.

Step 4: Implant Placement

Once the incisions are made, a precise pocket is created—typically underneath the pectoral muscle and over the chest wall (submuscular placement). Our surgeons use specialized tissue sizers during this stage of the operation to ensure the chosen implant size aligns perfectly with your frame. After the optimal balance is achieved, the implant is placed inside, and the incisions are meticulously closed using fine sutures, surgical tape, and supportive dressings.

Step 5: Results

Your results will be visible immediately. After the surgery, you will have some swelling, which will gradually subside, and the incision lines will become more refined in appearance. Implants are typically positioned somewhat high and settle over the first few weeks. Patients typically enjoy immediate satisfaction from the results and feel a sense of fulfillment in terms of self-confidence and their perception of their own bodies.

Great Results. Minimal Downtime.

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Breast Augmentation Recovery

Breast augmentation recovery varies depending on the enhancement method, implant placement, incorporation of additional procedures, and healing speed of each patient, though full results for all methods are visible after about six months.

Recovery after implant breast augmentation typically takes approximately six weeks, with most patients returning to work after the first week. Soreness and swelling can be expected, and prescription pain medication is likely to be necessary for the first 3-5 days. Mild activity should be resumed after the first week. Most patients can return to all activities within two months of their breast augmentation.

Recovery following breast augmentation with fat grafting is less significant than recovery from implant surgery. Recovery takes 1-3 days, though some swelling and soreness may persist for several weeks after surgery. It is important to note that each patient’s healing process is unique, and healing times may vary. Your surgeon will closely monitor you as you begin to heal, provide detailed recovery instructions, and advise when regular activities may be resumed according to your recovery stage.

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breast augmentation patient

Real Patient | View Details

Procedure: Breast augmentation with implants

Implants: 465cc Mentor MemoryGel Smooth Moderate Plus Profile Xtra

Height: 5'3"

Results

Full results from breast augmentation are permanent and take approximately six months to appear. This is the case for both implant and fat grafting augmentation surgeries. Patients should be aware that natural changes in the breasts due to age, weight gain, or pregnancy may still occur.

Customizing Your Breast Augmentation

While breast augmentation is an exciting prospect, it is important to take the proper steps and considerations before surgery to maximize results and benefits.

At your consultation, you will be asked questions about the size, shape, and type of implants you would like or what you would like to achieve with fat grafting. Factors to consider when making these decisions include lifestyle, aesthetic preferences, textural preferences, implant placement recovery, implant longevity, and personal health.

Patients who are active or athletic may want to stay under a certain size to prevent their augmented breasts from inhibiting their athleticism. It is also important to note that while implant placement behind the muscle provides the most natural-looking results and added protection, this method also requires a slightly more involved recovery. Patients who would like the most natural and subtle results might prefer fat grafting over implants, while those seeking a more significant increase in volume are likely to be more successful with implant augmentation than with fat grafting.

What Are the Risks and Side Effects of Breast Augmentation?

By consulting with our team at Tri Valley Plastic Surgery and diligently following all pre-surgery and post-operative instructions given, you are taking important steps to help ensure your safety. Both Dr. Williams and Dr. Wasicek are certified by The American Board of Plastic Surgery—a prestigious certification ensuring that your surgeons are designated experts who are rigorously trained in the field of plastic surgery of the face and body.

BREAST AUGMENTATION SIDE EFFECTS:

  • You may experience some nausea due to the anesthetic.
  • Your breasts may feel swollen, sore, or more firm for several weeks following the procedure. You might also experience a burning sensation around your nipples or the incision. To help reduce swelling, you can try using additional pillows while sleeping.
  • Scarring is normal after breast augmentation and will be noticeable at first, but this should gradually fade over time.

BREAST AUGMENTATION COMPLICATIONS:

All surgeries carry some degree of risk, such as unexpected reactions to anesthesia, excess bleeding, or the development of blood clots, such as deep vein thrombosis (DVT). Although rare, complications and risks specific to breast augmentation may include:

  • Unevenness in size or shape, potentially resulting from natural differences enhanced by the procedure.
  • Creasing or rippling of the skin over the implant (though not as likely with a silicone implant).
  • Infection may require treatment with antibiotics or even temporary removal of the implant.
  • Capsular contracture is a potential complication where abnormal scar tissue forms around the implant, causing firm, sometimes painful, swelling, which may require further surgery.
  • Changes in skin and nipple sensitivity are rare but potentially permanent conditions.
  • Seroma is another potential complication where fluids build up around the implant, potentially requiring further surgery.
  • Keloids are unusual red or raised scars, which could take years to heal and improve.

