Breast Augmentation Before & Afters
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After
Before
After
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Reshape and Restore
Breast augmentation has become a more nuanced conversation than “going bigger.” Many patients who come to Evelina Plastic Surgery & Aesthetics are now thinking about proportion: how their breasts fit their frame, how clothing falls, how their shape changed after pregnancy or weight loss, or why one breast never quite matched the other. At her Atlanta practice, board-certified plastic surgeon Katherine B. Santosa, MD, MS, strives to deliver the best breast augmentations Atlanta has to offer. She looks at breast tissue, skin quality, chest wall shape, lifestyle, and long-term comfort before recommending breast implants, fat transfer, or a breast lift with implants. The goal is breast enhancement that feels balanced and natural.
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Drop and Fluff
Breast augmentation is a cosmetic breast surgery that enhances breast size, shape, and symmetry using breast implants or fat transfer. Also called augmentation mammoplasty, the procedure can restore breast volume after pregnancy or weight loss, correct breast asymmetry, and create fuller-looking breasts.
Breast Augmentation At A Glance
The Difference
Breast augmentation addresses the shape and volume of the breasts. A breast lift raises and reshapes the breast. Breast implants can improve breast size, fullness, and upper-pole volume, but implants do not correct severely drooping breasts on their own. Breast lifts remove excess breast skin, raise the nipple position, and reshape the natural breast tissue for a firmer appearance. Some patients need breast augmentation alone. Others need a breast lift with implants to address both volume and position. During your personal consultation, Dr. Santosa will evaluate your breast tissue, nipple position, skin stretch, and desired goals before recommending the right breast surgery plan.
Your Chest Will Thank You
Breast augmentation can enhance breast size and shape, but the best results come from planning around the patient’s body rather than choosing an implant from a chart. Breast augmentation may help patients who want to:
For many women, the benefit is practical. Clothes fit better. Swimwear feels easier. The body feels more proportionate. The goal is a natural appearance that fits the individual patient.
Pick Your Path
Breast augmentation is not one procedure with one material. Your options may include silicone breast implants, saline breast implants, fat transfer, or a combination of breast augmentation with complementary procedures.
Silicone Gel Implants
Silicone gel implants are filled with cohesive silicone gel, which tends to feel more like natural breast tissue. Many breast augmentation patients choose silicone implants because they can create a softer, more natural breast feel, especially in patients with less natural breast tissue. Modern silicone gel implants have silicone shells and cohesive silicone gel that helps the implant maintain shape. These are sometimes called “gummy bear” implants when the gel is more form-stable.
Saline Implants
Saline implants are filled with sterile saline after placement. Because saline breast implants are filled once they are inside the implant pocket, they may allow a smaller incision in some cases. Saline implants can also cost less than silicone implants, though they may feel firmer or show more rippling in thinner patients.
Fat Transfer Breast Augmentation
Fat transfer breast augmentation uses liposuction to remove fatty tissue from another area of the body. The fat cells are processed, then placed into the breasts to add modest volume without implants. Fat grafting can be a strong option for patients who want subtle breast enhancement, a natural look and feel, and no implant device. It is not the right choice for patients seeking a major increase in breast size.
Motiva Implants
Dr. Santosa also offers Motiva implants, a newer sixth-generation breast implant option for patients who want advanced silicone implant technology and a soft, natural feel. Motiva implants are available in styles such as SmoothSilk® Round and SmoothSilk® Ergonomix®, with the Ergonomix design made to respond to body position and movement for a more natural breast shape. During your consultation, Dr. Santosa can explain how Motiva compares with other silicone gel implants and whether it fits your body, tissue, and desired look.
Excellent Care
Breast augmentation should feel personal from the first conversation. Dr. Santosa takes time to understand what you want, what you do not want, and what would feel natural on your body.
