Breast Enhancement for Balanced Beauty

At Holcomb - Kreithen Plastic Surgery, we have performed many thousands of breast procedures, including primary breast augmentation, implant exchanges, and complex revision cases. We understand there are many reasons for breast enhancement, which is why we work closely with each of our patients, continuously striving to meet the specific goals and aspirations of every person we see. 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, performed at our Tampa or Sarasota locations, can provide a proportionate figure, and create a restored silhouette on women of any age.

Breast Augmentation Table of Contents

Quick Facts About Breast Augmentation

  • 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 in a few days. Heavy exercise and vigorous aerobic activity or lifting after three to four weeks. Fading of scars in several months to a year or more
dock stretching out into the ocean

Am I a Good Candidate for Breast Augmentation?

Breast augmentation is highly individualized and goes far beyond simply choosing an implant size. We carefully evaluate each patient’s anatomy, goals, and long-term considerations. 

Important candidacy factors include: 

  • Skin elasticity and thickness  
  • Existing breast tissue and asymmetry  
  • Chest wall shape and proportions  
  • Degree of sagging (and need for a lift)  
  • Lifestyle factors such as exercise and future pregnancies  

We also place significant emphasis on understanding patient goals, whether subtle enhancement or more dramatic change, and aligning those goals with what is surgically achievable in a safe and natural way. 

Before & After Feature Breast Augmentation

Warning:

This gallery contains nudity. Please click OK to confirm you are at least 18 years of age and are not offended by this material.

View Full Gallery

Schedule a Consultation

Contact Us
Contact us media

follow us @holcombkreithen

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

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.

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.

Background media

Patient Testimonials

It is without saying that Dr. Holcomb's staff is par excellence. You are greeted with respect and professionalism. Personally of utmost importance was to trust my face to a Doct...

I am 2 1/2 weeks post op and could not be happier!! From consultation to post op appointments the staff and Dr. Kreithen have been amazing. Staff is always available to speak to...

I have had an astounding experience with Dr.Kreithen! From the beginning, he was very knowledgeable and informative. Throughout the entire process, they were easily available to...

Dr. Kreithen gave me an arm lift in June. I am so pleased with the results. The surgery went well and was almost pain free. The office staff is wonderful and caring. I highly re...

Dr. Kreithen and everyone on his staff was amazing throughout my entire process. I had a lower body lift and LOVE the results. I did have some minor issues being allergic to med...

Dr. Kreithen had a great bedside manner. He is great at what he does. My BA was beautifully done and his team was awesome.

Dr Kreithen did a fantastic job on my breasts. I am an older woman that had implants from 10 years ago. It was embarrassing for me at my current age to request new ones. I'm so ...

Dr Kreithen spotted something from a prior MRI done in 2017 & 2019. He basically has saved my life. Having had breast implants for 32 years and suffering fibromyalgia for th...

Dr. Holcomb is a gifted surgeon who will make you look your best. I've had 3 procedures and am delighted with all 3. I especially have to commend his staff... Lauren and Leslie ...

Doctor Kreithen and his staff are the absolute BEST. Caring, friendly, efficient, and my surgery outcome is the best. After surgery I had ZERO pain, recovery was easy, follow up...

If I could give a 10 star rating i sure would. I had both Dr Kreithan and Dr Holcolm did procedures on me in march. Dr Kreithen LISTENED TO my husband and me and HEARD us. This ...

They say breast reduction patients are among the happiest of plastic surgery patients. I am very happy with my decision to go with Holcomb Plastic Surgery. I am pleased with the...

My daughter who had her breast done by Dr. Kreithen told me to go to him for the type of surgeries I was wanting to have done. He did a beautiful job with her breast implants. I...

Had BA in 12/2017 and decided on Dr Kreithen. I had been planning on BA for 7-8yrs , had a couple of consultations with others , but just did not feel 100% about the surgeons I ...

I found all the staff very professional, kind, and helpful which is a big plus . I have no negative feedback which is why I give 5+ stars

Dr. Holcomb is an incredible rhinoplasty surgeon. I'm at about 9 months post op, so pretty much all of the swelling is gone, and I could not be more happy. I'm sure most people ...

