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Breast Augmentation - Before and After Photos

All photographs are of actual patients of the Swanson Center and show actual results. Photographs have not been artificially enhanced. All testimonials are actual statements made by these patients. Patients are presented youngest to oldest.

M.L. (Age 24) - Temp
Procedure: Breast Augmentation
Description: Breast Augmentation: Thin Patient

When is a patient thin? When you can see the lower ribs. You can see the ribs because there is very little tissue between the skin and the ribs. You can imagine that an implant placed under a small breast would also have very little tissue over it. The only tissue covering it would be the stretched-out breast tissue and a tiny layer of fat. That is why we make sure to place the implant under the muscle in these women, so that there is as much tissue as possible between the implant and the skin. This way the edges of the implant are not as easily seen and the cleavage looks more natural. However, in very thin women, a natural look may be impossible because there is simply very little cover tissue available. And large, perky breasts on a thin woman is rare. But these patients are very happy, even if they have an “augmented” look. In fact, I sometimes see patients who tell me “I want to look fake,” or “I want the Baywatch look.”
Height 5'7"
Weight 112
Children 0
Preop. Bra Size A
Postop. Bra Size C
Implant Type Smooth, high profile, saline-filled.
Placement Submuscular
Approach Inframammary
Implant Size Right:310cc/Left: 305cc
Before, 5 wks. after
Before, 5 wks. after
     
 
Comments: This tall, thin patient was back at work a week later and pleased that no one had noticed.

L.B. (Age 26) - House Cleaner
Procedure: Breast Augmentation
Description: Breast Augmentation: Average Chest Size- Hispanic
Height 5'4"
Weight 114
Children 1
Preop. Bra Size 32A
Postop. Bra Size 34C
Implant Type Mentor® smooth, round, Moderate-Plus profile, saline-filled
Placement Submuscular
Approach Inframammary
Implant Size Right:350cc/Left:360cc
Before, 6 mos. after
Before, 6 mos. after
     
 
Comments: This patient, who was originally from Brazil, requested a full-C cup size. She was able to return to the physical work of cleaning houses two weeks after surgery.

D.A. (Age 26) - Dancer
Procedure: Breast Augmentation
Description: Breast Augmentation:Replacement with Larger Implants
Height 5'1"
Weight 105
Children 1
Preop. Bra Size A
Postop. Bra Size C/D
Implant Type First Implant: Mentor® textured, round, saline-filled. Second Implant: Mentor® smooth, round, salin
Placement Submuscular
Approach Inframammary
Implant Size First Implants:300cc/Replacement Implants:475cc
Before,  5 yrs. after 1st implants, 7 yrs. after 1st implants(2 yrs. after replacement implants)
Before, 5 yrs. after 1st implants, 7 yrs. after 1st implants(2 yrs. after replacement implants)
     
 
Comments: This patient had a breast augmentation, augmenting her to a C-cup size. She returned five years later, wishing to be a full D-cup size, with a deep cleavage “like Pamela Lee Anderson,” whose name comes up regularly in every plastic surgeon’s office. She was pleased with the result.

H.W. (Age 27) - Pharmaceutical Sales/Ms. Fitness Central States 2000
Procedure: Breast Augmentation
Description: Breast Augmentation: Beauty Contestant/ Fitness Enthusiast/Body Builder
Height 5'2"
Weight 102
Children 0
Preop. Bra Size B
Postop. Bra Size C
Implant Type Smooth, round, high-profile, saline-filled implants
Placement Submuscular
Approach Inframammary
Implant Size 260cc
 
   
 
Comments: This woman is focusing on achieving her best possible level of physical fitness. She is very discriminating and an ideal result may make the difference between winning and losing. And make no mistake - she works very hard to win. It is important that the incision is well concealed. These patients are lean, and it is vital that the implant go under the muscle. She needs to know that some workouts in the gym that involve the pecs, such as bench-pressing, may cause partial flattening of the upper part of the muscle during muscle contraction. But I have yet to hear a complaint about this. Women who work out regularly tend to have high pain tolerances (otherwise they would not work out) and readily accept the temporary pain that goes along with a submuscular augmentation.

Testimonial: “Every contest I do, the other girls all comment on how my implants are perfect for my body! I’ve noticed many of the competitors get them over the muscle. They say they are afraid of the pain. But they look horrible! Everyone thinks mine are real.”