As a board-certified plastic surgeon in Atlanta, Dr. Santosa brings surgical training, research experience, and a measured aesthetic eye to cosmetic breast surgery. She will discuss breast implants, implant placement, incision location, implant size, fat transfer, and whether a breast lift should be part of the surgical plan. She will also tell you when a choice is not the right fit. A larger implant may stretch breast skin, create long-term discomfort, or look out of proportion on a smaller chest wall. A patient with severely drooping breasts may need a lift instead of implants alone. Honest guidance is part of the care.
The Fine Print
Breast augmentation is not planned by implant size alone. The right result depends on how the implant or fat transfer works with your natural breast tissue, chest wall, breast skin, and long-term goals. During your consultation, Dr. Santosa will walk you through the choices that shape your final result, from implant type to incision placement.
Implant Type
Breast implants are commonly filled with silicone gel or sterile saline. Silicone gel implants tend to feel more like natural breast tissue, while saline implants are filled after placement and may allow a smaller incision in some cases. Some patients prefer cohesive silicone gel implants for their shape retention and soft, stable feel.
Placement
Implants may be placed above the pectoral muscle, below the chest muscle, or in another carefully selected plane. Subglandular placement sits above the muscle, while submuscular placement places the implant below it. Some patients may also be candidates for subfascial breast augmentation, which places the implant beneath the fascia covering the muscle. Placement affects shape, recovery, movement, and how much natural breast tissue covers the implant.
Size
Breast size should be chosen in proportion to the patient’s body, not as a number on a chart. Dr. Santosa considers your frame, breast width, skin stretch, lifestyle, and desired look before recommending an implant size. A larger implant can create more volume, but it may also place more strain on the breast skin and tissue over time.
Projection
Projection describes how far the implant extends forward from the chest wall. Lower-profile implants can create a softer slope, while higher-profile implants can create more forward fullness with a narrower base. The right projection depends on your breast width, natural tissue, and the shape you want in clothing and swimwear.
Incision
Breast augmentation incisions may be placed in the inframammary fold, around the areola, or in the underarm area. Dr. Santosa often discusses the inframammary incision because it sits in the natural breast crease and allows strong access for precise implant pocket creation and placement.
Next-Generation Feel
Motiva implants give Dr. Santosa another breast augmentation option for patients who want modern silicone implant technology with a natural look and feel. These sixth-generation implants are made with a smooth outer surface and cohesive silicone gel, with options that can support either a rounder appearance or a more adaptive shape. The Motiva SmoothSilk® Ergonomix® implants can respond to body position, appearing rounder when lying down and more teardrop-shaped when standing.
For patients, the value is choice. Some bodies are better suited to a traditional silicone implant, some to saline, some to fat transfer, and some to Motiva. Dr. Santosa will evaluate your breast tissue, skin quality, chest wall, implant pocket, lifestyle, and aesthetic goals before recommending a specific implant.
The Honest Fit Check
You may be a good candidate for breast augmentation if you want fuller breasts, better proportion, improved symmetry, or restored breast volume after pregnancy, breastfeeding, or weight loss. Good candidates are in stable health, have realistic expectations, and understand that implants require long-term monitoring.
Breast augmentation may not be the right fit if you are pregnant or breastfeeding, use nicotine and cannot stop before surgery, have an uncontrolled medical condition, or want an implant size that your tissue cannot support. Patients with severely drooping breasts may need a breast lift with augmentation to achieve the desired look.
Measure Twice
Your consultation is where the real planning happens. Dr. Santosa will review your goals, medical history, current breast shape, natural breast tissue, breast skin, chest wall, and body proportions. She will also talk with you about implant type, implant size, profile, incision placement, and the feel you want from your final result. This is also the time to discuss practical concerns: surgery day, recovery support, sports bra use, activity restrictions, future pregnancy, breast implant rupture, capsular contracture, and how implants may change over time. Dr. Santosa wants patients to understand both the benefits and the responsibilities that come with breast implants.
Enhancing Your Natural Beauty
Breast augmentation is a major surgery performed with careful planning and sterile technique. Most breast augmentation procedures are outpatient, which means patients return home the same day. A typical breast augmentation procedure includes:
For fat transfer breast augmentation, liposuction is used to collect fat from another area of the body. The fat is processed and then placed into the breasts in small amounts to support soft, even volume.