I have only had positive experiences within this office, having utilized all the different services that they offer. Dr. Kreithen is a very skilled and caring surgeon. I first s...

Dr. Holcomb is the only one I let do my Botox. I have a short forehead, which can be difficult to do with an untrained provider. The entire office is professional and polite. Wo...

Truly the most professional and skilled plastic surgery practice in the area! Truly everything you would ever want in a doctor. I had a tummy tuck with Dr. Kreithen and LOVE my ...

I recently had eyelid surgery and laser treatment under my eyes done by Dr. Holcomb. Dr. Holcomb is very professional and friendly. He always asked if there were any questions o...

Dr Kreithen has been doing my Botox for about five years, I would never ever consider going to see another doctor. He is masterful at what he does! Always uses only a limited am...

I had a breast reduction completed by Dr. Kreithen, in January. Before surgery I stopped drinking heavily on coffee. I cut back to drinking 1/2 cup to a cup of coffee a day for ...

Dr Holcomb is an excellent surgeon I had a facelift and laser skin resurfacing. I feel 10 years younger and am very pleased with the result

Dr Kreithen gets my best recommendation for anyone looking for a talented plastic surgeon. Very happy with the results of my procedure. He knows what he is doing and I am a happ...

My experience with Dr. Kreithen was amazing. I originally made two consultation appointments with different doctors to shop around but after my first appointment with Holcomb &a...

Dr. Kreithen is amazing. I saw him for Botox and he did a great job. He is an artist with the needles so I felt no pain. I had no bruising and all my wrinkles were blurred away....

Dr. Holcomb and his staff are the best. I had a very positive experience and I'm thrilled with the results of my procedures.

Dr Kreithen did an amazing job on my tummy tuck! I absolutely love the results. The office is clean and beautiful, all the staff have been so kind and respectful, and follow up ...

I am so thrilled with the results. it helps with The helium plasma laser procedure took away years of smoking and sun, damage, The staff and everybody in the office went beyond ...

After contemplating breast augmentation for years, I couldn't be more happier with my decision to choose the best Doctor in the Sarasota area, Dr. Kreithen. My new gals are perf...

Dr. Kreithen is an incredible surgeon and the staff that work along side him are just as incredible. I went to him to see if he could fix some awful scars on my breasts from a p...

My original breast augmentation was performed by Dr. Kreithen approximate 12 years ago. I wanted to increase my size and also get the newest implants. I am beyond happy with my ...

I would highly recommend Dr. Kreithen to anyone who is considering cosmetic surgery he is very knowledgeable and takes the time to listen to your concerns I had a great experien...

Dr Holcomb is AWESOME! I was very afraid to have anything done to my face, but, Dr Holcomb not only reassured me, his results are amazing!! I couldn't be more pleased and I woul...

Dr. Kreithen is the BEST! I had a Panniculectomy because I lost over 300lbs and am so impressed with the surgery. Dr. Kreithen always answers all of my questions and always make...

I can't say enough about my experience with Dr. Kreithen. Him himself all the office staff were absolutely amazing! Everyone was very thorough with explaining my procedures. Any...

I went in for a consultation to see what my options were for reducing the fat under my chin. I did not want anything injected, and I did not want to go under the knife. Kimberly...

Kim Daily performed both Ultherapy and Halo laser treatment for me last month. At age 45, I was looking for something other than fillers to freshen up my look. Kim Daily took th...

After an abundant amount of research & asking around, a friend referred me to this facility to find out more about a procedure. The staff made me feel at home, and made sure...

I have only had positive experiences within this office, having utilized all the different services that they offer. Dr. Kreithen is a very skilled and caring surgeon. I first s...

This was my second surgical procedure with this office & again I want to say thank you to the entire staff especially the front desk, the nurses & of course Dr. Holcomb....

I had a lower face/neck lift with a full face CO2 laser and I couldn’t be happier with the results!  I look like myself only more refreshed and younger!   The of...