C.B. (Age 27) - Nurse
Procedure: Breast Augmentation
Description: Breast Augmentation: "Pigeon" Chest is the opposite of the “sunken” chest, the “pigeon” chest (“pectus carnae”) may also be camouflaged by a breast augmentation.
Height 5'4"
Weight 108
Children
Preop. Bra Size Small B
Postop. Bra Size Full C
Implant Type McGhan®, textured, round, saline-filled
Placement Submuscular
Approach Inframammary
Implant Size
Before, 7 wks. after
Before, 7 wks. after
     
 
Comments: This 27 year-old nurse had a prominent breastbone. She now has a cleavage which conceals this normal variation in chest shape. She returned to work one week after surgery.

J.S. (Age 29) - Drafting Technician
Procedure: Breast Augmentation
Description: Breast Augmentation and Excision of Abdominal Tags: Narrow Frame
Height 5'7"
Weight 115
Children 0
Preop. Bra Size A
Postop. Bra Size Full C
Implant Type Mentor® textured, round, saline-filled
Placement Submuscular
Approach Inframammary
Implant Size 375cc
Before, 2 mos. after
Before, 2 mos. after
     
 
Comments: This 29 year-old was 5’7” tall and weighed 115 pounds. She had a small frame, with a narrow chest. Her bra size was 32A. She desired a full C cup size. Wider (i.e. larger) implants would exceed her chest dimensions.

R.K. (Age 29) - Student Health Director
Procedure: Breast Augmentation
Description: Breast Augmentation. Excision of Skin Lesion of Right Breast. Liposuction of Lower Body
Height 5'8"
Weight 152
Children
Preop. Bra Size B
Postop. Bra Size Full C
Implant Type Mentor textured, round, saline-filled.
Placement Submuscular
Approach Inframammary
Implant Size
Before, 6 wks. after
Before, 6 wks. after
     
 
Comments: This patient had a large frame and was already a B-cup size. She wanted to be “filled out,” taking her up a cup size. She had liposuction of the lower body simultaneously.

G.M. (Age 29) - Administrator
Procedure: Breast Augmentation
Description: Breast Augmentation: Tuberous Breasts
Height 5'7"
Weight 142
Children
Preop. Bra Size
Postop. Bra Size
Implant Type Mentor® smooth, round, saline-filled.
Placement Submuscular
Approach Trans-nipple
Implant Size 400cc
Before, 14 mos. after
Before, 14 mos. after
     
 
Testimonial: “I was always unhappy with my breasts, ever since I was a teenager. I was embarrassed of them. Now I feel like a new woman! This is how a woman is supposed to look. Looking at my before pictures, I can’t imagine I looked like that.”

J.H. (Age 31) - Sales
Procedure: Breast Augmentation
Description: Breast Augmentation
Height 5'6"
Weight 148
Children 0
Preop. Bra Size A
Postop. Bra Size C
Placement Submuscular
Approach Inframammary
Implant Size Right: 310cc/Left:290cc
Before, 1 mo. after
Before, 1 mo. after
     
 
Testimonial: “I had always been very self-conscious about my looks and how my clothes fit. I was very flat-chested. I decided when I was 18 that I wanted a breast augmentation and I just turned 31. I’d lost 26 pounds and decided to reward myself. It’s been wonderful. My clothes fit now. I recently had a black tie event to go to and wore a gold sequin semi-revealing dress. I would never have worn anything that called that much attention to myself previously. It hasn’t been a big enough difference that people walk up and say “Oh my god, you had surgery! People just tell me how good I look and I feel great. The results are definitely worth it, and it didn’t hurt as much as I thought it was going to. I was back at work in three days. It’s only been six weeks since I had surgery, and I’ve started rollerblading and doing very active things already. I haven’t had any problems and I feel great."

B.R. (Age 32) - Dental Assistant
Procedure: Breast Augmentation
Description: Breast Augmentation
Height 5'7"
Weight 135
Children 2
Preop. Bra Size 38A
Postop. Bra Size 36D
Implant Type Mentor® smooth, round, saline-filled
Placement Submuscular
Approach Inframammary
Implant Size Right:380cc/Left:370cc
Before, 5 wks. after
Before, 5 wks. after
     
 
Comments: This patient was augmented to a full C-cup size. She had a natural appearance five weeks after surgery.