Breast augmentation recovery usually includes swelling, soreness, chest tightness, and pressure across the upper body. These symptoms are expected and can often be managed with prescribed medication, a support bra, rest, and careful movement. Most patients return to desk work or light daily routines in about three to five days, depending on the surgical plan and the type of work they do. Patients with submuscular implants may need a longer recovery because the chest muscles are involved.
Walking is encouraged early. Heavy lifting, chest workouts, and high-impact exercise should wait until Dr. Santosa clears you. Many patients resume more physical activity after at least two weeks, with gradual return to full activity over several weeks. Your breasts will look fuller right away, but they will not show their final shape on surgery day. Swelling, tightness, and high implant position are common at first. Breast Augmentation results take about three to four months to show fully.
Keep the Shape
Breast implants are long-lasting, but they are not lifetime devices. Aging, pregnancy, weight loss, weight gain, implant age, and natural tissue changes can affect breast shape over time. To maintain your breast augmentation results, follow Dr. Santosa’s post-op instructions, wear supportive bras as advised, attend follow-up appointments, and contact the office if you notice changes in breast shape, firmness, pain, or asymmetry. Long-term monitoring helps detect concerns such as capsular contracture, implant rupture, seroma, or shifting implant position.
Some patients choose future implant exchange, breast lift, fat grafting, or other complementary procedures as their body and goals change.
Care You Can Feel
Dr. Santosa’s breast augmentation approach is grounded in safety, honesty, and natural-looking results. She is a board-certified plastic surgeon who understands that breast surgery is not about one ideal size. It is about the relationship between breast tissue, chest wall, implant choice, lifestyle, and the patient’s desired look. Patients choose Dr. Santosa because she is warm, direct, and highly skilled. She will explain your breast augmentation options in plain language, answer your questions, and help you understand which choices support your body. The entire staff at Evelina Plastic Surgery & Aesthetics is here to make the experience feel clear, supported, and respectful from consultation through recovery.
Schedule your Breast Augmentation consultation today and begin your journey to newfound confidence.
Breast augmentation at Evelina Plastic Surgery & Aesthetics starts at $8,000.00. Final cost depends on implant type, surgical complexity, anesthesia, facility needs, and whether breast lift or fat transfer is included. A consultation is needed for an exact quote.
Silicone implants tend to feel more like natural breast tissue, while saline implants are filled with sterile saline and may allow smaller incisions. The better choice depends on your tissue, body frame, budget, and aesthetic goals.
Natural-looking results depend on implant size, profile, placement, breast tissue, skin quality, and surgical planning. Dr. Santosa helps patients choose implants that fit their frame instead of pushing for a larger size that may look artificial or feel uncomfortable.
You may need a breast lift with implants if your nipples sit low, your breast skin is stretched, or your breasts are severely drooping. Implants add volume, while a breast lift raises and reshapes the breast.
Most patients are able to return to light routines within several days. Exercise, lifting, and chest-focused activity take longer. Final breast shape usually settles over several months as swelling improves and implants soften into position.
Yes. “Boob job” is the common term for breast augmentation. The medical term is augmentation mammoplasty, which refers to breast enlargement or reshaping using implants or fat transfer.
Yes, breast augmentation can improve breast asymmetry, including differences in breast size, shape, or volume. Some patients need different implant sizes, fat grafting, or a breast lift on one side for better balance.
Discuss your personalized treatment with Dr. Santosa today
Dr. Santosa delivers a well-rounded treatment experience through combined science, compassion, and experience. Begin your journey with trusted board-certified Atlanta plastic surgeon Dr. Katherine B. Santosa in Sandy Springs, and rest assured that you have selected your best path to exquisite results.
At Evelina Plastic Surgery and Aesthetics, we are proud to be a women-owned practice committed to delivering exceptional care and outstanding results. Our dedication to excellence ensures that we stand out as a trusted choice for premier plastic surgery and aesthetic services in the Atlanta-metro area.