I recently underwent a facelift at Holcomb & Kreithen Plastic Surgery and MedSpa, and I couldn't be happier with the results and overall experience. The professionalism and ...

I went in, feeling pretty discouraged. I can say that, from the beginning of my experience, through the surgery, and the end of my experience, which is now has been almost 6 mon...

Fortunately, I have had the pleasure to have procedures done by both Dr. Kreithen and Dr. Holcomb.  Their office staff and nurses are considerate and caring.  They sho...

I had a breast implant  replacement done by Dr  Kreithen.  I did my research on all the Sarasota Plastic surgeons and Dr Holcomb and Dr Kreithen and their clinic ...

I had procedures done by both holcomb and kreithen. I cant sing their praises enough. The office staff and nurses are incredibly kind and helpful. The doctors are amazing. I was...

The entire staff at this place went above and beyond for the entire process! I had abdominoplasty with hernia and abdominal wall repair and I was a nervous wreck at first; but t...

Dr. Kreithen is the BEST! I had a Panniculectomy because I lost over 300lbs and am so impressed with the surgery. Dr. Kreithen always answers all of my questions and always make...

Where Your Breast Augmentation 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, and is 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.

close up on sea shell on the shore of the beach

About Our Surgeon

Dr. Joshua Kreithen is one of the most respected breast augmentation specialists in the Tampa and Sarasota areas. 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 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.

Meet Your Surgeons 75 Years of Combined Experience

J. David Holcomb, MD Face, Nose & Laser Surgery


J. David Holcomb, MD is a double board-certified Facial Plastic and Cosmetic Laser Surgeon (American Board of Facial Plastic and Reconstructive Surgery, American Board of Otolaryngology) who has practiced in Sarasota since 2000. His expertise includes advanced procedures such as rhinoplasty and laser resurfacing, and he has participated in groundbreaking clinical research trials (principal investigator in several helium plasma dermal resurfacing studies and BLESS II Letybo neurotoxin non-inferiority study).

Meet Dr. Holcomb
Dr. J David Holcomb

Joshua C. Kreithen, MD Breast & Body Surgery


Joshua C. Kreithen, MD is an Aesthetic Breast & Contouring Body Specialist who is board certified by the American Board of Plastic and Reconstructive Surgery. Dr. Kreithen has practiced in Sarasota, Florida since 2004.

Meet Dr. Kreithen

Marc J. Salzman, MD Face, Breast & Body Surgery


Marc J. Salzman, MD is a board-certified, fellowship-trained plastic surgeon with over 30 years of experience in face and body procedures. A recognized educator and innovator, he's known for advancing techniques and contributing to FDA studies on breast implants.

Meet Dr. Salzman
Dr. Marc Salzman

The Surgery

The method of inserting and positioning your implant will depend on your anatomy and preferences. The incision can be made either in the crease where the breast meets the chest or around the areola. 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 2 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.

Types of Breast Augmentation Implants

There are two main types of breast implants: saline and silicone, available in various sizes, shapes (round or teardrop), and textures (smooth or textured).

For enhanced options, Motiva and Preserve implants offer cutting-edge technology for natural-feeling results. Implants can be placed over or under the chest muscle (subglandular or submuscular), depending on your aesthetic goals. Your surgeon will help determine the best implant for your needs.

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.
  • Saline implants result in a firm, round breast

Motiva Implants for a Natural, Long-Lasting Look

At Holcomb - Kreithen Plastic Surgery, we are proud to offer Motiva Implants, a next-generation solution for breast augmentation. Motiva implants are designed to provide a natural look and feel, combining cutting-edge technology with a high level of patient satisfaction and comfort. Known for their advanced micro-textured surface, Motiva implants are less likely to cause complications such as capsular contracture, providing a safer and more reliable option for breast enhancement.

  • Natural, smooth feel
  • Minimally invasive approach
  • Long-lasting results with a high degree of safety
  • Tailored to fit your aesthetic needs

For more information about Motiva Implants, visit our detailed Motiva Implant page

Preservé for a Younger, Fuller Look

Preservé is an innovative treatment that helps maintain breast volume and youthful shape over time. Using advanced techniques, Preservé works synergistically with breast implants to maintain a natural, beautiful shape, improving the longevity and appearance of your breast augmentation results. Ideal for women looking for long-term enhancement, Preserve provides lasting improvements in skin quality and elasticity.

