CALL US NOW: (866) 218-4810


CALL US NOW: (866) 218-4810


Breast Augmentation

Procedure Overview

A breast augmentation is more than just a cosmetic procedure.  It can mark the first step in improving a woman’s self-esteem and confidence.  At Holcomb and Kreithen Plastic Surgery, we understand there are as many different reasons for a Breast Enhancement.  No matter the reason, we continuously strive to meet the specific goals and of each and every patient we see.

About Our Surgeon

Dr. Joshua Kreithen is one of the most respected Sarasota breast augmentation specialists. Over the years, he has helped numerous women enhance both their physical appearance and psychological well-being through breast augmentation surgery. In order to deliver the best possible aesthetic results, Dr. Kreithen carefully customizes each breast implant procedure. Contact our office at (866) 218-4810 to schedule a consultation appointment.

A breast augmentation procedure, also known as mammoplasty, is a surgical procedure designed to provide women lacking in form, volume, or symmetry of the chest an improved, aesthetically pleasing figure.  This procedure can provide a proportionate figure, and create a restored silhouette on women of any age.

Best Candidates

The best candidate for this surgery is a woman in good health, who wants to improve the size or shape of her breasts.  During the consultation appointment, Dr. Kreithen will personally assist in helping each patient achieve the best results possible.

About The Procedure

The process will take approximately two hours, during an outpatient procedure. To perform the surgery, an incision will be made either underneath crease of the breast, or around the areola.  From there, Dr. Kreithen will insert the predetermined size/shape/type implant that is desired for optimal results.  The incisions are then be closed with sutures.

breast augmentation before and after photo 

Beast Augmentation Recovery

Patients should expect the initial recovery from a breast enhancement surgery to take about one week.  There may be some soreness and mild pain immediately surgery, this will remain well controlled through appropriately prescribed pain medications.  There may be some burning around the nipples or incision sites, as well as bruising; these will resolve within the first five to seven days.  Swelling is normal but may take up to four weeks or longer to completely disappear. After a few days, the gauze bandages will be removed from the breasts.  A sports bra should be worn for up to four weeks following the surgery.

Risks from this procedure are rare but do occur.  By choosing an experienced Board Certified plastic surgeon, like Dr. Kreithen, the chance for complications following this procedure is dramatically reduced.

breast augmentation before and after photo 2

Breast Implants: Am I a Candidate?

The best candidates for breast augmentation are women who are looking for significant improvement in the way they look. If you’re physically healthy and realistic in your expectations, you may be a good candidate. Poor healing of the skin is most likely to affect smokers, so smokers must quit at least one month prior to surgery and refrain from smoking at least one month after the surgery.

Procedure: Enhance the size of breasts using implants filled with saline or silicone.
Length:  2 hours.
Anesthesia: Local with IV sedation.
In/Outpatient: Usually outpatient.
Recovery: Back to work: a few days. Heavy exercise, vigorous aerobic activity or lifting:: 3 to 4 weeks. Fading of scars: several months to a year or more.

Types of Breast Augmentation Implants

Silicone Implants:

  • Silicone implants have been proven completely safe for the body
  • Silicone implants can provide a more organic-feeling and looking breast
  • A large variety of shapes and sizes are available.
  • Silicone implants are pre-filled before placed in the chest.

Saline Implants:

  • On the market since the mid-1960s
  • Filled with a salt-water solution safe for the body
  • Implants are not pre-filled; the saline solution is added after the implant is placed.


Planning Your Consultation and Surgery

During your initial consultation, Dr. Kreithen will evaluate your anatomy and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. Be sure to discuss your expectations. If your breasts are sagging, he may recommend that you also pursue a breast lift. Dr. Kreithen will discuss the specifics of the procedure with you, as well as all the benefits and risks in depth.

At the completion of your consultation, you will meet with our patient coordinator. You will be given an estimate of the cost of your procedure and have the option to schedule your procedure if you so choose. You are also encouraged to bring your spouse, significant other, family member, or a friend to your consultation. Dr. Kreithen realizes the importance of your decision and will be happy to meet with you a second time to discuss the surgery. 

Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.

Preparing for Your Surgery

Dr. Kreithen and our team will give you in depth instructions to prepare you for surgery, including guidelines on eating and drinking, and taking or avoiding certain vitamins and medications.

While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.

Where Your Breast Surgery Will be Performed

A breast augmentation will most likely be performed at our state-of-the-art Holcomb – Kreithen Plastic Surgery Medical Center certified operating room. It’s usually done on an outpatient basis. Complex combination procedures like a mommy makeover may require a short inpatient stay at a local hospital.

Types of Anesthesia

Breast augmentation is usually performed with IV sedation, so you’ll be in a twilight sleep through the entire operation. Some of our breast augmentation patients who have multiple  procedures at the same time may require general anesthesia.

The Surgery

The method of inserting and positioning your implant will depend on your anatomy and your preferences. The incision can be made either in the crease where the breast meets the chest or around the areola (the dark skin surrounding the nipple). Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.

Working through the incision, Dr. Kreithen will skillfully create a pocket, either underneath your breast tissue or the chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples.

The surgery usually takes approximately two hours to complete. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing. After your surgery, you will be provided with an appropriately sized sports bra that closes in the front.

After Your Surgery

You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around within 24 to 48 hours. Most of your discomfort will be controlled by pain medication.

Within the first week, the gauze dressings and stitches will be removed. You should wear your sports bra as much as possible for four weeks. Swelling in your breasts may take one to two months to disappear.

Getting Back to Normal

Most of our breast augmentation patients are able to return to work within a few days, depending on the level of activity required for the job. It is safe to drive a car after discontinuing pain medication for 24 hours, as reflexes and alertness return to normal. 

You should wait four weeks before strenuous activity or exercises, and not lift more than 10 pounds in each arm. Walking and other normal activities can resume when you feel comfortable. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually four to six weeks after surgery. 

Your scars will be firm and pink for up to three months. You will be given instructions for daily breast massage. After several months, your scars will begin to fade, although they will never disappear completely.

Your New Look

For most breast augmentation patients, the result of breast augmentation is satisfying, even exhilarating, as they learn to appreciate their fuller appearance. If we have helped you meet your goals, then your surgery is a success!

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