Finally, it’s important to remember that even with breast augmentation, there is a chance you may not be satisfied with the final results. The risks and potential complications of the procedure are specific to each person, and your provider will discuss these factors with you so you can make a fully informed decision.

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More to Consider

It is important to consider your life goals for the future when deciding which method of breast augmentation is best suited to your specific needs.

Breast implants are typically replaced or removed after 10 to 15 years, often due to natural changes in the breasts such as aging or weight loss. For patients who plan on becoming pregnant, it is important to consider that breast implants may complicate breastfeeding. Patients interested in silicone breast implants should plan on regular screenings to detect implant rupture or leakage.

Also, patients with a family history of breast cancer should consider that implants may be obstructive in mammogram imaging. Knowing these factors can help you balance your aesthetic and practical goals and find the right path to achieve both. The team at Tri Valley Plastic Surgery will be on that journey with you every step of the way and can answer any questions you have about these considerations.

Breast Augmentation FAQ

What risks are associated with breast augmentation?

Do I need to arrange for someone to drive me home after a breast augmentation?

What is the expected recovery period for breast augmentation?

What can I expect in terms of scarring after a breast augmentation?

Do I need to change how I sleep following a breast augmentation?

Is breast augmentation permanent?

Is there an ideal age for a breast augmentation?

Is it safe to get a breast augmentation if I am pregnant or breastfeeding?

Can a breast augmentation affect nipple sensitivity?

Will breast surgery increase my risk of breast cancer or other complications?

How much does a breast augmentation cost?

What risks are associated with breast augmentation?

Breast augmentation carries risks of potential complications such as infection, bleeding, scarring, and changes in sensitivity or sensation. In rare cases, there is a risk of implant rupture or deflation.

Do I need to arrange for someone to drive me home after a breast augmentation?

You should arrange for a friend or family member to bring you home after the procedure, as you may be too drowsy or disoriented to drive safely. Additionally, it is important to have someone available who can help you with any movement or activity that may be restricted post-procedure.

What is the expected recovery period for breast augmentation?

Recovery time after a breast augmentation will vary depending on the type of procedure you have had, as well as your own individual healing process. In general, you can expect to take a few days off work and reduce physical activity for the first week or two.

What can I expect in terms of scarring after a breast augmentation?

The extent of scarring following a breast augmentation depends on the type of procedure you have had and your healing process; however, most breast augmentation procedures will leave some scarring.

Do I need to change how I sleep following a breast augmentation?

Yes, you may need to modify your sleeping position for the first few weeks after your breast augmentation. It is recommended that you sleep on your back with a pillow beneath your knees to help reduce swelling and minimize discomfort.

Is breast augmentation permanent?

Breast augmentation is a permanent procedure, however, it is important to note that the results do not last forever. Depending on your body and lifestyle, you may need to have additional surgery or treatments to maintain the desired results.

Is there an ideal age for a breast augmentation?

According to the Food and Drug Administration, an individual must be at least 18 years old in order to receive saline breast implants, while those receiving silicone-filled implants must meet a higher minimum age requirement of 22.

Is it safe to get a breast augmentation if I am pregnant or breastfeeding?

No, it is not recommended to get a breast augmentation while pregnant or breastfeeding. It is important to wait until after you have finished breastfeeding before considering this procedure.

Can a breast augmentation affect nipple sensitivity?

Depending on the type of procedure, breast surgery may affect nipple sensitivity. In some cases, women have reported an increase or decrease in sensation after surgery.

Will breast surgery increase my risk of breast cancer or other complications?

No, breast augmentation does not increase your risk of developing breast cancer or other complications. However, it is important to discuss any potential risks with your surgeon before undergoing the procedure.

How much does a breast augmentation cost?

The price of a breast augmentation is dependent on the complexity of the procedure and your goals.

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We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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