  • Maintains youthful breast contours
  • Non-surgical enhancement
  • Ideal for long-term breast enhancement maintenance

Learn more about Preservé and how it can enhance your breast augmentation experience by visiting our Preservé page
.

Background media

Technique Distinctions and Why They Matter 

Our surgical approach is centered on precision, customization, and long-term stability. 

Key distinctions include: 

  • Customized implant placement (dual-plane, submuscular, or subfascial depending on anatomy)  
  • Meticulous pocket creation, which is critical for symmetry and preventing implant movement  
  • Thoughtful implant selection based on proportions rather than trends  
  • Strategic incision placement for minimal visibility  

These details directly impact how natural the breasts look and feel, as well as how well the results hold up over time. Small technical differences during surgery can significantly reduce the risk of complications and the need for revision. 

Our Office

Office media
Office media
Office media
Office media
Office media
woman in black corset lingere looking at camera

Long-Term Outcome Expectations and Durability of Results 

Breast augmentation is designed to provide long-lasting improvement in shape and proportion. While implants are durable, they are not considered lifetime devices. 

Most patients experience: 

  • Stable, natural-looking results for many years  
  • Gradual changes related to aging, gravity, or lifestyle  
  • Potential need for revision at some point, depending on individual factors  

Our goal is to create results that age naturally with the body, maintaining balance and aesthetics over time rather than appearing artificial or overdone. 

How Much Does Breast Augmentation Cost?

Each plan is customized to individual situations and includes facility fees, IV sedation, medication, and post-operative appointments. Schedule an appointment with the doctor to discuss the details of your surgery, and he will provide a customized plan and quote for you.

Background media

Breast Augmentation Recovery

Recovery from breast augmentation typically takes about one week for the initial phase. Most patients experience mild soreness and pain immediately after surgery, but these symptoms are easily managed with prescribed pain medications. Burning sensations around the nipples or incision sites, and bruising, may occur but usually resolve within 5 to 7 days.

Swelling is a normal part of the healing process and can take up to four weeks or longer to fully subside. Full results take time as your body adjusts, with the final shape becoming more apparent over the next couple of months. Within 24 to 48 hours, most patients feel comfortable enough to get up and move around, although mild tiredness and discomfort may persist.

Recovery Timeline:

First Week: Expect mild discomfort, with most soreness controlled with pain medication. Swelling and bruising begin to resolve, and stitches and gauze dressings will be removed.

First Month: While the majority of the discomfort fades, you’ll need to wear a sports bra for four weeks to minimize swelling and support healing. Most patients can return to normal activities within 1-2 weeks, but avoid heavy lifting and strenuous exercise for about 4 weeks.

1-2 Months: Swelling continues to subside, and full healing occurs. Most discomfort resolves by this time, and you’ll start to see the final appearance of your breast augmentation.

Key Recovery Tips:

  • Wear a sports bra as instructed to reduce swelling and provide support during recovery.
  • Avoid strenuous activities and heavy lifting for four weeks to allow your body to heal properly.
  • Long-term follow-up visits are essential to ensure implant integrity and monitor the healing process. This helps maintain optimal results over time.

Breast augmentation is a safe procedure with a well-established recovery process. With proper care, most patients are delighted with their results, feeling comfortable and confident within just a few weeks.

Getting Back to Normal after Breast Augmentation

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.

Banner media

Decades of Focused Specialty Experience

Our surgeons bring decades of focused experience in aesthetic breast surgery, with a continuous focus on achieving natural-looking, long-lasting outcomes. Over time, we have adapted alongside major advancements in implant technology, surgical technique, and safety protocols. This long-term perspective allows us to not only deliver excellent immediate results but also to anticipate how those results will evolve over the years and even decades. 