L.B. (Age 32) - Accountant
Procedure: Breast Augmentation
Description: Breast Augmentation: Large Implant Size
Height 5'4"
Weight 110
Children 2
Preop. Bra Size 34A
Postop. Bra Size 34D
Implant Type Mentor® smooth, round, moderate profile, saline-filled
Placement Submuscular
Approach Inframammary
Implant Size Right:425cc/Left:435cc
Before, 3 mos. after
Before, 3 mos. after
     
 
Comments: This patient wanted to be voluptuous, a D-cup size if possible. She was in excellent physical condition. The implants do appear large for her chest size, but this was what she wanted and she was very satisfied. Although I was reluctant earlier in my practice to place such large implants (even to the extent of having patients sign special consent forms detailing increased risks), I have learned from many such patients that they are highly satisfied, do not tend to return to have them replaced with smaller implants, and I should avoid any bias, common among plastic surgeons, to more moderate sizes in these patients, for whom more of a good thing is wonderful.

K.R. (Age 32) - Service Assistant
Procedure: Breast Augmentation
Description: Breast Augmentation: "Sunken" Chest
Height 5'7"
Weight 126
Children
Preop. Bra Size A
Postop. Bra Size Full C
Implant Type Mentor® textured, round, saline-filled
Placement Submuscular
Approach Inframammary
Implant Size Right:380cc/Left:370cc
Before, 6 wks. after
Before, 6 wks. after
     
 
Comments: Some women have a sunken chest (“pectus excavatum”). This is a normal variation of the anatomy of the rib cage. A breast augmentation helps to camouflage this skeletal abnormality.

T.C. (Age 34)
Procedure: Breast Augmentation
Description: Breast Augmentation
Height 5'3"
Weight 124
Children 3
Preop. Bra Size A/B
Postop. Bra Size D
Implant Type Mentor® smooth, round, saline-filled
Placement Submuscular
Approach Inframammary
Implant Size 400cc
Before, 6 wks. after, 7 mos. after
Before, 6 wks. after, 7 mos. after
     
 
Comments: This 34 year-old mother of three wanted large breasts with a well-developed cleavage. She did not wish to have the mole removed from her left breast. Women understand why her top is around her neck – she did not want to mess her hair.

D.C. (Age 34) - Medical Office Manager
Procedure: Breast Augmentation
Description: Breast Augmentation: Broad Chest.Women who have a broad chest will need a wider implant so their breasts will fit their chest size. These women understand this and wish to look proportionate. They are not surprised that they will need a wider, and therefore larger, implant. Implants that are wider will also project more and have a greater volume, because all the dimensions increase together. Wider implants will have a larger volume. You cannot get a wider implant, for example to accentuate the cleavage, without accepting a larger volume.
Height 5'8"
Weight 132
Children 1
Preop. Bra Size A
Postop. Bra Size D
Implant Type Mentor® textured, round, saline-filled
Placement Submuscular
Approach Inframammary
Implant Size 460cc
Before, 6 wks. after
Before, 6 wks. after
     
 
Comments: This 34 year-old single mother lost breast volume after her pregnancy. She wished to be a D cup size. She was about to be remarried and also wanted to look great in her bridal gown. She was not disappointed.

S.R. (Age 35) - Custodian
Procedure: Breast Augmentation
Description: Breast Augmentation: Large Frame
Height 5'10"
Weight 154
Children
Preop. Bra Size Small B
Postop. Bra Size
Implant Type Mentor® smooth, round, smooth, moderate profile, saline-filled.
Placement Submuscular
Approach Inframammary
Implant Size Right: 375cc/Left: 400cc
Before, 6 wks. after
Before, 6 wks. after
     
 
Comments: This patient was concerned right after surgery that she might be too large. At her one month follow-up appointment, she told me she would not mind being larger.

K.A. (Age 35)
Procedure: Breast Augmentation
Description: Breast Augmentation/Excision of Chest Skin Lesion: Collapsed Nipples
Height 5'0"
Weight 103
Children
Preop. Bra Size 34A
Postop. Bra Size 34C
Implant Type Mentor® textured, round, saline-filled
Placement Submuscular
Approach Inframammary
Implant Size 300cc
Before, 3 mos. after
Before, 3 mos. after
     
 
Comments: This 35 year-old physician had a small frame. She wished to be augmented from her present A-cup size to a C-cup size. A mole was removed from her right chest. The cleavage appears natural and the tightened skin envelope has smoothed out her areolae, which no longer appear collapsed. A breast augmentation stretches the areola about one centimeter.