Breast surgery represents one of the most common and refined areas of our practice. This level of experience allows us to approach both straightforward and highly nuanced cases with consistency, precision, and confidence. Many patients specifically seek us out for second opinions or corrective procedures, which further reflects the depth of our surgical experience.

Breast Augmentation Frequently Asked Questions

How Long Do Breast Implants Last?

Breast implants are not considered lifetime devices. On average, they last 10 to 15 years, but many patients enjoy their implants for much longer without issues. Regular follow-ups with your surgeon are essential to monitor their condition.

Can I Breastfeed After Breast Augmentation?

Most women can breastfeed after breast augmentation, especially if the incision is made in the crease of the breast or the armpit. Discuss your plans for future breastfeeding with Dr. Kreithen to ensure the surgical approach supports your goals.

What’s the Difference Between Silicone and Saline Implants?

Silicone implants are filled with a gel designed to closely replicate the texture of natural breast tissue, providing a smooth and soft feel. Saline implants, on the other hand, are filled with a sterile saltwater solution after placement, resulting in a slightly firmer texture. Both options are safe and effective, with the choice largely influenced by your personal aesthetic goals and preferences.

How Long Does It Take to Recover from Breast Augmentation?

Most patients return to work within a few days, but strenuous activities should be avoided for four weeks. Swelling and sensitivity may persist for several weeks, with full recovery typically achieved in six to eight weeks.

Will I Have Noticeable Scars After Surgery?

To keep scarring as discreet as possible, incisions are carefully positioned in natural contours, such as the fold beneath the breast or along the edge of the areola. While scars will gradually soften and become less noticeable over time, they won’t vanish completely.

Can I Combine Breast Augmentation with Other Procedures?

Yes, many patients choose to combine breast augmentation with procedures like a breast lift or tummy tuck as part of a Mommy Makeover. This approach can provide comprehensive rejuvenation in one surgical session.

What Is the Best Age for Breast Augmentation?

There’s no 'perfect' age for breast augmentation. As long as you’re in good health and have realistic expectations, you can consider the procedure at any adult stage of life.

Will Breast Augmentation Affect My Mammograms?

Breast implants can make mammograms slightly more complex, but skilled technicians can use specialized techniques to ensure accurate results. Always inform your provider about your implants before any imaging.

How Do I Choose the Right Implant Size for Me?

During your consultation, Dr. Kreithen will evaluate your body proportions, goals, and lifestyle to recommend the ideal implant size. You’ll also have the opportunity to try on sizers to visualize your results.

Is Breast Augmentation Painful?

Most patients experience mild to moderate discomfort after surgery, which is effectively managed with prescribed pain medication. Any soreness typically resolves within a week, with full comfort returning as you heal.

Do I need a breast lift in addition to augmentation?

If you're experiencing sagging or volume loss, a breast lift may be recommended to enhance your final results. Dr. Kreithen can determine if a lift would provide the most balanced outcome.

What implant size and profile best fit my body?

Implant size and profile depend on your anatomy and aesthetic goals. Dr. Kreithen works closely with you to choose a size that complements your body proportions and creates the most natural, flattering look.

Do I need to replace my implants after a certain period?

Implants do not require automatic replacement. Many patients enjoy their implants for 10-15 years without issues. Regular follow-ups with your surgeon will ensure their integrity over time.

What implant type aligns best with my goals: silicone or saline?

Silicone implants are often preferred for a more natural feel and appearance, while saline implants offer a firmer feel and are more budget-friendly. Dr. Kreithen will guide you in selecting the implant type that best aligns with your goals.

Quote media

Sticky bar popup.

Lorem ipsum dolor sit amet, consectetur adipisicing elit. Ad alias animi commodi distinctio doloremque eum exercitationem facilis in ipsum iusto magnam, mollitia pariatur praesentium rem repellat temporibus veniam vitae voluptatum.

Lorem ipsum dolor sit amet, consectetur adipisicing elit. Ad alias animi commodi distinctio doloremque eum exercitationem facilis in ipsum iusto magnam, mollitia pariatur

Button

Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (941) 348-1243.
Contact Us