M.L. (Age 35)
Procedure: Breast Augmentation
Description: Breast Augmentation: Too Small?
Height 5'7"
Weight 122
Children 2
Preop. Bra Size A
Postop. Bra Size B
Implant Type Mentor® smooth, round, saline-filled.
Placement Submuscular
Approach Inframammary
Implant Size 305cc
Before, 1 mo. after
Before, 1 mo. after
     
 
Comments: This patient was very concerned that she not be too large. She said she had always been small-breasted, even before her two pregnancies. Part of her concern was what her 15 year-old daughter might think. She asked to be augmented to a full B-cup size. A month after surgery, she admitted that she should have gone a little larger. This would have given her more cleavage and less space between the breasts which looks a little unnatural. I often show these pictures to women who request a B-cup size. Usually it is better to go just a little larger to achieve a C-cup size, that provides a cleavage. The difference between a B cup and C cup size is that a C cup will allow a cleavage without relying on a pushup bra. Ideally, there should be no need for a pushup bra after a breast augmentation.

J.S. (Age 36) - Ultrasound Technician
Procedure: Breast Augmentation
Description: Breast Augmenation: Modest Size
Height 5'10"
Weight 143
Children 2
Preop. Bra Size A
Postop. Bra Size C
Implant Type McGhan® contoured (“Biodimensional”), textured, saline-filled
Placement Submuscular
Approach Periareolar
Implant Size 350cc
Before, 5 yrs. after
Before, 5 yrs. after
     
 
Comments: This 36 year-old medical technologist had two children. She was 5' 10" tall. She always had small breasts, but lost whatever volume she had after her pregnancies. She requested an incision along the areolar border. A friend had the same approach and she liked the result. She chose the contoured implant style. She wished to be a C-cup size and no larger. There is still some bruising three weeks after surgery.

M.W. (Age 38) - Retail Sales
Procedure: Breast Augmentation
Height 5'4"
Weight 114
Children 3
Preop. Bra Size
Postop. Bra Size Full C
Implant Type McGhan® smooth, round, saline-filled.
Placement Submuscular
Approach Inframammary
Implant Size Right:360cc/Left:350cc
Before, 1 mo. after
Before, 1 mo. after
     
 
Comments: This patient had three children and had lost breast volume.She desired a full C-cup size.

T.A. (Age 40) - Consultant
Procedure: Breast Augmentation
Description: Ideal Breast Augmentation Patient: This woman has ideal characteristics. She has been thinking about this for years. She is at ideal body weight and in excellent physical condition. Her breasts are attractive to start with, just small. But she is not flat-chested - she has some breast tissue already and a nice contour. Her breasts are symmetrical in size and shape. Her nipples are average in size and point outward slightly. Her areolae are a pleasing size, not too large. Her breasts have gone through pregnancy almost unscathed, with no sagging and no stretch marks. But her breast skin envelope has been stretched before, so it will easily accept the implants, without a period of tightness and stretching that younger women usually have to go through after surgery. She has well-defined creases below her breasts. She has the suggestion of a cleavage, and can in fact get a cleavage with a push-up bra.
Height 5'5"
Weight 115
Children 2
Preop. Bra Size B
Postop. Bra Size D
Implant Type Mentor textured, round, textured, saline-filled.
Placement Submuscular
Approach Inframammary
Implant Size 330cc
Before, 7 wks. after
Before, 7 wks. after
     
 
Comments: This 40 year-old mother of two had enviable breasts to start with. She wanted to fill out her bikini. The tan lines after surgery would seem to confirm that she feels quite comfortable in a bikini top.

J.V. (Age 40) - CEO
Procedure: Breast Augmentation
Description: Breast Augmentation with Overprojecting Nipples
Height 5'2"
Weight 84
Children 3
Preop. Bra Size
Postop. Bra Size
Implant Type Mentor® smooth, round, moderate-Plus profile, saline-filled
Placement Submuscular
Approach Trans-Nipple
Implant Size
Before, 3 mos. after
Before, 3 mos. after
 
Before, 3 mos. after
Before, 3 mos. after
 
close up of incision
close up of incision
 
 
Comments: This thin 40 year-old Asian female had virtually no breast tissue, very little body fat (her body mass index was only 15.1),and large, pendulous nipples. The nipples were reduced by removing a “donut” of nipple tissue around the base, preserving the stalk. The implants were inserted using the same incision, extended on to the areola on either side of the nipple. This incision typically heals very well with an inconspicuous scar.


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